South Texas Health System — Pricing
735 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 735 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 735 procedures
Procedures with negotiated rates only
These 735 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,014 – $263,573 · median $84,831 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,418 – $201,184 · median $65,889 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,716 – $142,972 · median $44,185 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,756 – $352,678 · median $139,059 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $40,512 – $257,369 · median $101,038 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,876 – $165,227 · median $62,642 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $39,751 – $198,566 · median $89,940 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $22,614 – $112,963 · median $51,166 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,297 – $90,155 · median $38,190 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $25,736 – $135,725 · median $64,186 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,169 – $79,826 · median $37,831 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,928 – $63,197 · median $29,749 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $22,267 – $111,825 · median $55,535 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,554 – $56,595 · median $26,322 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,527 – $38,864 · median $18,772 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $25,400 – $131,859 · median $63,348 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,715 – $80,167 · median $36,699 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,477 – $64,865 · median $28,623 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,827 – $97,290 · median $31,991 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,490 – $59,650 · median $16,185 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,720 – $71,822 · median $24,120 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,079 – $54,831 · median $17,656 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,792 – $115,231 · median $38,699 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,992 – $66,531 · median $22,343 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,398 – $91,217 · median $28,427 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,831 – $59,172 · median $19,532 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,920 – $48,170 · median $14,764 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,489 – $151,759 · median $46,112 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,347 – $104,366 · median $30,793 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,808 – $89,742 · median $24,461 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $13,213 – $100,723 · median $32,953 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,705 – $53,540 · median $16,722 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,535 – $37,352 · median $11,311 | 15 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,347 – $74,840 · median $23,311 | 15 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,746 – $46,658 · median $14,330 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,269 – $41,315 · median $13,140 | 15 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,804 – $88,162 · median $29,441 | 15 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,004 – $53,109 · median $17,469 | 15 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,165 – $40,507 · median $12,882 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,981 – $76,263 · median $24,892 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,769 – $53,487 · median $16,883 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,624 – $85,401 · median $28,681 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,085 – $51,697 · median $15,177 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,967 – $80,462 · median $24,857 | 15 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,708 – $49,860 · median $16,730 | 15 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,887 – $38,255 · median $12,188 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,570 – $109,988 · median $36,338 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,000 – $40,585 · median $13,630 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,118 – $76,383 · median $25,234 | 15 plans |
| 089 | CONCUSSION WITH CC | $7,585 – $55,823 · median $18,747 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,166 – $44,858 · median $15,065 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,802 – $86,650 · median $29,100 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,769 – $51,907 · median $16,881 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,108 – $41,058 · median $12,740 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,897 – $190,953 · median $59,601 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,727 – $131,608 · median $39,225 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,378 – $122,443 · median $35,860 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,991 – $197,383 · median $59,834 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,212 – $110,885 · median $35,446 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,709 – $73,586 · median $21,720 | 15 plans |
| 100 | SEIZURES WITH MCC | $13,078 – $98,492 · median $32,616 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $6,000 – $46,632 · median $14,965 | 15 plans |
| 102 | HEADACHES WITH MCC | $7,959 – $60,526 · median $19,851 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $5,557 – $43,540 · median $13,859 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,539 – $115,184 · median $38,683 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,126 – $75,985 · median $20,266 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,320 – $76,457 · median $25,677 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,077 – $98,823 · median $30,120 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,905 – $54,653 · median $18,354 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,451 – $62,495 · median $20,988 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,911 – $33,882 · median $11,379 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,304 – $40,249 · median $13,227 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,720 – $73,591 · median $21,748 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,261 – $43,934 · median $13,120 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,495 – $112,512 · median $39,583 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,889 – $65,901 · median $15,450 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,926 – $79,244 · median $24,755 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,711 – $44,958 · median $14,243 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,835 – $64,778 · median $19,540 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $24,922 – $208,800 · median $62,157 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,666 – $115,798 · median $34,084 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,192 – $84,252 · median $25,418 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,937 – $156,410 · median $52,528 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,415 – $92,461 · median $28,470 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,055 – $64,279 · median $20,090 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,925 – $107,137 · median $34,730 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,152 – $68,295 · median $20,331 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,869 – $41,310 · median $13,873 | 15 plans |
