St. Joseph Health Regional Hospital - Bryan, TX — Pricing
793 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 793 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 793 procedures
Procedures with negotiated rates only
These 793 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 |
|---|---|---|---|
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,682 – $78,745 · median $27,864 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,073 – $64,286 · median $22,747 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,596 – $106,450 · median $38,362 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,044 – $56,156 · median $19,871 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,745 – $42,937 · median $15,193 | 19 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $13,519 – $58,057 · median $20,543 | 19 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,656 – $30,559 · median $10,813 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,000 – $193,256 · median $66,004 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $25,000 – $133,520 · median $45,602 | 18 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,000 – $116,288 · median $39,717 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $25,000 – $147,899 · median $50,513 | 18 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,000 – $104,528 · median $35,700 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $10,000 – $86,905 · median $29,681 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $10,000 – $59,024 · median $20,159 | 18 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,000 – $48,057 · median $16,413 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,125 – $60,488 · median $23,202 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,544 – $42,132 · median $16,819 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,000 – $72,551 · median $24,779 | 18 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,000 – $46,907 · median $16,021 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $10,000 – $87,252 · median $29,800 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,000 – $50,331 · median $17,190 | 18 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,271 – $41,036 · median $14,015 | 18 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,952 – $167,979 · median $56,642 | 18 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,942 – $103,828 · median $34,416 | 18 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,457 – $129,932 · median $44,377 | 18 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $18,849 – $79,416 · median $27,124 | 18 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $172,052 – $693,276 · median $245,313 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $67,308 – $273,584 · median $96,807 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $130,904 – $528,403 · median $186,974 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $86,306 – $349,705 · median $123,742 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,047 – $264,521 · median $93,600 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,619 – $122,568 · median $43,370 | 17 plans |
| 007 | LUNG TRANSPLANT | $79,824 – $323,733 · median $114,552 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $33,234 – $137,054 · median $48,496 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $48,699 – $199,020 · median $65,523 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $32,958 – $135,948 · median $48,105 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,065 – $104,323 · median $36,914 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,186 – $68,745 · median $24,325 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $80,026 – $324,541 · median $114,838 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,867 – $151,611 · median $53,647 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $36,867 – $151,611 · median $53,647 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $230,350 – $926,867 · median $327,968 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $48,420 – $197,901 · median $70,027 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,237 – $201,176 · median $71,185 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,761 – $139,164 · median $49,243 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $21,564 – $90,292 · median $31,949 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $34,847 – $143,515 · median $50,782 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $23,221 – $96,932 · median $34,299 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,317 – $113,344 · median $40,106 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,134 – $152,678 · median $54,025 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,503 – $86,041 · median $30,445 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,593 – $58,354 · median $20,648 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,752 – $99,061 · median $35,052 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,894 – $59,563 · median $21,076 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,197 – $48,752 · median $17,251 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,284 – $85,165 · median $30,135 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,842 – $43,324 · median $15,330 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,952 – $31,746 · median $11,233 | 17 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,040 – $96,207 · median $34,043 | 17 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,793 – $59,156 · median $20,932 | 17 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,735 – $46,905 · median $16,597 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,292 – $53,143 · median $18,804 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,628 – $26,440 · median $9,356 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,157 – $40,578 · median $14,358 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,664 – $30,590 · median $10,824 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,295 – $65,174 · median $23,062 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,151 – $36,547 · median $12,932 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,275 – $49,066 · median $17,362 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,474 – $33,836 · median $11,973 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,451 – $25,730 · median $9,104 | 17 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $16,512 – $70,052 · median $24,788 | 17 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,878 – $47,475 · median $16,799 | 17 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,581 – $38,270 · median $13,542 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,150 – $52,573 · median $18,603 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,211 – $28,777 · median $10,183 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,204 – $20,735 · median $7,337 | 17 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,887 – $39,496 · median $13,976 | 17 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,384 – $25,463 · median $9,010 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,887 – $23,471 · median $8,305 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,621 – $46,445 · median $16,434 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,437 – $29,682 · median $10,503 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,582 – $22,250 · median $7,873 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,441 – $41,716 · median $14,761 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,367 – $29,401 · median $10,403 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,520 – $46,043 · median $16,292 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,600 – $26,330 · median $9,317 | 17 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,445 – $41,733 · median $14,767 | 17 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,095 – $28,312 · median $10,018 | 17 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,072 – $20,206 · median $7,150 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,141 – $52,539 · median $18,591 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,527 – $26,033 · median $9,212 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,172 – $60,674 · median $21,469 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,493 – $37,918 · median $13,417 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,840 – $27,289 · median $9,656 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,841 – $59,347 · median $21,000 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,011 – $35,989 · median $12,735 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,399 – $25,524 · median $9,032 | 17 plans |
