St. Luke's Health - Lakeside Hospital - The Woodlands, TX — Pricing
792 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 792 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 792 procedures
Procedures with negotiated rates only
These 792 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $140,642 – $663,392 · median $271,488 | 40 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $55,020 – $279,273 · median $114,626 | 40 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $52,899 – $249,518 · median $109,672 | 40 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $107,006 – $504,736 · median $222,929 | 35 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $70,550 – $332,776 · median $146,979 | 35 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $53,171 – $250,804 · median $110,774 | 35 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $24,212 – $114,204 · median $50,441 | 35 plans |
| 007 | LUNG TRANSPLANT | $65,251 – $307,783 · median $135,940 | 35 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $27,167 – $128,143 · median $56,598 | 35 plans |
| 010 | PANCREAS TRANSPLANT | $39,808 – $187,772 · median $82,934 | 35 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $26,941 – $127,079 · median $56,128 | 35 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $20,489 – $96,646 · median $42,686 | 35 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,231 – $62,410 · median $27,565 | 35 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $65,416 – $308,560 · median $136,283 | 35 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $30,137 – $142,151 · median $62,785 | 35 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,137 – $142,151 · median $62,785 | 35 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $188,296 – $888,174 · median $392,284 | 35 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $39,580 – $186,696 · median $82,459 | 35 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $40,248 – $189,847 · median $83,851 | 35 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $27,597 – $130,173 · median $57,494 | 35 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $17,627 – $83,144 · median $36,723 | 35 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $28,485 – $134,361 · median $59,344 | 35 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $18,982 – $89,534 · median $39,545 | 35 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $22,330 – $105,327 · median $46,520 | 35 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $15,271 – $72,033 · median $31,815 | 35 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,322 – $58,119 · median $25,670 | 35 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,354 – $143,178 · median $63,238 | 35 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,760 – $79,054 · median $34,916 | 35 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,111 – $52,410 · median $23,148 | 35 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $20,923 – $98,693 · median $43,590 | 35 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $10,663 – $50,296 · median $22,214 | 35 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,966 – $37,576 · median $16,596 | 35 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,416 – $91,583 · median $40,450 | 35 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $11,358 – $53,574 · median $23,662 | 35 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,153 – $43,171 · median $19,068 | 35 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $16,581 – $78,211 · median $34,544 | 35 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,045 – $37,948 · median $16,761 | 35 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $5,683 – $26,806 · median $11,839 | 35 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $18,834 – $88,837 · median $39,237 | 35 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $11,275 – $53,183 · median $23,490 | 35 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $8,776 – $41,393 · median $18,282 | 35 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,048 – $47,396 · median $20,934 | 35 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,600 – $21,700 · median $9,584 | 35 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $7,485 – $35,305 · median $15,593 | 35 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,447 – $25,694 · median $11,348 | 35 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,503 – $58,974 · median $26,047 | 35 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,663 – $31,426 · median $13,880 | 35 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,216 – $43,473 · median $19,201 | 35 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,109 – $28,817 · median $12,728 | 35 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,456 – $21,017 · median $9,283 | 35 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $13,498 – $63,668 · median $28,120 | 35 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $8,892 – $41,942 · median $18,525 | 35 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,014 – $33,084 · median $14,613 | 35 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $9,932 – $46,848 · median $20,691 | 35 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,077 – $23,949 · median $10,578 | 35 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,437 – $16,210 · median $7,160 | 35 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,264 – $34,264 · median $15,134 | 35 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,401 – $20,760 · median $9,169 | 35 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,995 – $18,843 · median $8,323 | 35 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $8,682 – $40,950 · median $18,087 | 35 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,262 – $24,820 · median $10,963 | 35 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,746 – $17,668 · median $7,804 | 35 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,717 – $36,400 · median $16,077 | 35 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,205 – $24,550 · median $10,843 | 35 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,600 – $40,564 · median $17,916 | 35 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,578 – $21,594 · median $9,538 | 35 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $7,721 – $36,417 · median $16,084 | 35 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $4,982 – $23,502 · median $10,380 | 35 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,329 – $15,701 · median $6,935 | 35 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,925 – $46,815 · median $20,677 | 35 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,518 – $21,309 · median $9,412 | 35 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $11,585 – $54,643 · median $24,134 | 35 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $6,942 – $32,745 · median $14,463 | 35 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $4,774 – $22,517 · median $9,945 | 35 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,314 – $53,367 · median $23,571 | 35 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,549 – $30,889 · median $13,643 | 35 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,414 – $20,819 · median $9,195 | 35 plans |
| 088 | CONCUSSION WITH MCC | $7,044 – $33,223 · median $14,674 | 35 plans |
| 089 | CONCUSSION WITH CC | $5,353 – $25,249 · median $11,152 | 35 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,280 – $20,190 · median $8,918 | 35 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,102 – $42,931 · median $18,962 | 35 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,286 – $24,933 · median $11,012 | 35 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,941 – $18,589 · median $8,210 | 35 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $18,218 – $85,931 · median $37,953 | 35 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $11,969 – $56,456 · median $24,935 | 35 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,969 – $56,456 · median $24,935 | 35 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $17,898 – $84,421 · median $37,287 | 35 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $10,831 – $51,089 · median $22,565 | 35 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $6,957 – $32,814 · median $14,493 | 35 plans |
| 100 | SEIZURES WITH MCC | $9,912 – $46,756 · median $20,651 | 35 plans |
| 101 | SEIZURES WITHOUT MCC | $4,602 – $21,707 · median $9,587 | 35 plans |
| 102 | HEADACHES WITH MCC | $5,789 – $27,307 · median $12,061 | 35 plans |