| 149 | DYSEQUILIBRIUM | $4,912 – $38,685 · median $12,252 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $8,671 – $69,680 · median $21,626 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,084 – $38,759 · median $12,680 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,838 – $56,715 · median $19,047 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,847 – $37,436 · median $12,089 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,147 – $81,192 · median $25,306 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,244 – $47,740 · median $15,573 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,324 – $34,559 · median $10,784 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,260 – $82,735 · median $27,785 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,191 – $47,252 · median $15,440 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,454 – $34,806 · median $11,108 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,093 – $262,807 · median $77,548 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,824 – $139,392 · median $41,959 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,378 – $100,602 · median $30,871 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,767 – $195,447 · median $65,638 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,004 – $95,464 · median $29,939 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,943 – $71,092 · median $22,304 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,255 – $81,150 · median $23,082 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,380 – $46,601 · median $13,418 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,190 – $97,059 · median $27,909 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,509 – $63,397 · median $16,233 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,035 – $45,808 · median $12,558 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,466 – $91,327 · median $28,597 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,263 – $58,794 · median $18,115 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,269 – $41,572 · median $12,487 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,238 – $81,034 · median $25,535 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,572 – $54,217 · median $16,391 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,924 – $38,291 · median $12,281 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $8,127 – $64,358 · median $20,269 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,269 – $59,057 · median $18,130 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,600 – $46,417 · median $13,968 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,234 – $36,512 · median $10,559 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,751 – $68,867 · median $21,825 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,424 – $45,346 · median $13,527 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,127 – $34,948 · median $10,292 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,503 – $91,259 · median $30,648 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,580 – $52,857 · median $16,411 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,133 – $39,021 · median $12,803 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,703 – $93,957 · median $29,187 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,104 – $56,505 · median $17,719 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,658 – $37,247 · median $11,617 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,316 – $50,758 · median $15,753 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,584 – $37,110 · median $11,432 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,428 – $41,656 · median $13,538 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,942 – $88,435 · median $29,700 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,026 – $46,506 · median $15,029 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,569 – $301,088 · median $103,102 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,836 – $133,577 · median $44,483 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,382 – $434,129 · median $168,054 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $64,021 – $412,475 · median $159,672 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,989 – $270,525 · median $104,722 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,578 – $245,985 · median $93,722 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $50,867 – $327,726 · median $126,865 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,596 – $222,896 · median $86,284 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $30,664 – $197,566 · median $76,479 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $33,238 – $214,619 · median $82,897 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,974 – $138,556 · median $52,311 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,532 – $350,937 · median $133,511 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $39,240 – $252,816 · median $97,866 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $51,450 – $331,483 · median $128,319 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,288 – $220,911 · median $85,516 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $38,791 – $249,926 · median $96,748 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,658 – $171,751 · median $66,486 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,708 – $204,289 · median $79,081 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,531 – $119,391 · median $46,217 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,196 – $64,116 · median $22,865 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,792 – $150,088 · median $56,843 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,024 – $101,405 · median $37,471 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,068 – $83,077 · median $30,099 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,891 – $218,142 · median $74,551 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,507 – $101,538 · median $38,675 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,468 – $67,443 · median $26,108 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,123 – $142,537 · median $55,177 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,828 – $108,422 · median $41,971 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,446 – $73,742 · median $28,546 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $18,123 – $116,765 · median $45,200 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,816 – $69,687 · median $26,976 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,537 – $46,916 · median $16,304 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,867 – $127,560 · median $44,562 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,313 – $84,120 · median $30,709 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,869 – $143,634 · median $54,542 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,413 – $80,282 · median $30,959 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,853 – $69,925 · median $27,068 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $18,636 – $120,071 · median $46,480 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,544 – $138,805 · median $53,732 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $23,313 – $150,199 · median $58,143 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $41,202 – $283,777 · median $102,761 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $32,192 – $225,398 · median $80,289 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $45,217 – $291,325 · median $112,774 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,432 – $176,741 · median $68,417 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,358 – $214,918 · median $83,196 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,799 – $146,889 · median $56,861 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,092 – $108,242 · median $40,135 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,707 – $165,623 · median $64,113 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,378 – $137,734 · median $53,318 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,465 – $84,346 · median $26,101 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,023 – $48,847 · median $15,021 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,737 – $38,113 · median $11,814 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $13,004 – $97,878 · median $32,433 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,879 – $37,971 · median $12,170 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,224 – $25,967 · median $8,040 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,219 – $112,134 · median $35,464 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,135 – $58,532 · median $17,794 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,105 – $140,957 · median $42,660 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,748 – $86,273 · median $24,311 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,158 – $53,902 · median $16,867 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,469 – $66,573 · median $21,123 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,650 – $45,325 · median $14,091 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,704 – $30,964 · median $9,238 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,215 – $67,334 · median $17,994 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,258 – $51,655 · median $10,516 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,576 – $83,732 · median $26,376 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,806 – $37,110 · median $11,987 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,900 – $25,657 · median $7,221 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,397 – $80,446 · median $25,932 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,038 – $54,789 · median $17,554 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,682 – $39,005 · median $11,678 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,395 – $57,466 · median $18,444 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,341 – $35,567 · median $10,827 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $7,579 – $57,582 · median $18,903 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,970 – $38,837 · median $12,397 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,137 – $79,123 · median $25,283 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,218 – $45,687 · median $15,343 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,930 – $63,035 · median $19,779 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,912 – $39,394 · median $12,252 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,648 – $29,352 · median $9,098 | 15 plans |
| 311 | ANGINA PECTORIS | $4,605 – $36,664 · median $11,485 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,696 – $44,023 · median $14,206 | 15 plans |
| 313 | CHEST PAIN | $4,773 – $37,866 · median $11,905 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,810 – $109,426 · median $34,442 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,381 – $51,094 · median $15,914 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,569 – $37,971 · median $11,396 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,773 – $226,647 · median $71,762 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,684 – $126,270 · median $36,622 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $33,504 – $279,053 · median $83,560 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $16,474 – $134,621 · median $41,087 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,537 – $87,496 · median $26,279 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,795 – $256,477 · median $74,310 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,648 – $133,813 · median $39,026 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,029 – $89,784 · median $27,508 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,106 – $218,437 · median $59,681 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $13,717 – $112,397 · median $34,212 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,588 – $84,435 · median $26,407 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,582 – $205,420 · median $58,816 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,888 – $120,270 · median $34,636 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,871 – $85,942 · median $24,619 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,077 – $147,938 · median $45,085 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,163 – $82,871 · median $25,346 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,495 – $66,946 · median $21,187 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,815 – $129,372 · median $41,938 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,585 – $70,762 · median $21,411 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,437 – $51,403 · median $16,054 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,832 – $128,852 · median $39,485 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,602 – $78,352 · median $23,948 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,316 – $57,970 · median $18,245 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $19,290 – $158,777 · median $48,111 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,331 – $93,684 · median $28,261 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,988 – $71,397 · median $22,418 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,224 – $226,116 · median $70,393 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,491 – $119,074 · median $36,142 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,451 – $70,814 · median $21,077 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,897 – $102,308 · median $27,179 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,519 – $56,542 · median $16,260 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,906 – $39,268 · median $12,235 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,529 – $90,871 · median $28,753 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,876 – $54,028 · median $17,148 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,726 – $39,084 · median $11,788 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,846 – $108,849 · median $34,533 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,905 – $63,387 · median $19,714 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,880 – $47,183 · median $14,665 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,810 – $94,545 · median $29,454 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,490 – $52,149 · median $16,185 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,177 – $33,447 · median $10,417 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,853 – $99,028 · median $32,057 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,078 – $55,603 · median $17,653 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,994 – $40,344 · median $12,456 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,223 – $68,898 · median $23,003 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,777 – $46,863 · median $14,407 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,336 – $85,155 · median $25,779 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,409 – $52,233 · median $15,985 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,513 – $37,515 · median $11,255 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,588 – $79,501 · median $23,913 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,253 – $43,210 · median $13,102 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,687 – $30,607 · median $9,197 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,415 – $65,571 · median $20,988 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,182 – $40,197 · median $12,925 