| 088 | CONCUSSION WITH MCC | $8,617 – $38,415 · median $13,593 | 17 plans |
| 089 | CONCUSSION WITH CC | $6,548 – $30,128 · median $10,661 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,236 – $24,871 · median $8,800 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,134 – $48,503 · median $17,163 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,467 – $29,800 · median $10,545 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,821 – $23,207 · median $8,212 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,286 – $93,187 · median $32,974 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,642 – $62,558 · median $22,136 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,642 – $62,558 · median $22,136 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $21,895 – $91,618 · median $32,419 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,250 – $56,981 · median $20,162 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,510 – $37,989 · median $13,442 | 17 plans |
| 100 | SEIZURES WITH MCC | $12,126 – $52,477 · median $18,569 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $5,630 – $26,447 · median $9,358 | 17 plans |
| 102 | HEADACHES WITH MCC | $7,082 – $32,267 · median $11,418 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $5,193 – $24,697 · median $8,739 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,783 – $59,117 · median $20,918 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,220 – $32,820 · median $11,613 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,351 – $41,359 · median $14,635 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,192 – $44,727 · median $15,826 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,588 – $30,287 · median $10,717 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,105 – $32,357 · median $11,450 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,143 – $20,490 · median $7,250 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,906 – $23,547 · median $8,332 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,964 – $35,801 · median $12,668 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,043 – $24,098 · median $8,527 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,727 – $62,898 · median $22,256 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,975 – $27,830 · median $9,847 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,543 – $38,119 · median $13,488 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,969 – $23,799 · median $8,421 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,386 – $37,492 · median $13,266 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $25,832 – $107,394 · median $38,001 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,123 – $56,472 · median $19,982 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,604 – $42,372 · median $14,993 | 17 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,168 – $84,700 · median $29,971 | 17 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,730 – $46,883 · median $16,589 | 17 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,237 – $32,886 · median $11,637 | 17 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $14,012 – $60,035 · median $21,243 | 17 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $7,603 – $34,355 · median $12,156 | 17 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,891 – $23,486 · median $8,310 | 17 plans |
| 149 | DYSEQUILIBRIUM | $4,566 – $22,184 · median $7,850 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $8,442 – $37,717 · median $13,346 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,630 – $22,441 · median $7,941 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,931 – $31,662 · median $11,204 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,347 – $21,307 · median $7,540 | 17 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $9,933 – $43,691 · median $15,460 | 17 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $5,702 – $26,738 · median $9,461 | 17 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,107 – $20,346 · median $7,199 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,002 – $43,965 · median $15,557 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,745 – $26,910 · median $9,522 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,029 – $20,032 · median $7,088 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,153 – $116,694 · median $41,292 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,374 – $65,490 · median $23,173 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,385 – $49,509 · median $17,518 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,518 – $98,121 · median $34,720 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,161 – $48,608 · median $17,200 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,270 – $37,025 · median $13,101 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,607 – $38,376 · median $13,579 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,975 – $23,823 · median $8,430 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,874 – $43,451 · median $15,375 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,060 – $28,170 · median $9,968 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,701 – $22,727 · median $8,042 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,676 – $46,665 · median $16,512 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,782 – $31,063 · median $10,991 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,115 – $24,386 · median $8,629 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,695 – $42,737 · median $15,122 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,524 – $30,030 · median $10,626 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,750 – $22,923 · median $8,111 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,651 – $42,558 · median $15,059 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,132 – $28,461 · median $10,071 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,484 – $21,858 · median $7,734 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,558 – $34,173 · median $12,092 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,859 – $31,374 · median $11,101 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,247 – $24,915 · median $8,816 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,953 – $19,729 · median $6,981 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,049 – $36,139 · median $12,788 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,009 – $23,958 · median $8,477 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,803 – $19,129 · median $6,769 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,508 – $50,001 · median $17,693 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,047 – $28,119 · median $9,950 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,278 – $21,031 · median $7,442 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,782 – $47,093 · median $16,664 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,765 – $30,994 · median $10,967 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,136 – $20,461 · median $7,240 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,905 – $27,548 · median $9,748 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,255 – $20,938 · median $7,409 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,954 – $23,738 · median $8,400 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,531 – $50,091 · median $17,725 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,533 – $26,058 · median $9,220 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $39,502 – $162,167 · median $57,382 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,393 – $69,572 · median $24,618 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $64,713 – $263,185 · median $93,127 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $58,949 – $240,089 · median $84,955 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $39,445 – $161,939 · median $57,302 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,338 – $149,492 · median $52,897 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,438 – $125,850 · median $44,532 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $18,973 – $79,913 · median $28,277 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,759 – $211,278 · median $74,760 