Medical City Plano — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 | $714 – $19,595 · median $9,661 | 32 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $717 – $30,950 · median $14,611 | 32 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $717 – $19,392 · median $10,102 | 32 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $717 – $17,468 · median $8,613 | 32 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $717 – $27,506 · median $13,241 | 32 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $717 – $19,070 · median $9,934 | 32 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $714 – $17,644 · median $8,986 | 32 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $714 – $13,918 · median $7,250 | 32 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $714 – $13,636 · median $6,675 | 32 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $10,463 – $321,139 · median $78,502 | 30 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $44,980 – $511,657 · median $105,129 | 30 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $44,980 – $277,850 · median $71,219 | 30 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $41,876 – $274,829 · median $70,271 | 30 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $44,980 – $266,541 · median $80,449 | 30 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $37,424 – $248,946 · median $65,559 | 30 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $44,980 – $291,909 · median $88,015 | 30 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,962 – $210,433 · median $70,271 | 30 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,344 – $141,654 · median $48,359 | 30 plans |
| 245 | AICD GENERATOR PROCEDURES | $10,463 – $144,059 · median $44,742 | 30 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $46,774 – $265,363 · median $73,307 | 30 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,676 – $164,950 · median $49,173 | 30 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $24,792 – $132,777 · median $40,398 | 30 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,365 – $95,098 · median $29,709 | 30 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $14,340 – $107,478 · median $32,718 | 30 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $25,574 – $213,385 · median $65,173 | 30 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,528 – $160,249 · median $48,950 | 30 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $10,463 – $159,068 · median $41,939 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $10,463 – $120,972 · median $32,237 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $10,463 – $78,119 · median $22,250 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $19,558 – $237,632 · median $79,390 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $19,558 – $202,143 · median $55,016 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ | $19,558 – $202,143 · median $35,802 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $19,558 – $201,145 · median $56,723 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI | $19,558 – $194,624 · median $38,409 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,801 – $234,219 · median $46,326 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,130 – $129,241 · median $26,411 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,477 – $65,601 · median $23,243 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $19,558 – $123,534 · median $35,062 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,865 – $62,957 · median $22,380 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,181 – $49,237 · median $17,907 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,558 – $114,637 · median $32,646 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,813 – $67,057 · median $23,071 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,288 – $47,497 · median $17,737 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE | $16,704 – $113,109 · median $23,619 | 29 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,287 – $113,109 · median $19,532 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $4,736 – $44,195 · median $13,523 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,736 – $32,161 · median $10,256 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $4,736 – $73,820 · median $20,229 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,736 – $36,070 · median $11,317 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $79,693 · median $22,135 | 29 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $52,500 · median $15,777 | 29 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A | $4,736 – $41,412 · median $13,307 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $4,736 – $58,641 · median $16,672 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $4,736 – $29,982 · median $9,664 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,736 – $22,454 · median $8,454 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $4,736 – $51,259 · median $15,440 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $4,736 – $31,067 · median $9,959 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $4,736 – $45,563 · median $13,894 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $4,736 – $30,731 · median $9,867 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $4,736 – $50,778 · median $15,361 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,736 – $27,031 · median $9,046 | 29 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,736 – $29,416 · median $9,510 | 29 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,736 – $22,454 · median $8,189 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $4,736 – $58,602 · median $17,125 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,736 – $26,674 · median $9,046 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,602 – $68,399 · median $19,916 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,782 – $40,987 · median $15,386 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,602 – $66,801 · median $19,618 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,046 – $38,667 · median $14,620 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,329 – $30,785 · median $10,458 | 29 plans |
| 088 | CONCUSSION WITH MCC | $4,736 – $41,586 · median $13,268 | 29 plans |
| 089 | CONCUSSION WITH CC | $4,736 – $31,607 · median $10,105 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,736 – $25,271 · median $9,019 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $4,736 – $53,738 · median $15,828 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,736 – $31,214 · median $9,999 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,736 – $23,269 · median $8,548 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $4,736 – $107,558 · median $28,821 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,736 – $70,666 · median $19,426 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $4,736 – $105,683 · median $28,344 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,736 – $63,947 · median $17,750 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $4,736 – $41,073 · median $12,675 | 29 plans |