| 103 | HEADACHES WITHOUT MCC | $4,245 – $20,023 · median $8,844 | 35 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $11,267 – $53,145 · median $23,473 | 35 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,902 – $27,840 · median $12,296 | 35 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,644 – $36,057 · median $15,925 | 35 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,331 – $39,297 · median $17,357 | 35 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,385 – $25,402 · median $11,219 | 35 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,808 – $27,395 · median $12,099 | 35 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,387 – $15,975 · median $7,056 | 35 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,010 – $18,916 · median $8,355 | 35 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,510 – $30,708 · median $13,563 | 35 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,123 – $19,446 · median $8,589 | 35 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,038 – $56,784 · median $25,080 | 35 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,884 – $23,038 · median $10,175 | 35 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,983 – $32,938 · median $14,548 | 35 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,062 – $19,159 · median $8,462 | 35 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,855 – $32,336 · median $14,282 | 35 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,116 – $99,602 · median $43,992 | 35 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $10,727 – $50,599 · median $22,348 | 35 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $7,851 – $37,032 · median $16,356 | 35 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $16,486 – $77,763 · median $34,346 | 35 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $8,771 – $41,372 · median $18,273 | 35 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,916 – $27,903 · median $12,324 | 35 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $11,454 – $54,028 · median $23,863 | 35 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $6,215 – $29,316 · median $12,948 | 35 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,998 – $18,857 · median $8,329 | 35 plans |
| 149 | DYSEQUILIBRIUM | $3,732 – $17,604 · median $7,775 | 35 plans |
| 150 | EPISTAXIS WITH MCC | $6,901 – $32,552 · median $14,378 | 35 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,785 – $17,852 · median $7,885 | 35 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,666 – $26,726 · median $11,804 | 35 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,553 – $16,761 · median $7,403 | 35 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $8,120 – $38,301 · median $16,917 | 35 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $4,661 – $21,987 · median $9,711 | 35 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,357 – $15,836 · median $6,994 | 35 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,176 – $38,565 · median $17,033 | 35 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,696 – $22,152 · median $9,784 | 35 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,293 – $15,534 · median $6,861 | 35 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,013 – $108,551 · median $47,944 | 35 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $12,567 – $59,278 · median $26,182 | 35 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,307 – $43,899 · median $19,389 | 35 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,224 – $90,678 · median $40,050 | 35 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,123 – $43,032 · median $19,006 | 35 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,760 – $31,886 · median $14,083 | 35 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,036 – $33,186 · median $14,657 | 35 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,067 – $19,182 · median $8,472 | 35 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,071 – $38,070 · median $16,815 | 35 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,953 – $23,365 · median $10,320 | 35 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,843 – $18,127 · median $8,006 | 35 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $8,727 – $41,162 · median $18,180 | 35 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,544 – $26,149 · median $11,549 | 35 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,182 – $19,724 · median $8,712 | 35 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,925 – $37,383 · median $16,511 | 35 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,333 – $25,155 · median $11,110 | 35 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,883 – $18,316 · median $8,090 | 35 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,889 – $37,211 · median $16,435 | 35 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,013 – $23,645 · median $10,444 | 35 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,666 – $17,291 · median $7,637 | 35 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,178 – $29,142 · median $12,871 | 35 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,607 – $26,448 · median $11,681 | 35 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,289 – $20,233 · median $8,936 | 35 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,231 – $15,242 · median $6,732 | 35 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,579 – $31,033 · median $13,707 | 35 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,094 – $19,312 · median $8,530 | 35 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,109 – $14,665 · median $6,477 | 35 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,407 – $44,372 · median $19,598 | 35 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,943 – $23,315 · median $10,298 | 35 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,497 – $16,495 · median $7,285 | 35 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,814 – $41,575 · median $18,362 | 35 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,530 – $26,083 · median $11,520 | 35 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,381 – $15,946 · median $7,043 | 35 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,827 – $22,767 · median $10,056 | 35 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,478 – $16,406 · median $7,246 | 35 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,049 – $19,100 · median $8,436 | 35 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,426 – $44,460 · median $19,637 | 35 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,523 – $21,332 · median $9,422 | 35 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $32,290 – $152,309 · median $67,271 | 35 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $13,400 – $63,206 · median $27,917 | 35 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $48,187 – $227,293 · median $100,390 | 35 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $32,244 – $152,090 · median $67,174 | 35 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,704 – $140,112 · median $61,884 | 35 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $38,633 – $182,226 · median $80,485 | 35 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $26,446 – $124,743 · median $55,096 | 35 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $22,930 – $108,160 · median $47,772 | 35 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $24,881 – $117,362 · median $51,836 | 35 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $15,509 – $73,156 · median $32,311 | 35 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $42,309 – $199,569 · median $88,145 | 35 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $30,500 – $143,866 · median $63,542 | 35 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $39,027 – $184,084 · median $81,305 | 35 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $26,563 – $125,296 · median $55,340 | 35 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $29,379 – $138,579 · median $61,207 | 35 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $20,531 – $96,844 · median $42,774 | 35 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $25,149 – $118,624 · median $52,393 | 35 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $14,540 – $68,585 · median $30,292 | 35 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $7,539 – $35,560 · median $15,706 | 35 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,936 – $79,885 · median $35,283 | 35 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,248 – $53,056 · median $23,433 | 35 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,011 – $42,502 · median $18,772 | 35 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,399 – $115,089 · median $50,832 | 35 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $11,547 – $54,464 · median $24,055 | 35 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $7,802 – $36,801 · median $16,254 | 35 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,128 – $80,789 · median $35,683 | 35 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,747 – $60,126 · median $26,556 | 35 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $8,735 – $41,200 · median $18,197 | 35 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,064 – $61,621 · median $27,217 | 35 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $8,456 – $39,888 · median $17,618 | 35 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,453 – $21,005 · median $9,277 | 35 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,008 – $66,072 · median $29,183 | 35 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $8,776 – $41,396 · median $18,283 | 35 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $17,007 – $80,219 · median $35,431 | 35 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,475 – $44,690 · median $19,739 | 35 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $7,578 – $35,746 · median $15,788 | 35 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,391 – $63,166 · median $27,899 | 35 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,451 – $82,313 · median $36,356 | 35 plans |