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,684 – $87,196 · median $26,646 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,180 – $49,388 · median $15,414 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,271 – $34,197 · median $10,653 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $36,315 – $301,167 · median $90,572 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $19,047 – $151,218 · median $47,504 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,189 – $111,174 · median $35,388 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $24,553 – $196,990 · median $61,238 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,911 – $111,090 · median $32,202 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,325 – $82,320 · median $25,751 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,056 – $197,021 · median $47,390 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,629 – $119,546 · median $33,653 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,958 – $90,855 · median $24,836 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,254 – $190,449 · median $57,997 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,033 – $106,644 · median $32,506 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,834 – $74,657 · median $22,033 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,289 – $127,252 · median $38,132 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,783 – $88,656 · median $26,894 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,663 – $69,040 · median $21,605 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,114 – $184,581 · median $52,660 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,277 – $100,125 · median $28,126 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,308 – $76,299 · median $23,214 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,798 – $219,718 · median $64,342 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,062 – $119,892 · median $34,340 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,567 – $80,976 · median $26,354 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,639 – $98,723 · median $31,522 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,801 – $54,059 · median $16,962 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,416 – $32,581 · median $10,942 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,609 – $92,036 · median $28,954 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,261 – $58,868 · median $18,109 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,482 – $47,026 · median $13,673 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,008 – $83,869 · median $27,455 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,641 – $44,365 · median $14,070 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,061 – $31,825 · median $10,128 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,060 – $98,655 · median $30,078 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,277 – $48,816 · median $15,654 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,715 – $34,811 · median $11,691 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,773 – $87,742 · median $26,869 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,169 – $56,558 · median $17,880 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,287 – $42,863 · median $13,186 | 15 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $58,454 – $351,469 · median $148,882 | 15 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $40,346 – $233,079 · median $100,625 | 15 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $30,381 – $182,899 · median $77,476 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $55,605 – $328,976 · median $139,354 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $40,076 – $248,488 · median $105,260 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,889 – $191,556 · median $81,143 | 15 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $43,750 – $218,541 · median $98,987 | 15 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,129 – $150,361 · median $63,693 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,978 – $366,082 · median $112,178 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,776 – $189,093 · median $50,903 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $37,361 – $323,260 · median $93,179 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,799 – $179,131 · median $49,379 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,341 – $111,004 · median $30,778 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $34,213 – $321,779 · median $86,622 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,997 – $215,344 · median $57,970 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,610 – $168,688 · median $45,410 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,965 – $185,753 · median $54,782 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,413 – $114,387 · median $30,958 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $32,448 – $192,019 · median $81,339 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,495 – $116,813 · median $49,482 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $16,231 – $97,124 · median $41,142 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,383 – $245,357 · median $70,790 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,148 – $132,204 · median $35,589 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,763 – $69,843 · median $19,362 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,224 – $202,186 · median $55,427 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,724 – $141,962 · median $39,217 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,296 – $108,921 · median $30,667 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $19,452 – $182,135 · median $49,030 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,687 – $68,370 · median $30,968 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,478 – $52,339 · median $23,707 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,387 – $143,605 · median $40,870 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $21,729 – $205,237 · median $55,249 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,248 – $129,381 · median $34,829 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,191 – $98,730 · median $26,578 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,896 – $118,925 · median $34,658 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,164 – $78,144 · median $21,036 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,838 – $208,873 · median $56,958 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,843 – $79,138 · median $35,845 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,330 – $61,592 · median $27,898 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,623 – $219,221 · median $59,013 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,111 – $119,569 · median $32,698 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,416 – $87,372 · median $23,520 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $17,223 – $155,523 · median $42,956 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,508 – $72,173 · median $21,220 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $21,391 – $191,989 · median $53,351 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,450 – $105,586 · median $28,556 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,121 – $80,227 · median $22,748 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,691 – $158,948 · median $44,123 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,393 – $106,844 · median $28,762 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,252 – $56,205 · median $25,458 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,648 – $89,304 · median $24,063 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,062 – $124,054 · median $35,071 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,459 – $84,855 · median $23,592 | 15 plans |