| 100 | SEIZURES WITH MCC | $4,736 – $58,526 · median $16,643 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $4,736 – $27,170 · median $9,046 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $4,736 – $25,065 · median $8,946 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,463 – $66,527 · median $19,585 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,463 – $49,189 · median $17,556 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,656 – $31,798 · median $12,211 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,332 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,736 – $23,679 · median $8,548 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,736 – $38,437 · median $11,959 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,736 – $24,342 · median $8,688 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,463 – $71,076 · median $20,452 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,463 – $41,229 · median $14,715 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,463 – $40,474 · median $13,345 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $10,463 – $124,675 · median $33,180 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,463 – $63,334 · median $19,558 | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $10,463 – $97,337 · median $26,713 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,463 – $51,786 · median $18,278 | 29 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,380 – $34,926 · median $12,820 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $4,736 – $67,626 · median $18,652 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,736 – $36,695 · median $11,486 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,736 – $23,605 · median $8,548 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $4,736 – $40,746 · median $12,586 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,736 – $33,452 · median $10,606 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,736 – $27,523 · median $9,046 | 29 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,259 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $4,736 – $48,272 · median $14,629 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,736 – $27,727 · median $9,052 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,102 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $10,463 – $135,875 · median $36,032 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,463 – $54,950 · median $19,466 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $10,463 – $113,531 · median $30,342 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,463 – $53,865 · median $19,205 | 29 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $10,463 – $90,460 · median $24,236 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $4,736 – $41,542 · median $12,802 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,736 – $24,012 · median $8,570 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,736 – $29,248 · median $9,465 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,736 – $22,692 · median $8,548 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,736 – $32,730 · median $10,410 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,736 – $24,690 · median $8,812 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,736 – $31,486 · median $9,983 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,736 – $22,924 · median $8,365 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $4,736 – $46,580 · median $14,170 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,736 – $29,596 · median $9,559 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,736 – $36,483 · median $11,429 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,736 – $33,116 · median $10,515 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,736 – $25,327 · median $9,039 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,736 – $22,454 · median $7,950 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,736 – $38,850 · median $13,866 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,736 – $28,702 · median $7,825 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $4,736 – $55,548 · median $15,886 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,736 – $29,183 · median $9,447 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,736 – $32,647 · median $10,388 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,736 – $22,454 · median $8,314 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,736 – $28,499 · median $9,261 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,736 – $22,454 · median $8,532 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,736 – $55,651 · median $15,897 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,736 – $26,704 · median $9,046 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $4,736 – $79,130 · median $21,885 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,286 – $171,665 · median $61,205 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,485 – $122,208 · median $39,693 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $37,584 – $183,270 · median $55,976 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $10,463 – $148,481 · median $39,243 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $10,463 – $85,849 · median $23,732 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,664 – $112,184 · median $25,897 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,340 – $79,664 · median $24,444 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $17,885 – $87,842 · median $27,009 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,231 – $60,263 · median $19,097 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,463 – $49,929 · median $16,488 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $16,948 – $100,436 · median $28,791 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,651 – $44,743 · median $17,128 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,558 – $81,490 · median $27,638 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $19,558 – $204,538 · median $34,166 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,158 – $380,664 · median $72,296 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,386 – $285,825 · median $57,784 | 29 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $19,558 – $147,490 · median $37,519 | 29 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $19,558 – $94,463 · median $25,967 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,032 – $32,554 · median $9,014 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,636 – $57,647 · median $17,750 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,190 – $32,554 · median $9,169 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,773 – $65,250 · median $18,387 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,006 – $32,123 · median $12,726 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $10,631 – $80,521 · median $22,971 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,804 – $46,480 · median $16,589 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,849 – $38,470 · median $14,388 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,174 – $25,392 · median $10,120 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,716 – $97,188 · median $7,115 | 29 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,736 – $36,200 · median $11,352 | 29 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,736 – $23,284 · median $8,548 | 29 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,877 – $47,691 · median $15,744 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,877 – $31,559 · median $12,274 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,028 – $22,454 · median $8,761 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,736 – $34,292 · median $10,834 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,736 – $22,454 · median $8,259 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $4,736 – $34,634 · median $10,927 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,736 – $44,145 · median $13,509 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $4,736 – $35,554 · median $11,177 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 311 | ANGINA PECTORIS | $4,736 – $22,454 · median $8,548 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,736 – $25,687 · median $9,046 | 29 plans |