| 265 | AICD LEAD PROCEDURES | $17,811 – $84,011 · median $37,106 | 35 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $29,912 – $141,089 · median $62,316 | 35 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $23,490 – $110,800 · median $48,938 | 35 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $33,291 – $157,029 · median $69,356 | 35 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $20,774 – $97,989 · median $43,279 | 35 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $25,629 – $120,887 · median $53,393 | 35 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $17,198 – $81,119 · median $35,828 | 35 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $12,493 – $58,929 · median $26,028 | 35 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $19,524 – $92,091 · median $40,675 | 35 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $15,583 – $73,503 · median $32,464 | 35 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $8,195 – $38,657 · median $17,074 | 35 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $4,602 – $21,709 · median $9,588 | 35 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $3,620 – $17,077 · median $7,542 | 35 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $9,763 – $46,052 · median $20,340 | 35 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $3,700 – $17,451 · median $7,708 | 35 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $2,803 – $13,222 · median $5,840 | 35 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $11,051 – $52,125 · median $23,023 | 35 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,441 – $25,664 · median $11,335 | 35 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $13,638 – $64,330 · median $28,413 | 35 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,872 – $37,133 · median $16,401 | 35 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,888 – $23,056 · median $10,183 | 35 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,515 – $30,729 · median $13,572 | 35 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,300 – $20,282 · median $8,958 | 35 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,740 – $12,922 · median $5,708 | 35 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,131 – $28,921 · median $12,774 | 35 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,943 – $18,601 · median $8,215 | 35 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $8,180 – $38,586 · median $17,042 | 35 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $3,517 – $16,589 · median $7,327 | 35 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $2,205 – $10,402 · median $4,595 | 35 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,077 – $38,096 · median $16,826 | 35 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,345 – $25,214 · median $11,136 | 35 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,562 – $16,801 · median $7,421 | 35 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,808 – $27,397 · median $12,101 | 35 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,357 – $15,836 · median $6,994 | 35 plans |
| 304 | HYPERTENSION WITH MCC | $5,866 – $27,668 · median $12,220 | 35 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,748 – $17,680 · median $7,809 | 35 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,476 – $35,265 · median $15,576 | 35 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,625 – $21,818 · median $9,636 | 35 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,021 – $28,400 · median $12,544 | 35 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,691 – $17,411 · median $7,690 | 35 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,794 – $13,177 · median $5,820 | 35 plans |
| 311 | ANGINA PECTORIS | $3,487 – $16,446 · median $7,264 | 35 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,350 – $20,520 · median $9,063 | 35 plans |
| 313 | CHEST PAIN | $3,562 – $16,801 · median $7,421 | 35 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $10,752 – $50,717 · median $22,400 | 35 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,805 – $22,663 · median $10,010 | 35 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,409 – $16,078 · median $7,101 | 35 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $21,933 – $103,455 · median $45,693 | 35 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $11,558 – $54,516 · median $24,078 | 35 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $25,359 – $119,616 · median $52,831 | 35 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,123 – $57,184 · median $25,257 | 35 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $7,956 – $37,529 · median $16,575 | 35 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,927 – $108,144 · median $47,764 | 35 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,802 – $55,667 · median $24,587 | 35 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,243 – $38,883 · median $17,174 | 35 plans |
| 332 | RECTAL RESECTION WITH MCC | $17,319 – $81,691 · median $36,081 | 35 plans |
| 333 | RECTAL RESECTION WITH CC | $10,611 – $50,053 · median $22,107 | 35 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,281 – $39,062 · median $17,253 | 35 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,091 – $85,335 · median $37,690 | 35 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $10,547 – $49,747 · median $21,972 | 35 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,665 – $36,153 · median $15,968 | 35 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,453 – $63,458 · median $28,028 | 35 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,433 – $35,060 · median $15,485 | 35 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,218 – $29,328 · median $12,953 | 35 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,817 – $55,741 · median $24,619 | 35 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,286 – $29,648 · median $13,095 | 35 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,398 – $20,746 · median $9,163 | 35 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,076 – $56,963 · median $25,159 | 35 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,512 – $35,432 · median $15,650 | 35 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,505 – $25,967 · median $11,469 | 35 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,644 – $69,075 · median $30,509 | 35 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $8,493 – $40,063 · median $17,695 | 35 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $6,657 – $31,398 · median $13,868 | 35 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $21,298 – $100,462 · median $44,371 | 35 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $11,244 – $53,037 · median $23,425 | 35 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,766 – $31,914 · median $14,096 | 35 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,338 – $39,330 · median $17,371 | 35 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,081 – $23,965 · median $10,585 | 35 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,485 – $16,439 · median $7,261 | 35 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,728 – $41,167 · median $18,183 | 35 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,139 – $24,241 · median $10,707 | 35 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,622 – $17,084 · median $7,546 | 35 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $10,542 – $49,726 · median $21,963 | 35 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,135 – $28,937 · median $12,781 | 35 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,409 – $20,796 · median $9,185 | 35 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,078 – $42,820 · median $18,913 | 35 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,923 – $23,219 · median $10,255 | 35 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,179 – $14,995 · median $6,623 | 35 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $9,608 – $45,319 · median $20,016 | 35 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,438 – $25,649 · median $11,329 | 35 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,741 – $17,647 · median $7,794 | 35 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,312 – $29,773 · median $13,150 | 35 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,342 – $20,480 · median $9,046 | 35 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,112 – $38,266 · median $16,901 | 35 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,955 – $23,374 · median $10,324 | 35 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,347 – $15,786 · median $6,972 | 35 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,339 – $34,618 · median $15,290 | 35 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,002 – $18,878 · median $8,338 | 35 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,732 – $12,887 · median $5,692 | 35 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,413 – $30,251 · median $13,361 | 35 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,896 – $18,377 · median $8,117 | 35 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,268 – $39,000 · median $17,226 | 35 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,700 – $22,169 · median $9,791 | 35 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,177 – $14,988 · median $6,620 | 35 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $27,105 – $127,851 · median $56,469 | 35 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $14,022 – $66,141 · median $29,213 | 35 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $10,664 – $50,300 · median $22,216 | 35 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $17,482 – $82,459 · median $36,420 | 35 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $10,468 – $49,375 · median $21,808 | 35 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $7,745 – $36,530 · median $16,134 | 35 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $13,663 – $64,445 · median $28,464 | 35 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $10,643 – $50,201 · median $22,173 | 35 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,301 – $39,154 · median $17,293 | 35 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $17,494 – $82,518 · median $36,446 | 35 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $9,876 – $46,586 · median $20,576 | 35 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $6,841 – $32,270 · median $14,253 | 35 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $11,866 – $55,969 · median $24,720 | 35 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,280 – $39,057 · median $17,251 | 35 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $6,579 – $31,031 · median $13,706 | 35 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,622 – $83,123 · median $36,713 | 35 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,176 – $38,567 · median $17,034 | 35 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,337 – $34,606 · median $15,285 | 35 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $20,308 – $95,791 · median $42,309 | 35 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $11,400 – $53,774 · median $23,751 | 35 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,718 – $36,405 · median $16,079 | 35 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,782 – $46,139 · median $20,378 | 35 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,341 – $25,195 · median $11,128 | 35 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,478 – $16,403 · median $7,245 | 35 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,110 – $42,971 · median $18,979 | 35 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $5,631 – $26,558 · median $11,730 | 35 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,920 – $18,492 · median $8,168 | 35 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,307 – $39,182 · median $17,306 | 35 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,295 – $20,259 · median $8,948 | 35 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,071 – $14,486 · median $6,398 | 35 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $9,439 – $44,521 · median $19,664 | 35 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,824 – $22,755 · median $10,050 | 35 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,509 – $16,549 · median $7,309 | 35 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,410 – $39,669 · median $17,521 | 35 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,415 – $25,541 · median $11,281 | 35 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,981 – $18,777 · median $8,293 | 35 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $42,286 – $199,458 · median $88,096 | 35 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $28,656 – $135,169 · median $59,701 | 35 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $21,559 – $101,693 · median $44,915 | 35 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $30,640 – $144,525 · median $63,833 | 35 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $14,299 – $67,445 · median $29,789 | 35 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,967 – $127,199 · median $56,181 | 35 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,722 – $69,442 · median $30,671 | 35 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,668 – $40,887 · median $18,059 | 35 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $25,437 – $119,983 · median $52,993 | 35 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $17,102 – $80,667 · median $35,629 | 35 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $13,098 – $61,781 · median $27,287 | 35 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $16,320 – $76,981 · median $34,001 | 35 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $9,414 – $44,405 · median $19,613 | 35 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $24,252 – $114,394 · median $50,525 | 35 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $14,465 – $68,232 · median $30,136 | 35 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $11,820 – $55,755 · median $24,625 | 35 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $22,392 – $105,619 · median $46,649 | 35 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $10,771 – $50,807 · median $22,440 | 35 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,807 – $27,392 · median $12,098 | 35 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,171 – $80,992 · median $35,772 | 35 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,676 – $55,076 · median $24,326 | 35 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,866 – $41,822 · median $18,472 | 35 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $14,684 – $69,263 · median $30,592 | 35 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $10,360 – $48,866 · median $21,583 | 35 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $7,921 – $37,361 · median $16,502 | 35 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $12,723 – $60,013 · median $26,506 | 35 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $16,074 – $75,818 · median $33,487 | 35 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $10,589 – $49,949 · median $22,061 | 35 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,890 – $37,215 · median $16,437 | 35 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,813 – $46,287 · median $20,444 | 35 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,183 – $29,166 · median $12,882 | 35 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $17,731 – $83,634 · median $36,939 | 35 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $11,988 – $56,546 · median $24,975 | 35 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $9,414 – $44,403 · median $19,612 | 35 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $17,578 – $82,914 · median $36,621 | 35 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,851 – $46,466 · median $20,523 | 35 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $6,703 – $31,620 · median $13,966 | 35 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,607 – $59,464 · median $26,264 | 35 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,796 – $27,338 · median $12,075 | 35 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $15,821 – $74,626 · median $32,960 | 35 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $8,911 – $42,031 · median $18,564 | 35 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $6,976 – $32,905 · median $14,534 | 35 plans |
| 503 | FOOT PROCEDURES WITH MCC | $13,214 – $62,330 · median $27,530 | 35 plans |
| 504 | FOOT PROCEDURES WITH CC | $8,763 – $41,332 · median $18,255 | 35 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $8,763 – $41,332 · median $18,255 | 35 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,485 – $35,305 · median $15,593 | 35 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $9,677 – $45,647 · median $20,161 | 35 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,444 – $30,395 · median $13,425 | 35 plans |