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,312 – $153,393 · median $54,278 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $47,743 – $195,187 · median $69,066 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $32,496 – $134,095 · median $47,449 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,765 – $127,162 · median $44,996 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,788 – $75,162 · median $26,596 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,222 – $40,843 · median $14,452 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,849 – $123,488 · median $43,696 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $20,953 – $87,845 · median $31,083 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $15,594 – $66,371 · median $23,485 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,685 – $46,704 · median $16,526 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,982 – $67,925 · median $24,035 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,345 – $45,341 · median $16,044 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,448 – $25,718 · median $9,100 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,382 – $69,531 · median $24,603 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $21,348 – $89,428 · median $31,644 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $21,788 – $91,193 · median $32,268 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $36,592 – $150,507 · median $53,256 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $28,736 – $119,032 · median $42,119 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $40,726 – $167,071 · median $59,118 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,414 – $105,718 · median $37,408 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $31,352 – $129,514 · median $45,828 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,038 – $88,187 · median $31,205 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,283 – $65,128 · median $23,045 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,884 – $99,590 · median $35,239 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,063 – $80,272 · median $28,404 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $10,026 – $44,061 · median $15,591 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $5,630 – $26,449 · median $9,359 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $4,429 – $21,635 · median $7,656 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $11,944 – $51,746 · median $18,310 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $4,526 – $22,025 · median $7,793 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $3,429 – $17,629 · median $6,238 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,684 – $70,740 · median $25,031 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,630 – $42,477 · median $15,030 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,980 – $27,849 · median $9,854 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,970 – $35,823 · median $12,676 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,260 – $24,966 · median $8,834 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,351 – $17,318 · median $6,128 | 17 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,501 – $33,943 · median $12,011 | 17 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,824 – $23,219 · median $8,216 | 17 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $10,007 – $43,987 · median $15,565 | 17 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $4,302 – $21,129 · median $7,476 | 17 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $2,698 – $14,700 · median $5,201 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,880 – $43,478 · median $15,385 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,539 – $30,091 · median $10,648 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,357 – $21,349 · median $7,554 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,105 – $32,360 · median $11,450 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,107 – $20,346 · median $7,199 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $7,176 – $32,641 · median $11,550 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,585 – $22,262 · median $7,877 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,146 – $40,537 · median $14,344 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,658 – $26,562 · median $9,399 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,366 – $33,402 · median $11,819 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,516 – $21,983 · median $7,779 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,417 – $17,583 · median $6,222 | 17 plans |
| 311 | ANGINA PECTORIS | $4,265 – $20,980 · median $7,424 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,322 – $25,214 · median $8,922 | 17 plans |
| 313 | CHEST PAIN | $4,357 – $21,349 · median $7,554 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,154 – $56,594 · median $20,026 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,878 – $27,441 · median $9,710 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,170 – $20,598 · median $7,288 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $26,831 – $111,398 · median $39,418 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,139 – $60,542 · median $21,422 | 17 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,023 – $128,192 · median $45,360 | 17 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,831 – $63,314 · median $22,404 | 17 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,733 – $42,889 · median $15,176 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,047 – $116,271 · median $41,142 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,437 – $61,738 · median $21,846 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,084 – $44,296 · median $15,674 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,187 – $88,782 · median $31,415 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $12,981 – $55,904 · median $19,781 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,131 – $44,482 · median $15,740 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,132 – $92,568 · median $32,755 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,902 – $55,586 · median $19,669 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,376 – $41,459 · median $14,670 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,458 – $69,834 · median $24,711 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,093 – $40,324 · median $14,268 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,606 – $34,367 · median $12,161 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,456 – $61,814 · median $21,873 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,689 – $34,700 · median $12,278 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,381 – $25,448 · median $9,005 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,773 – $63,084 · median $22,322 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,189 – $40,710 · median $14,405 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,735 – $30,874 · median $10,925 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $17,915 – $75,671 · median $26,776 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,390 – $45,522 · median $16,108 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,143 – $36,518 · median $12,922 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,055 – $108,288 · median $38,317 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,755 – $59,005 · median $20,879 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,277 – $37,054 · median $13,111 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,200 – $44,761 · median $15,838 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,216 – $28,794 · median $10,189 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,263 – $20,972 · median $7,421 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,677 – $46,670 · median $16,514 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,287 – $29,080 · median $10,290 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,431 – $21,643 · median $7,658 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,896 – $55,564 · median $19,661 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,505 – $33,960 · median $12,017 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,393 – $25,500 · median $9,023 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,106 – $48,388 · median $17,122 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,022 – $28,018 · median $9,914 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,889 – $19,472 · median $6,890 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,754 – $50,985 · median $18,041 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,652 – $30,544 · median $10,808 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,577 – $22,228 · median $7,865 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,722 – $34,829 · median $12,324 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,312 – $25,172 · median $8,907 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,924 – $43,655 · median $15,447 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,062 – $28,180 · median $9,971 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,094 – $20,294 · median $7,181 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,978 – $39,864 · median $14,106 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,896 – $23,508 · median $8,318 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,342 – $17,282 · median $6,115 | 17 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,846 – $35,326 · median $12,500 | 17 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,766 – $22,986 · median $8,134 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,115 – $44,418 · median $15,717 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,749 – $26,927 · median $9,528 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,887 – $19,465 · median $6,887 | 17 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $33,158 – $136,751 · median $48,389 | 17 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $17,154 – $72,622 · median $25,697 | 17 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,045 – $56,161 · median $19,872 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $21,386 – $89,580 · median $31,697 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,805 – $55,199 · median $19,532 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,474 – $41,851 · median $14,809 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $16,714 – $70,860 · median $25,073 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,020 – $56,058 · median $19,836 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,155 – $44,577 · median $15,773 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $21,401 – $89,641 · median $31,719 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,082 – $52,301 · median $18,507 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,369 – $37,424 · median $13,242 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,516 – $62,052 · median $21,957 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,130 – $44,477 · median $15,738 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,048 – $36,136 · median $12,787 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,558 – $90,270 · median $31,942 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,002 – $43,968 · median $15,558 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,975 – $39,851 · median $14,101 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,844 – $103,434 · median $36,600 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,946 – $59,771 · median $21,150 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,442 – $41,721 · median $14,763 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,966 – $51,836 · median $18,342 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,534 – $30,072 · median $10,641 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,254 – $20,936 · median $7,408 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,145 – $48,544 · median $17,177 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,888 – $31,489 · median $11,142 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,796 – $23,106 · median $8,176 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,162 – $44,607 · median $15,784 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,254 – $24,942 · median $8,826 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,757 – $18,943 · median $6,703 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,547 – $50,155 · median $17,747 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,902 – $27,536 · median $9,744 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,292 – $21,087 · median $7,462 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,288 – $45,113 · median $15,963 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,624 – $30,431 · median $10,768 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,870 – $23,402 · median $8,281 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $51,730 – $211,163 · median $74,719 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $35,056 – $144,355 · median $51,079 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,374 – $109,568 · median $38,770 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $37,483 – $154,078 · median $54,520 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $17,492 – $73,978 · median $26,177 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,989 – $136,073 · median $48,149 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,010 – $76,053 · median $26,911 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,604 – $46,379 · median $16,411 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,118 – $128,574 · median $45,495 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $20,921 – $87,717 · median $31,038 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,023 – $68,092 · median $24,094 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,965 – $83,887 · median $29,683 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,517 – $50,035 · median $17,705 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $29,668 – $122,766 · median $43,440 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,696 – $74,795 · median $26,466 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,460 – $61,829 · median $21,878 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,393 – $113,647 · median $40,214 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,177 – $56,687 · median $20,058 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,104 – $32,355 · median $11,449 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,005 – $88,055 · median $31,158 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,284 – $61,124 · median $21,629 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,847 – $47,350 · median $16,755 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $17,964 – $75,867 · median $26,845 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,673 – $54,670 · median $19,345 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,690 – $42,715 · median $15,114 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $15,564 – $66,254 · median $23,444 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $19,663 – $82,678 · median $29,255 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,954 – $55,796 · median $19,743 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,652 – $42,563 · median $15,061 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,005 – $51,990 · median $18,397 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,564 – $34,198 · median $12,101 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $21,691 – $90,801 · median $32,130 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $14,665 – $62,651 · median $22,169 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $11,516 – $50,032 · median $17,704 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,504 – $90,052 · median $31,865 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,051 – $52,176 · median $18,462 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,201 – $36,748 · median $13,003 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,422 – $65,683 · median $23,242 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,090 – $32,299 · median $11,429 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,354 – $81,440 · median $28,817 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,901 – $47,568 · median $16,832 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,534 – $38,084 · median $13,476 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,165 – $68,662 · median $24,296 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,720 – $46,841 · median $16,575 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,720 – $46,841 · median $16,575 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,157 – $40,578 · median $14,358 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,839 – $51,325 · median $18,161 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,883 – $35,475 · median $12,553 | 17 plans |