| 313 | CHEST PAIN | $4,703 – $55,643 · median $8,761 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,736 – $28,370 · median $9,226 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,384 | 29 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $43,492 – $264,653 · median $62,776 | 29 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $19,558 – $135,813 · median $43,505 | 29 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,086 – $77,756 · median $24,354 | 29 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $10,463 – $98,067 · median $24,712 | 29 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,463 – $62,323 · median $19,686 | 29 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $10,463 – $125,565 · median $31,516 | 29 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,463 – $94,192 · median $24,712 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $10,463 – $149,725 · median $39,559 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,463 – $71,583 · median $20,587 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,463 – $46,975 · median $16,746 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,463 – $135,368 · median $35,903 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,463 – $69,684 · median $20,081 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $10,463 – $102,255 · median $27,989 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $10,463 – $62,650 · median $18,669 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $10,463 – $106,836 · median $28,637 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,463 – $62,276 · median $19,558 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,463 – $45,253 · median $15,916 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,463 – $79,434 · median $22,250 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,463 – $43,903 · median $15,669 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,792 – $36,710 · median $13,102 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,463 – $69,770 · median $20,103 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,308 – $28,146 · median $10,481 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,463 – $71,338 · median $20,522 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,463 – $44,360 · median $14,852 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,819 – $32,503 · median $12,441 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $10,463 – $86,462 · median $23,891 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,392 – $39,301 · median $13,863 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $10,463 – $66,388 · median $19,558 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,463 – $39,947 · median $14,013 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $4,736 – $49,230 · median $14,890 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,736 – $30,000 · median $9,669 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $4,736 – $51,542 · median $15,517 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,736 – $30,345 · median $9,762 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $4,736 – $62,249 · median $18,424 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $4,736 – $36,223 · median $11,358 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,736 – $26,029 · median $9,046 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $4,736 – $53,599 · median $15,791 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,736 – $22,454 · median $7,819 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,736 – $56,730 · median $16,177 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,736 – $32,108 · median $10,241 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,736 – $37,270 · median $11,643 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,736 – $25,637 · median $9,046 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,736 – $29,257 · median $9,467 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,736 – $22,454 · median $8,233 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,736 – $43,337 · median $13,290 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,736 – $23,635 · median $8,548 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,736 – $22,454 · median $6,720 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,736 – $37,880 · median $11,808 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,736 – $48,818 · median $14,777 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,736 – $27,750 · median $9,058 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $7,817 | 29 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $10,463 – $44,614 · median $13,395 | 29 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,966 – $33,140 · median $11,828 | 29 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,099 – $204,886 · median $41,308 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $10,463 – $160,035 · median $42,185 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,463 – $62,960 · median $19,558 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,463 – $62,839 · median $19,558 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,463 – $49,009 · median $16,369 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $10,463 – $103,290 · median $28,146 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,463 – $58,313 · median $19,558 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,463 – $40,395 · median $13,904 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,463 – $70,062 · median $20,181 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,463 – $48,894 · median $16,779 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,286 – $38,844 · median $13,345 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $10,463 – $104,044 · median $28,146 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,463 – $48,275 · median $17,230 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,463 – $43,316 · median $13,997 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $10,463 – $119,902 · median $31,965 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $10,463 – $67,308 · median $19,797 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,463 – $45,569 · median $14,452 | 29 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $72,791 – $548,607 · median $107,009 | 29 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $49,717 – $371,976 · median $73,089 | 29 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $38,848 – $288,255 · median $57,111 | 29 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $38,609 – $286,496 · median $56,759 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $4,736 – $57,756 · median $16,443 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,736 – $31,536 · median $10,086 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,533 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $4,736 – $53,788 · median $16,127 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,736 – $33,243 · median $10,549 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,736 – $23,146 · median $8,548 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,736 – $49,050 · median $14,841 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $4,736 – $55,728 · median $15,949 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C | $4,736 – $22,454 · median $8,548 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $4,736 – $49,661 · median $15,006 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,736 – $31,969 · median $10,203 | 29 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $47,026 – $351,132 · median $69,133 | 29 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,149 – $213,857 · median $42,852 | 29 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $36,424 – $269,716 · median $53,546 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $30,749 – $226,243 · median $48,622 | 29 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,156 – $313,868 · median $64,806 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $19,558 – $159,218 · median $41,977 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $14,498 – $86,928 · median $24,684 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE | $13,139 – $51,176 · median $18,965 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,046 – $260,568 · median $53,602 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,191 – $134,171 · median $32,221 | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT | $14,160 – $96,436 · median $23,160 | 29 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,427 – $254,382 · median $50,611 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,059 – $151,729 · median $30,958 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,445 – $123,983 · median $25,646 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,463 – $132,205 · median $35,098 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,463 – $101,379 · median $27,762 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,463 – $68,938 · median $19,914 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,463 – $52,349 · median $17,864 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,786 – $150,369 · median $30,945 | 29 