| 509 | ARTHROSCOPY | $8,771 – $41,372 · median $18,273 | 35 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $14,270 – $67,311 · median $29,730 | 35 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,792 – $46,188 · median $20,400 | 35 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $8,028 – $37,865 · median $16,724 | 35 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,517 – $35,458 · median $15,661 | 35 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,091 – $24,013 · median $10,606 | 35 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $15,440 – $72,829 · median $32,167 | 35 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,044 – $47,378 · median $20,925 | 35 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,453 – $35,155 · median $15,527 | 35 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $17,895 – $84,407 · median $37,280 | 35 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $9,846 – $46,440 · median $20,512 | 35 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,156 – $33,753 · median $14,908 | 35 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $14,553 – $68,644 · median $30,318 | 35 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,526 – $49,648 · median $21,928 | 35 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $7,614 – $35,913 · median $15,862 | 35 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,064 – $19,171 · median $8,467 | 35 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,640 – $31,320 · median $13,833 | 35 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,049 – $19,098 · median $8,435 | 35 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $4,588 – $21,643 · median $9,559 | 35 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $3,353 – $15,814 · median $6,985 | 35 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,098 – $47,630 · median $21,037 | 35 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,461 – $30,477 · median $13,461 | 35 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,368 – $20,605 · median $9,101 | 35 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,312 – $43,925 · median $19,401 | 35 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,297 – $24,985 · median $11,035 | 35 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,773 – $17,797 · median $7,861 | 35 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $12,617 – $59,511 · median $26,285 | 35 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,780 – $27,265 · median $12,042 | 35 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,726 – $17,574 · median $7,762 | 35 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,059 – $47,446 · median $20,956 | 35 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,017 – $28,381 · median $12,535 | 35 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,304 – $20,303 · median $8,967 | 35 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,520 – $40,187 · median $17,750 | 35 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,812 – $22,698 · median $10,025 | 35 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,521 – $30,758 · median $13,585 | 35 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,167 – $19,656 · median $8,681 | 35 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $6,723 – $31,714 · median $14,007 | 35 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,077 – $19,229 · median $8,493 | 35 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $7,738 – $36,497 · median $16,120 | 35 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $4,313 – $20,343 · median $8,985 | 35 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,268 – $43,718 · median $19,309 | 35 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $5,685 – $26,818 · median $11,845 | 35 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,082 – $19,255 · median $8,505 | 35 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $7,307 – $34,467 · median $15,223 | 35 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $4,463 – $21,050 · median $9,297 | 35 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $7,835 – $36,956 · median $16,323 | 35 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,091 – $24,015 · median $10,607 | 35 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,735 – $17,619 · median $7,782 | 35 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,030 – $70,893 · median $31,312 | 35 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,360 – $39,431 · median $17,416 | 35 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,704 – $26,905 · median $11,883 | 35 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,747 – $145,032 · median $64,057 | 35 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,300 – $81,602 · median $36,042 | 35 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,969 – $47,024 · median $20,769 | 35 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,938 – $127,065 · median $56,121 | 35 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,295 – $62,712 · median $27,698 | 35 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,440 – $39,811 · median $17,583 | 35 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $16,274 – $76,762 · median $33,904 | 35 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $8,852 – $41,756 · median $18,443 | 35 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,186 – $33,895 · median $14,970 | 35 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $8,744 – $41,243 · median $18,216 | 35 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,202 – $38,687 · median $17,087 | 35 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,222 – $48,218 · median $21,297 | 35 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $9,911 – $46,751 · median $20,649 | 35 plans |
| 592 | SKIN ULCERS WITH MCC | $10,267 – $48,428 · median $21,389 | 35 plans |
| 593 | SKIN ULCERS WITH CC | $6,105 – $28,796 · median $12,718 | 35 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,237 – $19,988 · median $8,828 | 35 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,561 – $49,813 · median $22,001 | 35 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,398 – $25,461 · median $11,245 | 35 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,771 – $41,372 · median $18,273 | 35 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,387 – $25,409 · median $11,223 | 35 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,268 – $20,134 · median $8,893 | 35 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,776 – $22,529 · median $9,950 | 35 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,993 – $14,119 · median $6,236 | 35 plans |
| 602 | CELLULITIS WITH MCC | $7,336 – $34,601 · median $15,282 | 35 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,398 – $20,744 · median $9,162 | 35 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,418 – $34,990 · median $15,454 | 35 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,612 – $21,754 · median $9,608 | 35 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,040 – $37,924 · median $16,750 | 35 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,315 – $20,353 · median $8,989 | 35 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,379 – $53,673 · median $23,706 | 35 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,155 – $33,749 · median $14,906 | 35 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,298 – $91,025 · median $40,203 | 35 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,644 – $45,491 · median $20,092 | 35 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,217 – $29,323 · median $12,951 | 35 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $13,613 – $64,212 · median $28,361 | 35 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $7,974 – $37,611 · median $16,612 | 35 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,299 – $34,427 · median $15,205 | 35 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $18,683 – $88,128 · median $38,924 | 35 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $9,550 – $45,048 · median $19,897 | 35 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,008 – $23,624 · median $10,434 | 35 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $14,315 – $67,523 · median $29,823 | 35 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $7,536 – $35,546 · median $15,700 | 35 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,326 – $29,837 · median $13,178 | 35 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $19,701 – $92,925 · median $41,043 | 35 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,230 – $52,969 · median $23,395 | 35 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $6,997 – $33,002 · median $14,576 | 35 plans |
| 637 | DIABETES WITH MCC | $7,271 – $34,297 · median $15,148 | 35 plans |