| 509 | ARTHROSCOPY | $9,011 – $101,517 · median $26,102 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,946 – $165,154 · median $44,759 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,152 – $118,426 · median $32,802 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,645 – $53,176 · median $24,086 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,693 – $94,625 · median $26,669 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,870 – $60,140 · median $17,135 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,855 – $189,045 · median $52,013 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,462 – $118,149 · median $33,575 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,858 – $84,163 · median $24,586 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,089 – $137,210 · median $60,079 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,986 – $74,976 · median $32,387 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,443 – $54,254 · median $23,551 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $19,751 – $160,945 · median $49,261 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,933 – $114,922 · median $34,750 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,762 – $74,336 · median $24,965 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,343 – $41,478 · median $13,326 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,554 – $64,710 · median $21,333 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,192 – $25,936 · median $11,747 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,379 – $49,099 · median $15,909 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,678 – $37,961 · median $11,666 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $13,090 – $102,235 · median $32,647 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,564 – $68,321 · median $21,358 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,659 – $44,260 · median $14,114 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,030 – $94,965 · median $30,004 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,195 – $54,863 · median $17,944 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,063 – $40,821 · median $12,627 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $16,446 – $131,388 · median $41,018 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,911 – $63,408 · median $19,731 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,431 – $43,756 · median $13,382 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,862 – $107,646 · median $32,078 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,957 – $65,607 · median $19,844 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,224 – $46,133 · median $15,149 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $11,227 – $85,422 · median $28,000 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,374 – $31,841 · median $14,422 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,915 – $66,741 · median $22,235 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,421 – $41,598 · median $13,520 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,229 – $71,833 · median $23,016 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,438 – $42,449 · median $13,563 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,269 – $73,439 · median $24,663 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,794 – $45,215 · median $14,451 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,207 – $97,910 · median $30,444 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,468 – $56,479 · median $18,625 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,147 – $41,593 · median $12,836 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,031 – $74,105 · median $24,887 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,908 – $29,511 · median $13,367 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,303 – $79,974 · median $25,696 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,593 – $52,978 · median $16,442 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,951 – $39,467 · median $12,347 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,276 – $149,161 · median $48,076 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,161 – $85,842 · median $27,835 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,517 – $57,970 · median $18,749 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,018 – $290,747 · median $97,643 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,466 – $170,409 · median $56,032 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,496 – $92,550 · median $31,082 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,489 – $265,794 · median $89,263 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,475 – $133,829 · median $43,583 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,624 – $83,732 · median $26,496 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,047 – $165,076 · median $54,986 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,521 – $90,745 · median $28,735 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,884 – $72,268 · median $22,156 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,486 – $86,246 · median $27,427 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,039 – $80,913 · median $25,038 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,920 – $96,408 · median $32,223 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,109 – $91,312 · median $27,705 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $13,787 – $88,934 · median $31,195 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $7,981 – $59,870 · median $19,905 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,194 – $42,832 · median $12,954 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,347 – $105,846 · median $35,547 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,656 – $52,212 · median $16,600 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,558 – $86,294 · median $26,331 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,908 – $58,416 · median $19,618 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,438 – $35,242 · median $10,223 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,765 – $52,327 · median $16,872 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,179 – $36,050 · median $10,243 | 15 plans |
| 602 | CELLULITIS WITH MCC | $9,812 – $76,111 · median $24,472 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,836 – $44,805 · median $14,555 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,461 – $79,370 · median $26,090 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,894 – $43,472 · median $14,600 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,858 – $125,435 · median $37,056 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,704 – $82,672 · median $24,203 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,107 – $208,186 · median $65,112 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,091 – $106,544 · median $32,649 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,662 – $68,405 · median $19,109 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,167 – $107,423 · median $25,000 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,701 – $67,321 · median $21,402 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,009 – $62,968 · median $20,018 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,236 – $189,746 · median $62,939 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,279 – $98,235 · median $30,624 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,352 – $57,681 · median $18,336 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,270 – $149,082 · median $48,060 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,841 – $86,761 · median $24,545 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,153 – $62,085 · median $20,335 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,482 – $193,132 · median $64,860 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,927 – $123,105 · median $37,228 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,211 – $73,974 · median $22,972 | 15 plans |