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,463 – $130,330 · median $23,816 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $9,494 – $164,654 · median $32,842 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,065 – $108,476 · median $22,314 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,749 – $46,583 · median $17,036 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,445 – $100,522 · median $20,679 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,556 – $63,339 · median $14,069 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $11,168 – $104,687 · median $27,957 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,744 – $70,784 · median $20,557 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,071 – $55,586 · median $19,699 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $19,558 – $103,782 · median $29,699 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $8,213 – $58,163 · median $19,558 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT | $10,459 – $39,593 · median $15,372 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC | $10,463 – $74,431 · median $21,346 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT | $9,217 – $34,222 · median $13,002 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $10,463 – $93,411 · median $25,694 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,463 – $52,621 · median $17,757 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,463 – $41,188 · median $13,885 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,350 – $78,021 · median $25,591 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,274 – $51,757 · median $18,472 | 29 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,463 – $44,192 · median $14,242 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,518 – $99,131 · median $20,547 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,102 – $66,009 · median $14,630 | 29 plans |
| 509 | ARTHROSCOPY | $10,463 – $51,783 · median $15,583 | 29 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,554 – $146,180 · median $29,176 | 29 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,871 – $100,308 · median $19,992 | 29 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ | $12,265 – $82,233 · median $17,302 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,463 – $44,384 · median $15,841 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,558 – $91,161 · median $28,146 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,020 – $59,304 · median $21,188 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC | $11,480 – $50,163 · median $16,876 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,748 – $58,128 · median $20,197 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,915 – $42,249 · median $15,622 | 29 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,179 – $149,075 · median $31,135 | 29 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,679 – $107,821 · median $24,121 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $4,736 – $44,953 · median $13,728 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,736 – $23,995 · median $8,564 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $4,736 – $39,207 · median $12,168 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,736 – $23,906 · median $8,548 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,736 – $59,631 · median $16,929 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,736 – $25,790 · median $9,046 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $4,736 – $54,979 · median $15,886 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $4,736 – $22,454 · median $8,548 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $4,736 – $74,490 · median $20,785 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,736 – $34,130 · median $10,790 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $4,736 – $59,389 · median $16,867 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,736 – $35,525 · median $11,169 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,312 – $50,303 · median $15,886 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,852 – $28,414 · median $11,364 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $4,736 – $38,511 · median $11,979 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,736 – $24,605 · median $8,782 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,736 – $39,696 · median $12,301 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,736 – $24,071 · median $8,591 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,736 – $45,687 · median $13,928 | 29 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,736 – $33,573 · median $10,639 | 29 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $4,736 – $43,151 · median $13,239 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | $4,736 – $26,347 · median $9,046 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $4,736 – $46,262 · median $14,084 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,736 – $30,059 · median $9,685 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,463 – $88,750 · median $24,485 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,091 – $33,679 · median $12,820 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,463 – $181,538 · median $47,661 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,463 – $102,143 · median $27,960 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,463 – $58,859 · median $19,558 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $10,463 – $159,047 · median $41,933 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $10,463 – $78,496 · median $22,250 | 29 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $10,463 – $96,082 · median $26,387 | 29 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,463 – $52,267 · median $17,539 | 29 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,463 – $42,426 · median $14,259 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,463 – $48,423 · median $14,670 | 29 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,463 – $60,356 · median $19,558 | 29 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,463 – $58,520 · median $18,599 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $4,736 – $60,619 · median $17,186 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $4,736 – $36,043 · median $11,310 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,736 – $25,018 · median $8,929 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,736 – $31,869 · median $10,176 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $4,736 – $51,783 · median $15,583 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,736 – $25,203 · median $8,995 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,736 – $28,219 · median $9,185 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,736 – $22,454 · median $7,364 | 29 plans |
| 602 | CELLULITIS WITH MCC | $4,736 – $43,319 · median $13,285 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,736 – $25,970 · median $9,046 | 29 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,065 – $43,800 · median $15,631 | 29 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,560 – $27,232 · median $10,969 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $4,736 – $47,467 · median $14,411 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,736 – $25,480 · median $9,046 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $10,463 – $67,181 · median $19,763 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $10,463 – $113,941 · median $30,447 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $10,463 – $56,963 · median $19,558 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH | $9,791 – $36,704 · median $13,100 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,895 – $134,501 · median $25,706 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,191 – $78,930 · median $17,397 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,269 – $72,112 · median $16,081 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $10,463 – $110,377 · median $29,539 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $10,463 – $56,427 · median $19,038 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR | $8,141 – $29,572 · median $11,484 | 29 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $10,463 – $84,519 · median $23,387 | 29 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,463 – $44,493 · median $15,880 | 29 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,940 – $37,347 · median $13,329 | 29 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $10,463 – $116,341 · median $31,058 | 29 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $10,463 – $66,335 · median $19,558 | 29 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,463 – $41,309 · median $14,185 | 29 plans |