| 638 | DIABETES WITH CC | $4,580 – $21,601 · median $9,541 | 35 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,129 – $14,757 · median $6,518 | 35 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $6,631 – $31,276 · median $13,814 | 35 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,901 – $18,403 · median $8,128 | 35 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $6,197 – $29,229 · median $12,910 | 35 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,275 – $39,031 · median $17,239 | 35 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,160 – $24,338 · median $10,749 | 35 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,888 – $18,339 · median $8,100 | 35 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,004 – $108,507 · median $47,925 | 35 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $17,338 – $81,781 · median $36,121 | 35 plans |
| 652 | KIDNEY TRANSPLANT | $15,335 – $72,335 · median $31,948 | 35 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $27,833 – $131,287 · median $57,986 | 35 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,090 – $66,463 · median $29,355 | 35 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,372 – $48,922 · median $21,608 | 35 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $16,267 – $76,729 · median $33,889 | 35 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,128 – $43,054 · median $19,016 | 35 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $7,509 – $35,421 · median $15,644 | 35 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $12,903 – $60,863 · median $26,882 | 35 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $6,691 – $31,558 · median $13,939 | 35 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,126 – $24,177 · median $10,679 | 35 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $15,576 – $73,470 · median $32,450 | 35 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,626 – $35,972 · median $15,888 | 35 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,391 – $25,430 · median $11,232 | 35 plans |
| 665 | PROSTATECTOMY WITH MCC | $17,144 – $80,865 · median $35,716 | 35 plans |
| 666 | PROSTATECTOMY WITH CC | $8,225 – $38,796 · median $17,135 | 35 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,132 – $24,206 · median $10,691 | 35 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $14,561 – $68,682 · median $30,335 | 35 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $7,727 – $36,445 · median $16,097 | 35 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,772 – $22,508 · median $9,941 | 35 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $8,606 – $40,595 · median $17,930 | 35 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,464 – $25,774 · median $11,384 | 35 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $20,918 – $98,669 · median $43,580 | 35 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $11,526 – $54,365 · median $24,012 | 35 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $7,815 – $36,864 · median $16,282 | 35 plans |
| 682 | RENAL FAILURE WITH MCC | $7,499 – $35,371 · median $15,623 | 35 plans |
| 683 | RENAL FAILURE WITH CC | $4,438 – $20,934 · median $9,246 | 35 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,033 – $14,305 · median $6,318 | 35 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,415 – $44,410 · median $19,615 | 35 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,256 – $24,792 · median $10,950 | 35 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,616 – $17,056 · median $7,533 | 35 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $5,843 – $27,562 · median $12,173 | 35 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,007 – $18,902 · median $8,349 | 35 plans |
| 693 | URINARY STONES WITH MCC | $7,342 – $34,629 · median $15,295 | 35 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,901 – $18,403 · median $8,128 | 35 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,631 – $26,561 · median $11,731 | 35 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,454 – $16,293 · median $7,196 | 35 plans |
| 697 | URETHRAL STRICTURE | $5,002 – $23,593 · median $10,421 | 35 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,393 – $39,587 · median $17,485 | 35 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,092 – $24,020 · median $10,609 | 35 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,466 – $16,349 · median $7,221 | 35 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $9,689 – $45,703 · median $20,186 | 35 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,402 – $34,914 · median $15,421 | 35 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,220 – $52,921 · median $23,374 | 35 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,496 – $35,359 · median $15,617 | 35 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $9,539 – $44,997 · median $19,874 | 35 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,340 – $25,190 · median $11,126 | 35 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,220 – $34,055 · median $15,041 | 35 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,692 – $22,131 · median $9,775 | 35 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,275 – $53,185 · median $23,491 | 35 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,086 – $33,426 · median $14,763 | 35 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,264 – $43,699 · median $19,301 | 35 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,151 – $29,012 · median $12,814 | 35 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $8,632 – $40,717 · median $17,984 | 35 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $5,607 – $26,445 · median $11,680 | 35 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,638 – $17,159 · median $7,579 | 35 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,304 – $29,735 · median $13,133 | 35 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,717 – $17,531 · median $7,743 | 35 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,337 – $34,606 · median $15,285 | 35 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,080 – $19,244 · median $8,499 | 35 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,497 – $25,927 · median $11,451 | 35 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,030 – $14,293 · median $6,313 | 35 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $10,499 – $49,523 · median $21,873 | 35 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,061 – $28,589 · median $12,627 | 35 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $19,660 – $92,734 · median $40,958 | 35 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $9,978 – $47,064 · median $20,787 | 35 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,574 – $35,725 · median $15,779 | 35 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $19,876 – $93,754 · median $41,409 | 35 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,079 – $42,823 · median $18,914 | 35 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,858 – $32,350 · median $14,288 | 35 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,121 – $43,021 · median $19,001 | 35 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,985 – $28,231 · median $12,469 | 35 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,756 – $46,019 · median $20,325 | 35 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,117 – $24,135 · median $10,660 | 35 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,361 – $39,439 · median $17,419 | 35 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,769 – $22,496 · median $9,936 | 35 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,802 – $32,084 · median $14,171 | 35 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,925 – $60,964 · median $26,926 | 35 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,438 – $30,369 · median $13,413 | 35 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,034 – $42,611 · median $18,820 | 35 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,543 – $26,144 · median $11,547 | 35 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,768 – $22,491 · median $9,934 | 35 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,066 – $33,332 · median $14,722 | 35 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,089 – $24,006 · median $10,603 | 35 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,195 – $15,073 · median $6,657 | 35 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,921 – $23,212 · median $10,252 | 35 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,165 – $14,929 · median $6,594 | 35 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,021 – $25,819 · median $11,404 | 35 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $6,938 – $32,724 · median $14,453 | 35 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,372 – $25,341 · median $11,192 | 35 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,562 – $16,804 · median $7,422 | 35 plans |