| 637 | DIABETES WITH MCC | $9,560 – $72,258 · median $23,844 | 15 plans |
| 638 | DIABETES WITH CC | $5,933 – $46,160 · median $14,797 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,106 – $31,998 · median $10,241 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,676 – $64,605 · median $21,638 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,155 – $39,588 · median $12,856 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,597 – $67,702 · median $21,442 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,852 – $87,538 · median $27,065 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,004 – $53,529 · median $17,467 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,019 – $40,344 · median $12,518 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,711 – $286,553 · median $89,065 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,058 – $152,368 · median $45,037 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,904 – $109,195 · median $34,678 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,697 – $172,430 · median $51,620 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $12,165 – $101,552 · median $30,341 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,765 – $82,824 · median $24,356 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $17,078 – $139,959 · median $42,593 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,878 – $75,748 · median $22,143 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,916 – $55,834 · median $17,248 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,768 – $154,179 · median $49,302 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,624 – $83,958 · median $24,003 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,003 – $62,138 · median $17,465 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,377 – $159,659 · median $50,822 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $11,329 – $91,317 · median $28,255 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,924 – $52,359 · median $17,268 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,589 – $147,303 · median $46,362 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $10,123 – $82,068 · median $25,247 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,350 – $51,361 · median $15,837 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,293 – $93,500 · median $28,164 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,184 – $60,385 · median $15,180 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $24,394 – $182,051 · median $60,840 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,714 – $125,094 · median $39,192 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,465 – $92,104 · median $26,101 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $9,900 – $77,302 · median $24,691 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $5,942 – $46,154 · median $14,820 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,014 – $31,909 · median $10,011 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,134 – $98,435 · median $30,262 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,895 – $55,120 · median $17,197 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,151 – $35,998 · median $12,089 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,747 – $58,484 · median $19,321 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,323 – $41,677 · median $13,275 | 15 plans |
| 693 | URINARY STONES WITH MCC | $9,343 – $70,100 · median $23,301 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,163 – $40,480 · median $12,877 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,889 – $59,718 · median $19,677 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,565 – $36,318 · median $11,386 | 15 plans |
| 697 | URETHRAL STRICTURE | $7,343 – $52,453 · median $17,616 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,913 – $84,540 · median $27,218 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,734 – $53,907 · median $16,794 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,672 – $39,184 · median $11,653 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,942 – $100,896 · median $32,277 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,621 – $78,273 · median $23,995 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,320 – $121,562 · median $34,878 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,558 – $84,068 · median $20,307 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,004 – $111,888 · median $34,926 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,839 – $55,639 · median $18,686 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,570 – $78,389 · median $23,867 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,323 – $48,753 · median $15,769 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,562 – $106,114 · median $35,637 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,382 – $66,967 · median $22,490 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,964 – $94,513 · median $29,839 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,756 – $64,804 · median $19,344 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,367 – $89,894 · median $30,190 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,350 – $57,314 · median $18,332 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,340 – $34,019 · median $12,082 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,186 – $67,476 · median $20,415 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,821 – $39,089 · median $12,025 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,693 – $74,588 · median $25,049 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,278 – $42,291 · median $13,163 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,622 – $52,884 · median $16,516 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,100 – $29,862 · median $10,029 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,338 – $116,754 · median $35,760 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,313 – $74,200 · median $20,733 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,642 – $223,644 · median $63,952 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,020 – $108,030 · median $32,473 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,002 – $77,470 · median $22,450 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,855 – $200,722 · median $59,495 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,788 – $94,566 · median $29,400 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,571 – $67,182 · median $21,376 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,754 – $90,183 · median $29,316 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,665 – $59,461 · median $19,117 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,417 – $94,241 · median $30,969 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,833 – $61,413 · median $17,043 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,056 – $84,588 · median $27,575 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,852 – $49,293 · median $14,596 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,267 – $70,736 · median $23,113 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,605 – $142,447 · median $41,413 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,971 – $76,835 · median $22,375 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,220 – $95,857 · median $30,477 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,155 – $59,277 · median $17,845 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,529 – $48,207 · median $16,190 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,839 – $80,032 · median $24,540 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,548 – $50,900 · median $16,330 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,263 – $35,872 · median $10,631 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,566 – $48,296 · median $16,220 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,995 – $31,011 · median $9,963 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,228 – $30,164 · median $9,020 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,060 – $48,354 · median $12,856 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,755 – $28,263 · median $10,545 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,715 – $23,644 · median $10,545 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,060 – $41,120 · median $12,579 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,934 – $27,451 · median $10,545 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,640 – $22,886 · median $10,545 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,228 – $27,616 · median $10,011 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,228 – $23,711 · median $7,775 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,509 – $21,341 · median $7,775 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,683 – $270,187 · median $81,513 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,587 – $155,050 · median $46,357 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,806 – $88,393 · median $29,444 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,631 – $194,827 · median $55,777 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,258 – $99,022 · median $30,571 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,984 – $71,696 · median $19,914 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,228 – $26,561 · median $7,943 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,926 – $18,945 · median $7,775 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,316 – $16,565 · median $7,775 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,447 – $114,733 · median $36,032 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,945 – $64,216 · median $19,815 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,626 – $50,480 · median $16,526 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,259 – $72,399 · median $23,092 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,941 – $46,207 · median $14,818 | 15 plans |
| 813 | COAGULATION DISORDERS | $10,291 – $81,102 · median $25,665 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,038 – $99,295 · median $33,347 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,558 – $52,144 · median $16,357 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,685 – $34,701 · median $11,654 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,887 – $298,757 · median $99,480 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,724 – $113,126 · median $36,723 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,172 – $65,691 · median $20,381 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,697 – $236,299 · median $74,065 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,729 – $124,107 · median $36,736 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,519 – $73,565 · median $21,246 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,527 – $264,786 · median $72,205 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $15,285 – $131,256 · median $38,123 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,821 – $87,868 · median $26,988 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,804 – $168,409 · median $51,886 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,430 – $77,790 · median $26,014 | 15 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $36,934 – $317,680 · median $92,115 | 15 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,746 – $110,948 · median $36,778 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,314 – $61,597 · median $19,698 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $31,953 – $299,156 · median $78,256 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,204 – $118,638 · median $32,121 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,596 – $78,063 · median $21,439 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,615 – $169,044 · median $51,416 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,380 – $85,118 · median $25,887 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,035 – $57,582 · median $17,544 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,273 – $100,130 · median $30,611 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,633 – $62,159 · median $19,038 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,705 – $44,559 · median $14,229 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,122 – $140,301 · median $40,209 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,999 – $70,132 · median $19,950 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,516 – $54,185 · median $12,495 | 15 plans |
| 849 | RADIOTHERAPY | $17,754 – $130,889 · median $43,957 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $32,978 – $260,760 · median $82,248 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $13,445 – $111,394 · median $33,532 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,226 – $79,774 · median $26,791 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,212 – $244,808 · median $72,856 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,088 – $110,355 · median $35,137 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,466 – $71,365 · median $21,115 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,151 – $99,558 · median $30,305 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,633 – $53,088 · median $16,542 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,823 – $46,007 · median $14,524 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,818 – $77,570 · median $26,051 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,054 – $44,039 · median $14,790 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,802 – $117,425 · median $34,423 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,161 – $55,954 · median $17,859 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,556 – $38,239 · median $11,363 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $45,944 – $337,983 · median $113,507 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,078 – $98,272 · median $32,618 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,794 – $53,870 · median $16,944 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,615 – $154,857 · median $55,693 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,548 – $224,064 · median $71,201 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,432 – $103,106 · median $31,007 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,190 – $59,592 · median $20,013 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,480 – $195,630 · median $53,571 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,447 – $86,609 · median $26,055 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,412 – $94,681 · median $30,956 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,536 – $207,241 · median $61,193 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $13,220 – $107,626 · median $32,971 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,947 – $71,964 · median $22,314 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,702 – $89,207 · median $29,186 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,346 – $34,559 · median $10,839 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,527 – $66,230 · median $23,819 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,679 – $35,727 · median $12,849 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $12,037 – $96,797 · median $30,020 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,819 – $53,781 · median $17,008 