| 637 | DIABETES WITH MCC | $4,736 – $42,933 · median $13,180 | 29 plans |
| 638 | DIABETES WITH CC | $4,736 – $27,040 · median $9,046 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,736 – $22,454 · median $7,697 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M | $4,736 – $39,154 · median $12,154 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | $4,736 – $23,039 · median $8,548 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,736 – $30,469 · median $9,796 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,736 – $22,966 · median $8,548 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $10,463 – $164,333 · median $43,279 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,463 – $83,192 · median $23,043 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $10,463 – $96,040 · median $26,376 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,463 – $53,891 · median $16,155 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,557 – $44,336 · median $16,303 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,925 – $76,185 · median $26,032 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,438 – $39,502 · median $15,067 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,301 – $30,265 · median $11,982 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $10,463 – $91,963 · median $25,318 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,463 – $45,026 · median $15,406 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,664 – $31,834 · median $12,222 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $10,463 – $101,220 · median $27,720 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,309 – $30,298 · median $11,721 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $10,463 – $85,970 · median $23,763 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,463 – $45,622 · median $15,903 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,817 – $28,172 · median $11,027 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,463 – $50,813 · median $18,136 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,763 – $32,261 · median $12,362 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $10,463 – $123,525 · median $32,887 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $10,463 – $68,051 · median $19,914 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,736 – $22,454 · median $7,462 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $4,736 – $55,589 · median $16,616 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,736 – $31,032 · median $9,949 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,736 – $34,505 · median $12,315 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,736 – $23,661 · median $8,548 | 29 plans |
| 693 | URINARY STONES WITH MCC | $11,328 – $43,346 · median $15,602 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,629 – $23,036 · median $9,351 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,736 – $33,246 · median $10,550 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,736 – $22,454 · median $8,488 | 29 plans |
| 697 | URETHRAL STRICTURE | $4,736 – $29,534 · median $9,542 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $4,736 – $49,555 · median $14,978 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,511 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,535 – $57,208 · median $20,157 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $10,463 – $66,244 · median $19,558 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,463 – $44,260 · median $14,561 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,463 – $56,326 · median $19,558 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,595 – $31,533 · median $12,405 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,463 – $42,627 · median $14,970 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,708 – $28,146 · median $10,873 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $10,463 – $66,574 · median $19,598 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,701 – $36,315 · median $12,961 | 29 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $50,967 · median $15,361 | 29 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $33,104 · median $10,512 | 29 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $43,316 · median $13,284 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $7,455 | 29 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,578 – $35,784 · median $12,852 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $10,463 – $116,076 · median $30,990 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,463 – $58,912 · median $19,558 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,463 – $44,717 · median $14,181 | 29 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC | $19,558 – $117,355 · median $35,190 | 29 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,701 – $53,602 · median $19,327 | 29 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT | $9,773 – $40,492 · median $15,048 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,001 – $53,850 · median $19,408 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,185 – $35,336 · median $13,665 | 29 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,463 – $57,603 · median $19,177 | 29 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,289 – $30,212 · median $11,693 | 29 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,814 – $28,157 · median $11,023 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,463 – $76,309 · median $21,847 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,094 – $38,016 · median $13,568 | 29 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,736 – $53,337 · median $16,004 | 29 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $32,727 · median $10,409 | 29 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,736 – $28,151 · median $9,167 | 29 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,736 – $30,050 · median $9,682 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,736 – $29,054 · median $9,412 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,736 – $22,454 · median $7,786 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,736 – $22,454 · median $8,548 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $4,736 – $27,556 · median $9,046 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,463 – $52,473 · median $18,728 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,839 – $32,591 · median $12,747 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $67,523 · median $18,626 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $36,512 · median $11,437 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO | $4,736 – $28,057 · median $9,141 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,736 – $41,474 · median $12,784 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,736 – $27,208 · median $9,046 | 29 plans |