| 779 | ABORTION WITHOUT D&C | $4,667 – $22,015 · median $9,724 | 35 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,095 – $43,383 · median $19,161 | 35 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,407 – $25,506 · median $11,265 | 35 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,361 – $20,572 · median $9,086 | 35 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,095 – $38,056 · median $16,808 | 35 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,301 – $25,006 · median $11,045 | 35 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,517 – $21,307 · median $9,411 | 35 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,021 – $30,065 · median $13,279 | 35 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,834 – $22,802 · median $10,071 | 35 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,834 – $22,802 · median $10,071 | 35 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,740 – $111,980 · median $49,459 | 35 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,548 – $68,623 · median $30,309 | 35 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,197 – $38,664 · median $17,077 | 35 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $17,899 – $84,426 · median $37,289 | 35 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $8,887 – $41,921 · median $18,515 | 35 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,520 – $26,038 · median $11,500 | 35 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,983 – $23,504 · median $10,381 | 35 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,613 – $17,042 · median $7,527 | 35 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,182 – $15,009 · median $6,629 | 35 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,435 – $53,939 · median $23,823 | 35 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,184 – $29,168 · median $12,883 | 35 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,752 – $22,416 · median $9,901 | 35 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,025 – $33,134 · median $14,634 | 35 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,608 – $21,735 · median $9,600 | 35 plans |
| 813 | COAGULATION DISORDERS | $7,729 – $36,457 · median $16,102 | 35 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,438 – $49,233 · median $21,745 | 35 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,073 – $23,930 · median $10,569 | 35 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,292 – $15,530 · median $6,859 | 35 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,658 – $59,704 · median $26,370 | 35 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,431 – $30,334 · median $13,398 | 35 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,077 – $19,229 · median $8,493 | 35 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $29,070 – $137,121 · median $60,563 | 35 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,146 – $52,575 · median $23,221 | 35 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,710 – $26,935 · median $11,897 | 35 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,364 – $110,207 · median $48,676 | 35 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $10,981 – $51,798 · median $22,878 | 35 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,145 – $28,987 · median $12,803 | 35 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,844 – $112,468 · median $49,674 | 35 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $11,783 – $55,578 · median $24,547 | 35 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,003 – $37,750 · median $16,673 | 35 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $15,397 – $72,627 · median $32,077 | 35 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,302 – $34,443 · median $15,213 | 35 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,747 – $27,107 · median $11,973 | 35 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,732 – $17,602 · median $7,774 | 35 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,595 – $12,242 · median $5,407 | 35 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $27,597 – $130,173 · median $57,494 | 35 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $10,664 – $50,303 · median $22,217 | 35 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,344 – $29,926 · median $13,218 | 35 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $25,000 – $117,925 · median $52,084 | 35 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,127 – $47,766 · median $21,097 | 35 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,842 – $32,274 · median $14,255 | 35 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $15,922 – $75,104 · median $33,172 | 35 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $7,829 – $36,928 · median $16,310 | 35 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,252 – $24,773 · median $10,942 | 35 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $9,453 – $44,589 · median $19,694 | 35 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,968 – $28,148 · median $12,432 | 35 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,178 – $19,707 · median $8,704 | 35 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $12,751 – $60,145 · median $26,564 | 35 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,344 – $29,926 · median $13,218 | 35 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,089 – $19,286 · median $8,518 | 35 plans |
| 849 | RADIOTHERAPY | $13,337 – $62,907 · median $27,784 | 35 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $24,971 – $117,786 · median $52,023 | 35 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,976 – $47,057 · median $20,784 | 35 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,116 – $38,285 · median $16,909 | 35 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $22,526 – $106,253 · median $46,929 | 35 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $10,879 – $51,315 · median $22,665 | 35 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,433 – $30,343 · median $13,402 | 35 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,180 – $43,303 · median $19,126 | 35 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,992 – $23,549 · median $10,401 | 35 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,484 – $21,149 · median $9,341 | 35 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,369 – $34,759 · median $15,352 | 35 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,418 – $20,838 · median $9,204 | 35 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $10,706 – $50,500 · median $22,305 | 35 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,243 – $24,731 · median $10,923 | 35 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,593 – $16,947 · median $7,485 | 35 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $34,733 – $163,833 · median $72,361 | 35 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $9,797 – $46,209 · median $20,410 | 35 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,148 – $24,281 · median $10,724 | 35 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $19,620 – $92,546 · median $40,875 | 35 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,786 – $22,576 · median $9,971 | 35 plans |
| 881 | DEPRESSIVE NEUROSES | $4,564 – $21,528 · median $9,508 | 35 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,803 – $22,656 · median $10,007 | 35 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,256 – $43,661 · median $19,284 | 35 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,339 – $39,335 · median $17,373 | 35 plans |
| 885 | PSYCHOSES | $7,038 – $33,197 · median $14,663 | 35 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $8,970 – $42,309 · median $18,687 | 35 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,939 – $28,012 · median $12,372 | 35 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $3,116 – $14,698 · median $6,492 | 35 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,229 – $34,099 · median $15,061 | 35 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $8,891 – $41,940 · median $18,524 | 35 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $4,405 – $20,777 · median $9,177 | 35 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,121 – $104,343 · median $46,086 | 35 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $9,475 – $44,690 · median $19,739 | 35 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,087 – $28,711 · median $12,681 | 35 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,278 – $90,933 · median $40,163 | 35 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,229 – $38,817 · median $17,144 | 35 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,897 – $51,400 · median $22,702 | 35 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $19,890 – $93,820 · median $41,438 | 35 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,071 – $47,505 · median $20,982 | 35 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,333 – $29,870 · median $13,193 | 35 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,080 – $38,113 · median $16,833 | 35 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,576 – $21,582 · median $9,532 | 35 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,677 – $40,929 · median $18,077 | 35 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,316 – $15,640 · median $6,908 | 35 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,187 – $38,617 · median $17,056 | 35 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,417 – $20,833 · median $9,202 | 35 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,105 – $42,948 · median $18,969 | 35 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,072 – $23,925 · median $10,567 | 35 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,434 – $16,196 · median $7,153 | 35 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $8,435 – $39,787 · median $17,573 | 35 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,092 – $24,020 · median $10,609 | 35 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $118,446 – $558,696 · median $246,762 | 35 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $33,347 – $157,295 · median $69,473 | 35 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $15,879 – $74,902 · median $33,082 | 35 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $21,604 – $101,903 · median $45,008 | 35 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $10,714 – $50,536 · median $22,320 | 35 plans |