| 509 | ARTHROSCOPY | $10,730 – $46,883 · median $16,589 | 17 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $17,457 – $73,838 · median $26,127 | 17 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,979 – $51,888 · median $18,360 | 17 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,820 – $43,239 · median $15,300 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,196 – $40,737 · median $14,415 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,228 – $28,843 · median $10,206 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $18,888 – $79,572 · median $28,156 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,287 – $53,124 · median $18,798 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,117 – $40,422 · median $14,303 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,891 – $91,604 · median $32,414 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,044 – $52,149 · median $18,453 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,754 – $38,965 · median $13,788 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,803 – $75,223 · median $26,618 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,876 – $55,483 · median $19,632 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,314 – $41,210 · median $14,582 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,972 – $23,811 · median $8,425 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,123 – $36,437 · median $12,893 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,953 – $23,735 · median $8,399 | 17 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $5,613 – $26,381 · median $9,335 | 17 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $4,102 – $20,324 · median $7,191 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,353 – $53,385 · median $18,890 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,904 – $35,561 · median $12,583 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,344 – $25,302 · median $8,953 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,392 – $49,536 · median $17,528 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,480 – $29,854 · median $10,564 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,616 – $22,384 · median $7,921 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,434 – $65,732 · median $23,259 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,071 – $32,223 · median $11,402 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,558 – $22,152 · median $7,838 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,305 – $53,194 · median $18,823 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,361 – $33,383 · median $11,812 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,266 – $24,988 · median $8,842 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,423 – $45,652 · median $16,154 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,887 – $27,477 · median $9,723 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,977 – $35,852 · median $12,686 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,098 – $24,315 · median $8,604 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,225 – $36,846 · median $13,038 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,987 – $23,872 · median $8,447 | 17 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $9,466 – $41,817 · median $14,797 | 17 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $5,276 – $25,030 · median $8,857 | 17 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,338 – $49,320 · median $17,452 | 17 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,955 – $31,758 · median $11,237 | 17 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,994 – $23,899 · median $8,457 | 17 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $8,939 – $39,707 · median $14,050 | 17 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $5,459 – $25,764 · median $9,117 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,585 – $42,294 · median $14,966 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,228 – $28,845 · median $10,207 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,569 – $22,198 · median $7,855 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,386 – $77,561 · median $27,445 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,227 – $44,866 · median $15,876 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,978 – $31,848 · median $11,269 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $37,614 – $154,604 · median $54,706 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,164 – $88,689 · median $31,382 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,196 – $52,756 · median $18,668 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,954 – $135,933 · median $48,099 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,264 – $69,058 · median $24,436 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,325 – $45,260 · median $16,015 | 17 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,908 – $83,660 · median $29,603 | 17 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,829 – $47,282 · median $16,730 | 17 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,791 – $39,112 · median $13,840 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,696 – $46,748 · median $16,542 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,034 – $44,093 · median $15,602 | 17 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,506 – $53,997 · median $19,107 | 17 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,125 – $52,473 · median $18,567 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $12,560 – $54,215 · median $19,184 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $7,468 – $33,814 · median $11,965 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,184 – $24,660 · median $8,726 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,919 – $55,654 · median $19,693 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,603 – $30,348 · median $10,739 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,730 – $46,883 · median $16,589 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,590 – $30,294 · median $10,720 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,222 – $24,812 · median $8,780 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,843 – $27,301 · median $9,660 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,662 – $18,562 · median $6,568 | 17 plans |
| 602 | CELLULITIS WITH MCC | $8,974 – $39,846 · median $14,100 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,380 – $25,446 · median $9,004 | 17 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,075 – $40,250 · median $14,242 | 17 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,642 – $26,496 · median $9,375 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,836 – $43,300 · median $15,321 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,279 – $25,040 · median $8,860 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,920 – $59,665 · median $21,112 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,753 – $38,960 · median $13,786 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,607 – $98,481 · median $34,847 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,798 – $51,163 · median $18,104 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,605 – $34,362 · median $12,159 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,653 – $70,617 · median $24,988 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,754 – $42,974 · median $15,206 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,929 – $39,665 · median $14,035 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,856 – $95,471 · median $33,782 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,683 – $50,703 · median $17,941 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,127 – $28,439 · median $10,063 | 17 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $17,512 – $74,058 · median $26,205 | 17 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,219 – $40,828 · median $14,447 | 17 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,738 – $34,895 · median $12,348 | 17 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,100 – $100,456 · median $35,546 | 17 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,738 – $58,934 · median $20,853 | 17 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,559 – $38,185 · median $13,512 | 17 plans |
| 637 | DIABETES WITH MCC | $8,895 – $39,531 · median $13,988 | 17 plans |