| 813 | COAGULATION DISORDERS | $4,736 – $45,634 · median $13,913 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $4,736 – $61,624 · median $17,446 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,736 – $29,956 · median $9,657 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,736 – $22,454 · median $8,099 | 29 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,868 – $28,146 · median $9,689 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $10,463 – $171,635 · median $48,120 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $10,463 – $65,807 · median $19,390 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,099 – $33,714 · median $12,820 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $10,463 – $137,948 · median $38,974 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $10,463 – $64,838 · median $19,147 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,693 – $36,282 · median $12,949 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $10,463 – $140,778 · median $42,986 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $10,463 – $69,566 · median $20,410 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. | $10,463 – $47,252 · median $14,539 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $10,463 – $90,908 · median $26,457 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE | $10,463 – $43,113 · median $13,345 | 29 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,149 – $33,930 · median $12,907 | 29 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,896 – $22,454 · median $9,023 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,242 – $22,454 · median $6,385 | 29 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $4,736 – $162,939 · median $46,231 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT | $4,736 – $147,605 · median $44,995 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE | $4,736 – $59,790 · median $18,593 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,736 – $40,398 · median $12,492 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $4,736 – $94,027 · median $27,051 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,736 – $46,223 · median $14,073 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,736 – $31,008 · median $9,943 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $55,810 · median $16,197 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $35,233 · median $11,089 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES | $4,736 – $24,667 · median $8,804 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $4,736 – $75,283 · median $21,962 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $4,736 – $37,459 · median $11,694 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,736 – $24,142 · median $8,616 | 29 plans |
| 849 | RADIOTHERAPY | $4,736 – $78,741 · median $21,482 | 29 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $10,463 – $271,558 · median $73,915 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $10,463 – $147,449 · median $38,980 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,463 – $58,909 · median $20,766 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,463 – $47,921 · median $15,433 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $4,736 – $54,204 · median $15,886 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,736 – $29,478 · median $9,527 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,736 – $26,471 · median $9,046 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $4,736 – $43,511 · median $14,080 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,736 – $26,082 · median $9,046 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $4,736 – $63,213 · median $17,788 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,736 – $30,955 · median $9,928 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,736 – $22,454 · median $8,548 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $4,736 – $205,085 · median $53,657 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $4,736 – $57,851 · median $17,230 | 29 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,736 – $28,260 · median $9,046 | 29 plans |
| 881 | DEPRESSIVE NEUROSES | $4,736 – $26,949 · median $8,840 | 29 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,736 – $28,358 · median $9,060 | 29 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $4,736 – $54,729 · median $15,657 | 29 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $4,736 – $49,236 · median $14,628 | 29 plans |
| 885 | PSYCHOSES | $4,736 – $41,553 · median $12,579 | 29 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $4,736 – $52,960 · median $15,602 | 29 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $4,736 – $52,500 · median $15,498 | 29 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,736 – $26,008 · median $8,585 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,463 – $55,937 · median $19,558 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $10,463 – $113,823 · median $30,417 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,463 – $48,588 · median $15,758 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,463 – $64,339 · median $18,991 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,463 – $59,463 · median $19,558 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,949 – $37,388 · median $13,345 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,736 – $47,706 · median $14,348 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,736 – $27,013 · median $8,952 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,736 – $51,232 · median $15,433 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,736 – $48,337 · median $14,517 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,736 – $26,073 · median $8,824 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $4,736 – $53,756 · median $15,833 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,736 – $29,947 · median $9,654 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,736 – $22,454 · median $8,446 | 29 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,736 – $49,799 · median $14,911 | 29 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,736 – $30,065 · median $9,601 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $10,463 – $93,567 · median $25,735 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,463 – $62,243 · median $19,558 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ | $10,463 – $57,612 · median $19,067 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $4,736 – $37,916 · median $11,818 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,736 – $31,807 · median $10,159 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,736 – $22,454 · median $7,199 | 29 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,736 – $22,454 · median $6,963 | 29 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $19,558 – $201,293 · median $55,674 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,558 – $220,037 · median $60,718 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,558 – $181,715 · median $34,110 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,523 – $30,818 · median $10,736 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $10,463 – $186,435 · median $48,908 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,463 – $78,219 · median $22,250 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,736 – $29,566 · median $9,551 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,736 – $42,506 · median $13,064 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,463 – $140,162 · median $37,124 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,463 – $49,177 · median $16,872 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $10,463 – $103,272 · median $28,146 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,463 – $50,589 · median $17,137 | 29 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $147,468 – $631,784 · median $208,032 | 28 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | $97,669 – $416,540 · median $139,847 | 28 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,463 – $106,333 · median $22,167 | 27 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $19,558 – $233,687 · median $60,941 | 25 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $19,558 – $135,819 · median $36,018 | 25 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,558 – $102,364 · median $28,082 | 25 plans |
| 652 | KIDNEY TRANSPLANT | $19,558 – $90,542 · median $25,296 | 25 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $163,105 – $699,372 · median $188,002 | 25 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,851 – $196,889 · median $54,003 | 25 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,990 – $93,755 · median $26,500 | 25 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,810 – $127,555 · median $35,513 | 25 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,934 – $63,257 · median $18,367 | 25 plans |