| 935 | NON-EXTENSIVE BURNS | $10,966 – $51,727 · median $22,847 | 35 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $15,847 – $74,751 · median $33,016 | 35 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $10,542 – $49,726 · median $21,963 | 35 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,758 – $46,026 · median $20,328 | 35 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,422 – $30,291 · median $13,379 | 35 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,967 – $18,711 · median $8,264 | 35 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,387 – $25,412 · median $11,224 | 35 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,926 – $13,803 · median $6,097 | 35 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,831 – $13,353 · median $5,898 | 35 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $34,093 – $160,813 · median $71,027 | 35 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $19,085 – $90,021 · median $39,760 | 35 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $37,268 – $175,789 · median $77,642 | 35 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,520 – $96,790 · median $42,750 | 35 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $13,201 – $62,266 · median $27,502 | 35 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $13,564 – $63,981 · median $28,259 | 35 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $7,490 – $35,329 · median $15,604 | 35 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,557 – $21,493 · median $9,493 | 35 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $31,577 – $148,944 · median $65,785 | 35 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,248 – $62,488 · median $27,599 | 35 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $14,910 – $70,328 · median $31,062 | 35 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,097 – $33,475 · median $14,785 | 35 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,008 – $23,622 · median $10,433 | 35 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,199 – $33,958 · median $14,998 | 35 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,736 – $111,959 · median $49,450 | 35 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,224 – $57,660 · median $25,467 | 35 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,329 – $39,288 · median $17,352 | 35 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $15,321 – $72,269 · median $31,919 | 34 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $54,392 – $256,562 · median $113,317 | 34 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $35,285 – $166,435 · median $73,510 | 34 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $30,928 – $145,884 · median $64,433 | 34 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $23,227 – $109,557 · median $48,389 | 34 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $24,981 – $117,833 · median $52,044 | 34 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $15,999 – $75,467 · median $33,332 | 34 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $30,888 – $145,696 · median $64,350 | 34 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $14,214 – $67,045 · median $29,612 | 34 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,033 – $42,608 · median $18,819 | 34 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $21,267 – $100,313 · median $44,306 | 34 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,953 – $75,248 · median $33,235 | 34 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $14,290 – $67,405 · median $29,771 | 34 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,371 – $58,355 · median $25,774 | 34 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,555 – $35,637 · median $15,740 | 34 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $5,611 – $26,467 · median $11,690 | 34 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $19,533 – $92,136 · median $40,694 | 34 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,303 – $246,706 · median $108,964 | 34 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $35,463 – $167,276 · median $73,882 | 34 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $27,481 – $129,627 · median $57,253 | 34 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $41,644 – $196,429 · median $86,758 | 34 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $27,314 – $128,836 · median $56,904 | 34 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,476 – $157,902 · median $69,742 | 34 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,389 – $96,171 · median $42,476 | 34 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $25,714 – $121,290 · median $53,571 | 34 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $15,408 – $72,678 · median $32,100 | 34 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $45,994 – $216,949 · median $95,821 | 34 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,489 – $82,492 · median $34,613 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $8,568 – $40,414 · median $16,957 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $5,769 – $27,213 · median $11,418 | 32 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,000 – $42,453 · median $17,813 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $29,682 – $140,006 · median $58,745 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $20,271 – $95,615 · median $40,119 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,231 – $57,693 · median $24,207 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $20,823 – $98,219 · median $41,212 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,371 – $34,766 · median $14,588 | 30 plans |
| 795 | NORMAL NEWBORN | $998 – $4,705 · median $1,974 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,622 – $34,403 · median $11,327 | 25 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,575 – $25,163 · median $8,284 | 25 plans |
| 222 | NO ACTIVE CODE DESCRIPTION | $86,864 – $86,864 · median $86,864 | 1 plans |
| 223 | NO ACTIVE CODE DESCRIPTION | $59,206 – $59,206 · median $59,206 | 1 plans |
| 224 | NO ACTIVE CODE DESCRIPTION | $80,427 – $80,427 · median $80,427 | 1 plans |
| 225 | NO ACTIVE CODE DESCRIPTION | $57,380 – $57,380 · median $57,380 | 1 plans |
| 226 | NO ACTIVE CODE DESCRIPTION | $72,618 – $72,618 · median $72,618 | 1 plans |
| 227 | NO ACTIVE CODE DESCRIPTION | $56,960 – $56,960 · median $56,960 | 1 plans |
| 246 | NO ACTIVE CODE DESCRIPTION | $33,983 – $33,983 · median $33,983 | 1 plans |
| 247 | NO ACTIVE CODE DESCRIPTION | $21,663 – $21,663 · median $21,663 | 1 plans |
| 248 | NO ACTIVE CODE DESCRIPTION | $34,146 – $34,146 · median $34,146 | 1 plans |
| 249 | NO ACTIVE CODE DESCRIPTION | $20,610 – $20,610 · median $20,610 | 1 plans |
| 338 | NO ACTIVE CODE DESCRIPTION | $30,138 – $30,138 · median $30,138 | 1 plans |
| 339 | NO ACTIVE CODE DESCRIPTION | $18,474 – $18,474 · median $18,474 | 1 plans |
| 340 | NO ACTIVE CODE DESCRIPTION | $13,613 – $13,613 · median $13,613 | 1 plans |
| 341 | NO ACTIVE CODE DESCRIPTION | $25,628 – $25,628 · median $25,628 | 1 plans |
| 342 | NO ACTIVE CODE DESCRIPTION | $16,487 – $16,487 · median $16,487 | 1 plans |
| 343 | NO ACTIVE CODE DESCRIPTION | $12,397 – $12,397 · median $12,397 | 1 plans |
| 453 | NO ACTIVE CODE DESCRIPTION | $103,861 – $103,861 · median $103,861 | 1 plans |
| 454 | NO ACTIVE CODE DESCRIPTION | $69,101 – $69,101 · median $69,101 | 1 plans |
| 455 | NO ACTIVE CODE DESCRIPTION | $54,320 – $54,320 · median $54,320 | 1 plans |
| 459 | NO ACTIVE CODE DESCRIPTION | $75,251 – $75,251 · median $75,251 | 1 plans |
| 460 | NO ACTIVE CODE DESCRIPTION | $42,725 – $42,725 · median $42,725 | 1 plans |
No procedures match that keyword.