| 638 | DIABETES WITH CC | $5,602 – $26,337 · median $9,319 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,827 – $19,225 · median $6,803 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $8,111 – $36,391 · median $12,877 | 17 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,773 – $23,013 · median $8,143 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,581 – $34,264 · median $12,124 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,123 – $44,450 · median $15,728 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,312 – $29,181 · median $10,326 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,756 – $22,947 · median $8,120 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,141 – $116,648 · median $41,275 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,210 – $88,875 · median $31,448 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $18,760 – $79,058 · median $27,975 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,050 – $140,321 · median $49,652 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,237 – $72,957 · median $25,816 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,688 – $54,729 · median $19,366 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,900 – $83,625 · median $29,590 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,166 – $48,630 · median $17,208 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,186 – $40,698 · median $14,401 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,785 – $67,137 · median $23,756 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,185 – $36,684 · median $12,981 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,270 – $29,014 · median $10,267 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,055 – $80,238 · median $28,392 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,329 – $41,271 · median $14,604 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,595 – $30,316 · median $10,727 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,972 – $87,923 · median $31,111 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $10,062 – $44,205 · median $15,642 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,278 – $29,044 · median $10,277 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,813 – $75,263 · median $26,631 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,452 – $41,763 · median $14,778 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,837 – $27,279 · median $9,653 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,528 – $46,075 · median $16,303 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,685 – $30,674 · median $10,854 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $25,590 – $106,425 · median $37,658 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,100 – $60,385 · median $21,367 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,561 – $42,198 · median $14,932 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $9,174 – $40,647 · median $14,383 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $5,429 – $25,644 · median $9,074 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,710 – $18,755 · median $6,636 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,518 – $50,040 · median $17,706 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,430 – $29,653 · median $10,493 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,423 – $21,613 · median $7,648 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,148 – $32,531 · median $11,511 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,902 – $23,532 · median $8,327 | 17 plans |
| 693 | URINARY STONES WITH MCC | $8,981 – $39,876 · median $14,110 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,773 – $23,013 · median $8,143 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,889 – $31,491 · median $11,143 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,226 – $20,820 · median $7,367 | 17 plans |
| 697 | URETHRAL STRICTURE | $6,119 – $28,407 · median $10,052 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,267 – $45,028 · median $15,933 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,230 – $28,850 · median $10,209 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,240 – $20,879 · median $7,388 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,853 – $51,383 · median $18,182 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,055 – $40,172 · median $14,215 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,725 – $58,885 · median $20,836 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,171 – $40,634 · median $14,378 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,670 – $50,649 · median $17,922 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,533 – $30,067 · median $10,639 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,832 – $39,279 · median $13,899 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,740 – $26,888 · median $9,514 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,794 – $59,159 · median $20,933 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,669 – $38,625 · median $13,667 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,333 – $49,301 · median $17,445 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,524 – $34,039 · median $12,045 | 17 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $10,560 – $46,202 · median $16,349 | 17 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $6,859 – $31,371 · median $11,101 | 17 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,450 – $21,721 · median $7,686 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,712 – $34,790 · median $12,310 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,547 – $22,108 · median $7,823 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,975 – $39,851 · median $14,101 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,991 – $23,887 · median $8,452 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,724 – $30,833 · median $10,910 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,707 – $18,743 · median $6,632 | 17 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,844 – $55,353 · median $19,586 | 17 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,415 – $33,598 · median $11,889 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,051 – $100,258 · median $35,476 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,206 – $52,798 · median $18,682 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,265 – $41,014 · median $14,513 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $24,315 – $101,317 · median $35,851 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,106 – $48,390 · median $17,123 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,390 – $37,507 · median $13,272 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,157 – $48,596 · median $17,195 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,322 – $33,226 · median $11,757 | 17 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,935 – $51,711 · median $18,298 | 17 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,259 – $28,970 · median $10,251 | 17 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,228 – $44,873 · median $15,878 | 17 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,834 – $27,267 · median $9,648 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,321 – $37,230 · median $13,174 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,811 – $67,242 · median $23,793 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,876 – $35,449 · median $12,543 | 17 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,051 – $48,170 · median $17,045 | 17 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,780 – $31,058 · median $10,990 | 17 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,833 – $27,262 · median $9,647 | 17 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,645 – $38,527 · median $13,633 | 17 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,226 – $28,836 · median $10,203 | 17 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,909 – $19,553 · median $6,919 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,020 – $28,011 · median $9,912 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,872 – $19,403 · median $6,866 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,523 – $30,720 · median $10,114 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,487 – $37,896 · median $13,409 | 17 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,572 – $30,223 · median $10,694 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,358 – $21,352 · median $7,555 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $5,710 – $26,768 · median $9,472 | 17 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,805 – $48,973 · median $16,123 | 17 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,615 – $30,395 · median $10,007 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,335 – $25,267 · median $8,319 | 17 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,805 – $43,437 · median $14,301 | 17 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,485 – $29,876 · median $9,836 | 17 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,526 – $26,031 · median $8,570 | 17 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,523 – $35,133 · median $11,567 | 17 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,523 – $27,585 · median $9,082 | 17 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,914 – $27,585 · median $9,761 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,042 – $120,258 · median $42,553 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,797 – $75,201 · median $26,610 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,028 – $44,068 · median $15,593 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,896 – $91,623 · median $32,421 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,872 – $47,453 · median $16,791 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,753 – $30,948 · median $10,951 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,523 – $28,314 · median $9,322 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,420 – $21,599 · median $7,111 | 17 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,893 – $19,487 · median $6,416 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,989 – $59,942 · median $21,210 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,565 – $34,200 · median $12,102 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,814 – $27,184 · median $9,619 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,593 – $38,322 · median $13,560 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,637 – $26,476 · median $9,369 | 17 plans |
| 813 | COAGULATION DISORDERS | $9,455 – $41,775 · median $14,782 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,769 – $55,052 · median $19,480 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,206 – $28,757 · median $10,176 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,028 – $20,028 · median $7,087 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,484 – $65,933 · median $23,330 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,867 – $35,412 · median $12,530 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,987 – $23,872 · median $8,447 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $35,563 – $146,384 · median $51,797 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,635 – $58,525 · median $20,709 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,986 – $31,880 · median $11,281 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,582 – $118,415 · median $41,901 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $13,434 – $57,717 · median $20,423 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,518 – $34,012 · median $12,035 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,169 – $120,764 · median $42,732 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,414 – $61,645 · median $21,813 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,791 – $43,119 · median $15,257 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $18,836 – $79,362 · median $28,082 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,933 – $39,682 · median $14,041 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,030 – $32,059 · median $11,344 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,565 – $22,181 · median $7,849 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,175 – $16,611 · median $5,878 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,761 – $139,164 · median $49,243 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,046 – $56,163 · median $19,873 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,761 – $34,988 · median $12,381 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,584 – $126,435 · median $44,739 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,388 – $53,527 · median $18,940 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,370 – $37,428 · median $13,244 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,478 – $81,937 · median $28,993 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,577 – $42,264 · median $14,955 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,425 – $29,634 · median $10,486 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,564 – $50,226 · median $17,772 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,300 – $33,141 · median $11,727 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,111 – $24,369 · median $8,623 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,599 – $66,391 · median $23,492 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,761 – $34,988 · median $12,381 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,002 – $23,931 · median $8,468 | 17 plans |
| 849 | RADIOTHERAPY | $16,315 – $69,262 · median $24,508 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,548 – $126,291 · median $44,687 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,204 – $52,791 · median $18,680 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,929 – $43,674 · median $15,454 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $27,557 – $114,306 · median $40,447 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,309 – $57,216 · median $20,246 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,870 – $35,422 · median $12,534 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,231 – $48,890 · median $17,299 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,107 – $28,361 · median $10,035 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,485 – $25,867 · median $9,153 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,015 – $40,010 · median $14,158 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,404 – $25,544 · median $9,039 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,097 – $56,369 · median $19,946 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,414 – $29,589 · median $10,470 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,395 – $21,501 · median $7,608 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,490 – $174,142 · median $61,619 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,985 – $51,910 · median $18,368 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,297 – $29,122 · median $10,305 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,002 – $100,062 · median $35,407 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,855 – $27,350 · median $9,678 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $5,583 – $26,261 · median $9,292 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,876 – $27,433 · median $9,707 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,324 – $49,262 · median $17,431 | 17 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,202 – $44,766 · median $15,840 | 17 plans |
| 885 | PSYCHOSES | $8,610 – $38,388 · median $13,583 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,973 – $47,857 · median $16,934 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,265 – $32,999 · median $11,676 | 17 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $3,812 – $19,164 · median $6,781 | 17 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,844 – $39,325 · median $13,915 | 17 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,877 – $47,472 · median $16,798 | 17 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,388 – $25,480 · median $9,016 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,061 – $112,321 · median $39,744 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,591 – $50,331 · median $17,809 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,446 – $33,726 · median $11,934 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,584 – $98,385 · median $34,813 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,067 – $44,227 · median $15,650 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,331 – $57,304 · median $20,277 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,332 – $101,386 · median $35,875 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,320 – $53,256 · median $18,844 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,747 – $34,930 · median $12,360 