| 935 | NON-EXTENSIVE BURNS | $16,279 – $64,749 · median $18,764 | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $19,558 – $324,872 · median $83,766 | 24 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $19,558 – $313,931 · median $80,993 | 24 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $19,558 – $142,950 · median $37,834 | 24 plans |
| 007 | LUNG TRANSPLANT | $19,558 – $385,255 · median $99,070 | 24 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $19,558 – $160,400 · median $42,078 | 24 plans |
| 010 | PANCREAS TRANSPLANT | $19,558 – $235,040 · median $60,997 | 24 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $15,602 – $177,933 · median $46,522 | 24 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,708 – $30,352 · median $14,823 | 24 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,972 – $93,430 · median $45,629 | 24 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,972 – $64,727 · median $31,611 | 24 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,972 – $66,410 · median $32,433 | 24 plans |
| 795 | NORMAL NEWBORN | $1,837 – $5,943 · median $2,806 | 24 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,299 – $2,901 · median $1,423 | 24 plans |
| 999 | UNGROUPABLE | $1,299 – $2,901 · median $1,423 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $193,413 – $830,374 · median $222,937 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,710 – $26,144 · median $12,586 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $714 – $9,645 · median $9,427 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $48,948 – $77,170 · median $49,830 | 3 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $717 – $8,768 · median $8,612 | 3 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $714 – $11,742 · median $11,534 | 3 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $714 – $9,273 · median $9,109 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $104,495 – $106,377 · median $105,436 | 2 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $297,969 – $303,338 · median $300,653 | 2 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,542 – $26,002 · median $25,772 | 2 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $49,290 – $50,178 · median $49,734 | 2 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,886 – $28,388 · median $28,137 | 2 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,908 – $16,195 · median $16,052 | 2 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $27,604 – $28,102 · median $27,853 | 2 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,446 – $10,634 · median $10,540 | 2 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $31,151 – $31,712 · median $31,431 | 2 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,319 – $17,631 · median $17,475 | 2 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,741 – $8,898 · median $8,819 | 2 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,991 – $12,207 · median $12,099 | 2 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,008 – $16,297 · median $16,152 | 2 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,513 – $8,667 · median $8,590 | 2 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,943 – $13,176 · median $13,059 | 2 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,429 – $8,580 · median $8,504 | 2 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,789 – $7,929 · median $7,859 | 2 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $13,653 – $13,899 · median $13,776 | 2 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,013 – $9,176 · median $9,095 | 2 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,342 – $20,709 · median $20,526 | 2 plans |
| 102 | HEADACHES WITH MCC | $10,613 – $10,804 · median $10,708 | 2 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,791 – $10,985 · median $10,888 | 2 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,533 – $13,777 · median $13,655 | 2 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,642 – $10,833 · median $10,737 | 2 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,188 – $9,354 · median $9,271 | 2 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,893 – $8,035 · median $7,964 | 2 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,859 – $14,108 · median $13,984 | 2 plans |
| 149 | DYSEQUILIBRIUM | $7,374 – $7,507 · median $7,441 | 2 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,282 – $14,540 · median $14,411 | 2 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,284 – $21,668 · median $21,476 | 2 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,141 – $12,360 · median $12,250 | 2 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,206 – $14,462 · median $14,334 | 2 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,238 – $15,512 · median $15,375 | 2 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,976 – $14,228 · median $14,102 | 2 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,269 – $7,400 · median $7,334 | 2 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,944 – $8,087 · median $8,016 | 2 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,375 – $15,652 · median $15,514 | 2 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,873 – $8,015 · median $7,944 | 2 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $52,345 – $53,289 · median $52,817 | 2 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $77,367 – $78,761 · median $78,064 | 2 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $37,601 – $38,279 · median $37,940 | 2 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $62,944 – $64,078 · median $63,511 | 2 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,755 – $48,615 · median $48,185 | 2 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC | $13,367 – $13,608 · median $13,488 | 2 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,782 – $14,030 · median $13,906 | 2 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $28,465 – $28,978 · median $28,722 | 2 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,066 – $22,464 · median $22,265 | 2 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,509 – $8,663 · median $8,586 | 2 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,553 – $23,977 · median $23,765 | 2 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,315 – $15,591 · median $15,453 | 2 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,415 – $16,710 · median $16,562 | 2 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $28,974 – $29,496 · median $29,235 | 2 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,851 – $42,605 · median $42,228 | 2 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,237 – $32,818 · median $32,528 | 2 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $57,053 – $58,081 · median $57,567 | 2 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,403 – $14,662 · median $14,532 | 2 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,745 – $8,902 · median $8,823 | 2 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,910 – $6,017 · median $5,964 | 2 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,194 – $9,360 · median $9,277 | 2 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,378 – $14,637 · median $14,507 | 2 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,969 – $5,059 · median $5,014 | 2 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,780 – $8,938 · median $8,859 | 2 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,896 – $6,002 · median $5,949 | 2 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,427 – $18,759 · median $18,593 | 2 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,998 – $24,430 · median $24,214 | 2 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,477 – $14,738 · median $14,608 | 2 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,536 – $14,797 · median $14,667 | 2 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,394 – $11,599 · median $11,497 | 2 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $14,871 – $15,139 · median $15,005 | 2 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,031 – $35,663 · median $35,347 | 2 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,984 – $7,110 · median $7,047 | 2 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,248 – $9,415 · median $9,332 | 2 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,388 – $7,522 · median $7,455 | 2 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,271 – $14,528 · median $14,399 | 2 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,632 – $7,770 · median $7,701 | 2 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,976 – $21,354 · median $21,165 | 2 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,575 – $24,000 · median $23,787 | 2 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $29,023 – $29,546 · median $29,284 | 2 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $17,978 – $18,302 · median $18,140 | 2 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH | $13,691 – $13,938 · median $13,815 | 2 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,011 – $23,425 · median $23,218 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $67,065 – $68,274 · median $67,669 | 2 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,260 – $8,409 · median $8,335 | 2 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,333 – $6,447 · median $6,390 | 2 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,094 – $9,257 · median $9,176 | 2 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,765 – $7,905 · median $7,835 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,758 – $26,222 · median $25,990 | 2 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $68,076 – $69,303 · median $68,690 | 2 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $46,617 – $47,457 · median $47,037 | 2 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,011 – $24,443 · median $24,227 | 2 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,423 – $28,936 · median $28,680 | 2 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC | $27,194 – $27,684 · median $27,439 | 2 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,456 – $18,789 · median $18,623 | 2 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC | $10,641 – $10,833 · median $10,737 | 2 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,810 – $18,131 · median $17,970 | 2 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,970 – $14,221 · median $14,095 | 2 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,300 – $15,575 · median $15,438 | 2 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,513 – $9,685 · median $9,599 | 2 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST | $29,673 – $30,207 · median $29,940 | 2 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,722 – $8,879 · median $8,800 | 2 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,777 – $6,899 · median $6,838 | 2 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,674 – $11,884 · median $11,779 | 2 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH | $9,837 – $10,015 · median $9,926 | 2 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,275 – $8,424 · median $8,350 | 2 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,289 – $8,438 · median $8,363 | 2 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,090 – $16,380 · median $16,235 | 2 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,925 – $8,068 · median $7,997 | 2 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,665 – $14,929 · median $14,797 | 2 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,786 – $15,053 · median $14,920 | 2 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,264 – $15,539 · median $15,402 | 2 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,125 – $18,452 · median $18,289 | 2 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,980 – $10,159 · median $10,070 | 2 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,763 – $12,993 · median $12,878 | 2 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,255 – $11,458 · median $11,356 | 2 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,527 – $14,789 · median $14,658 | 2 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,828 – $18,149 · median $17,989 | 2 plans |
| 666 | PROSTATECTOMY WITH CC | $14,448 – $14,708 · median $14,578 | 2 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,803 – $14,052 · median $13,927 | 2 plans |
| 682 | RENAL FAILURE WITH MCC | $13,306 – $13,546 · median $13,426 | 2 plans |
| 683 | RENAL FAILURE WITH CC | $8,486 – $8,639 · median $8,562 | 2 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,515 – $9,686 · median $9,601 | 2 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,152 – $13,389 · median $13,270 | 2 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,655 – $12,883 · median $12,769 | 2 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,084 – $16,374 · median $16,229 | 2 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,428 – $11,634 · median $11,531 | 2 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,921 – $8,064 · median $7,993 | 2 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,152 – $10,335 · median $10,243 | 2 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,029 – $18,353 · median $18,191 | 2 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,662 – $14,926 · median $14,794 | 2 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,207 – $12,427 · median $12,317 | 2 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,624 – $12,851 · median $12,737 | 2 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,528 – $6,646 · median $6,587 | 2 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,422 – $12,645 · median $12,533 | 2 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,956 – $10,135 · median $10,046 | 2 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $20,757 – $21,131 · median $20,944 | 2 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,103 – $13,339 · median $13,221 | 2 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $38,877 – $39,577 · median $39,227 | 2 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $24,404 – $24,843 · median $24,624 | 2 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,404 – $14,664 · median $14,534 | 2 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,679 – $30,214 · median $29,946 | 2 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,428 – $21,814 · median $21,621 | 2 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,624 – $11,833 · median $11,728 | 2 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,289 – $18,618 · median $18,454 | 2 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,488 – $11,695 · median $11,591 | 2 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,965 – $37,631 · median $37,298 | 2 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,628 – $18,963 · median $18,795 | 2 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,627 – $11,836 · median $11,731 | 2 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,603 – $9,776 · median $9,690 | 2 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $32,390 – $32,973 · median $32,682 | 2 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $10,848 – $11,043 · median $10,945 | 2 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,404 – $6,519 · median $6,462 | 2 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,881 – $13,113 · median $12,997 | 2 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $36,327 – $36,982 · median $36,654 | 2 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,081 – $11,281 · median $11,181 | 2 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $32,815 – $33,406 · median $33,111 | 2 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,718 – $6,839 · median $6,778 | 2 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,744 – $7,883 · median $7,814 | 2 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $31,547 – $32,115 · median $31,831 | 2 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,282 – $22,683 · median $22,483 | 2 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,855 – $23,267 · median $23,061 | 2 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,292 – $13,531 · median $13,412 | 2 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,973 – $25,423 · median $25,198 | 2 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,672 – $12,900 · median $12,786 | 2 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,747 – $21,121 · median $20,934 | 2 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,581 – $10,772 · median $10,676 | 2 plans |
No procedures match that keyword.