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,603 – $36,633 · median $11,480 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,510 – $83,365 · median $27,997 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,672 – $49,330 · median $16,567 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $21,210 – $177,133 · median $52,898 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,292 – $116,575 · median $35,645 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,243 – $100,944 · median $30,535 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,256 – $62,673 · median $20,591 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,284 – $41,315 · median $13,178 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,077 – $58,259 · median $17,046 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,213 – $38,853 · median $10,335 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,892 – $29,373 · median $9,707 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,335 – $307,166 · median $103,157 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,336 – $156,877 · median $39,557 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $19,239 – $141,224 · median $47,428 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,993 – $67,297 · median $22,429 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,576 – $49,845 · median $13,907 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,341 – $69,513 · median $23,298 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,270 – $242,215 · median $77,989 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,399 – $133,146 · median $40,900 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,787 – $86,729 · median $26,902 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,274 – $171,952 · median $55,553 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,194 – $89,569 · median $27,919 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,126 – $58,978 · median $17,773 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $243,033 – $1,965,756 · median $549,877 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,184 – $84,908 · median $21,706 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,269 – $46,706 · median $11,229 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,728 – $40,654 · median $10,076 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $6,525 – $55,587 · median $13,907 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,581 – $121,084 · median $35,378 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,440 – $71,376 · median $18,195 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,984 – $51,818 · median $12,754 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,093 – $58,883 · median $14,629 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,866 – $40,853 · median $10,371 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,376 – $28,187 · median $7,195 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,297 – $31,455 · median $9,760 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $5,980 – $29,870 · median $9,269 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,196 – $30,951 · median $9,604 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,371 – $61,796 · median $19,175 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,589 – $57,892 · median $17,964 | 13 plans |
| 885 | PSYCHOSES | $9,013 – $45,024 · median $13,971 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,093 – $55,414 · median $17,195 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,546 – $42,691 · median $13,247 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,790 – $18,930 · median $5,874 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,612 – $53,012 · median $16,449 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $11,729 – $58,590 · median $18,180 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,644 – $28,193 · median $8,748 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $140,639 – $281,279 · median $150,484 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $96,968 – $193,937 · median $103,756 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $37,394 – $74,788 · median $40,012 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,993 – $49,986 · median $26,742 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,130 – $58,260 · median $31,169 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,480 – $38,960 · median $20,844 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,049 – $32,097 · median $17,172 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $27,155 – $54,310 · median $29,056 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $14,208 – $28,415 · median $15,202 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,705 – $21,411 · median $11,455 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $15,029 – $30,058 · median $16,081 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,947 – $17,895 · median $9,574 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,067 – $12,134 · median $6,491 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,993 – $29,985 · median $16,042 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,688 – $17,376 · median $9,296 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,846 – $11,692 · median $6,255 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,386 – $20,772 · median $11,113 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,939 – $13,878 · median $7,425 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,985 – $9,970 · median $5,334 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,936 – $19,871 · median $10,631 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,995 – $11,990 · median $6,415 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,002 – $24,003 · median $12,842 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $39,580 – $79,159 · median $42,350 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,030 – $54,061 · median $28,923 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $16,310 – $32,620 · median $17,452 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $27,767 – $55,533 · median $29,710 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,828 – $19,656 · median $10,516 | 12 plans |
| 795 | NORMAL NEWBORN | $1,331 – $4,918 · median $1,464 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,858 – $19,717 · median $10,549 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,988 – $11,975 · median $6,407 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,875 – $347,750 · median $186,046 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $45,646 – $91,292 · median $48,841 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,211 – $42,422 · median $22,696 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $20,001 – $40,001 · median $21,401 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,803 – $27,606 · median $14,769 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $13,464 – $26,928 · median $14,407 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,957 – $49,740 · median $10,854 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,680 – $33,369 · median $7,281 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $40,174 – $80,348 · median $42,986 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,583 – $51,165 · median $27,373 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,709 – $95,418 · median $51,049 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,682 – $53,363 · median $28,549 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,705 – $33,410 · median $17,874 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $18,037 – $36,074 · median $19,299 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,901 – $19,803 · median $10,594 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,306 – $12,611 · median $6,747 | 12 plans |
No procedures match that keyword.