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,885 – $43,496 · median $15,391 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,597 – $26,317 · median $9,312 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,615 – $46,423 · median $16,426 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,056 – $20,143 · median $7,127 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,015 – $44,019 · median $15,576 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,403 – $25,539 · median $9,037 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,139 – $48,520 · median $17,169 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,205 – $28,752 · median $10,174 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,200 – $20,720 · median $7,332 | 17 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,319 – $45,236 · median $16,006 | 17 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,230 – $28,850 · median $10,209 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $144,899 – $584,478 · median $206,815 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $40,795 – $167,348 · median $59,215 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $19,426 – $81,726 · median $28,918 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $26,429 – $109,785 · median $38,847 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,107 – $56,405 · median $19,959 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $13,416 – $57,644 · median $20,397 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,387 – $81,569 · median $28,863 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,896 – $55,564 · median $19,661 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,937 – $51,719 · median $18,300 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,856 – $35,368 · median $12,515 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,853 – $23,334 · median $8,257 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,591 – $30,297 · median $10,720 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,580 – $18,234 · median $6,452 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,463 – $17,766 · median $6,286 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $41,707 – $171,004 · median $60,509 | 17 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,347 – $97,438 · median $34,478 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,591 – $186,567 · median $66,016 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,103 – $104,472 · median $36,967 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,149 – $68,596 · median $24,272 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,594 – $70,378 · median $24,903 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,163 – $40,603 · median $14,367 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,574 – $26,224 · median $9,279 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,629 – $158,669 · median $56,145 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,206 – $68,826 · median $24,354 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,240 – $76,973 · median $27,237 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,682 – $38,677 · median $13,686 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,126 – $28,437 · median $10,062 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,807 – $39,178 · median $13,863 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,037 – $120,236 · median $42,545 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,954 – $63,809 · median $22,579 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,189 – $44,717 · median $15,823 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,394 – $89,614 · median $31,710 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,481 – $45,887 · median $16,237 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,058 – $32,169 · median $11,383 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,743 – $78,990 · median $26,978 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $66,540 – $270,505 · median $92,388 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $43,165 – $176,846 · median $60,400 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $37,835 – $155,490 · median $53,106 | 16 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,414 – $117,739 · median $40,213 | 16 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $30,560 – $126,340 · median $43,150 | 16 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $19,572 – $82,313 · median $28,113 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $37,787 – $155,295 · median $53,039 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,388 – $73,562 · median $25,124 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,051 – $48,168 · median $16,451 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,016 – $108,133 · median $36,932 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,516 – $82,086 · median $28,035 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $17,482 – $73,936 · median $25,252 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,134 – $64,531 · median $22,040 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,243 – $40,923 · median $13,977 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,864 – $31,393 · median $10,722 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,896 – $99,636 · median $34,030 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $63,984 – $260,263 · median $88,890 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $43,383 – $177,720 · median $60,698 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $33,619 – $138,596 · median $47,336 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $50,944 – $208,016 · median $71,046 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $33,414 – $137,774 · median $47,055 | 16 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,010 – $48,006 · median $16,396 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $36,311 – $149,382 · median $51,020 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $24,798 – $103,251 · median $35,264 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,963 – $63,843 · median $21,805 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $25,473 – $105,958 · median $36,189 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,017 – $40,018 · median $13,668 | 16 plans |
| 795 | NORMAL NEWBORN | $1,220 – $8,779 · median $2,836 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $56,266 – $229,340 · median $78,329 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,438 – $41,249 · median $14,088 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,412 – $31,215 · median $10,661 | 14 plans |
| 222 | NO ACTIVE CODE DESCRIPTION | $108,561 – $108,561 · median $108,561 | 1 plans |
| 223 | NO ACTIVE CODE DESCRIPTION | $73,995 – $73,995 · median $73,995 | 1 plans |
| 224 | NO ACTIVE CODE DESCRIPTION | $100,516 – $100,516 · median $100,516 | 1 plans |
| 225 | NO ACTIVE CODE DESCRIPTION | $71,712 – $71,712 · median $71,712 | 1 plans |
| 226 | NO ACTIVE CODE DESCRIPTION | $90,757 – $90,757 · median $90,757 | 1 plans |
| 227 | NO ACTIVE CODE DESCRIPTION | $71,187 – $71,187 · median $71,187 | 1 plans |
| 246 | NO ACTIVE CODE DESCRIPTION | $42,471 – $42,471 · median $42,471 | 1 plans |
| 247 | NO ACTIVE CODE DESCRIPTION | $27,074 – $27,074 · median $27,074 | 1 plans |
| 248 | NO ACTIVE CODE DESCRIPTION | $42,675 – $42,675 · median $42,675 | 1 plans |
| 249 | NO ACTIVE CODE DESCRIPTION | $25,759 – $25,759 · median $25,759 | 1 plans |
| 338 | NO ACTIVE CODE DESCRIPTION | $37,666 – $37,666 · median $37,666 | 1 plans |
| 339 | NO ACTIVE CODE DESCRIPTION | $23,089 – $23,089 · median $23,089 | 1 plans |
| 340 | NO ACTIVE CODE DESCRIPTION | $17,013 – $17,013 · median $17,013 | 1 plans |
| 341 | NO ACTIVE CODE DESCRIPTION | $32,030 – $32,030 · median $32,030 | 1 plans |
| 342 | NO ACTIVE CODE DESCRIPTION | $20,605 – $20,605 · median $20,605 | 1 plans |
| 343 | NO ACTIVE CODE DESCRIPTION | $15,493 – $15,493 · median $15,493 | 1 plans |
| 453 | NO ACTIVE CODE DESCRIPTION | $129,804 – $129,804 · median $129,804 | 1 plans |
| 454 | NO ACTIVE CODE DESCRIPTION | $86,361 – $86,361 · median $86,361 | 1 plans |
| 455 | NO ACTIVE CODE DESCRIPTION | $67,888 – $67,888 · median $67,888 | 1 plans |
| 459 | NO ACTIVE CODE DESCRIPTION | $94,048 – $94,048 · median $94,048 | 1 plans |
| 460 | NO ACTIVE CODE DESCRIPTION | $53,397 – $53,397 · median $53,397 | 1 plans |
| 767 | NO ACTIVE CODE DESCRIPTION | $3,800 – $3,800 · median $3,800 | 1 plans |
No procedures match that keyword.