St Luke's Hospital at the Vintage — 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 | $142,164 – $663,392 · median $274,384 | 41 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $58,238 – $279,273 · median $116,809 | 41 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $56,055 – $253,028 · median $108,997 | 41 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $111,729 – $504,736 · median $220,412 | 36 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $74,217 – $335,008 · median $145,858 | 36 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,336 – $254,294 · median $110,319 | 36 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,538 – $119,789 · median $50,995 | 36 plans |
| 007 | LUNG TRANSPLANT | $68,765 – $310,399 · median $135,022 | 36 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $29,579 – $133,515 · median $57,138 | 36 plans |
| 010 | PANCREAS TRANSPLANT | $42,586 – $192,229 · median $81,328 | 36 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,346 – $132,466 · median $56,676 | 36 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,708 – $102,501 · median $43,155 | 36 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,240 – $68,790 · median $28,090 | 36 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $68,935 – $311,165 · median $131,647 | 36 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,634 – $147,308 · median $63,211 | 36 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $32,634 – $147,308 · median $62,078 | 36 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $195,372 – $888,174 · median $386,655 | 36 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $42,351 – $191,169 · median $81,646 | 36 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $43,039 – $194,272 · median $83,890 | 36 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,021 – $135,514 · median $58,018 | 36 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,763 – $89,206 · median $37,238 | 36 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,935 – $139,637 · median $59,834 | 36 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,156 – $95,497 · median $39,983 | 36 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $24,601 – $111,048 · median $47,031 | 36 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,339 – $78,265 · median $32,421 | 36 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,304 – $64,564 · median $26,159 | 36 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $32,858 – $148,319 · median $63,656 | 36 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,870 – $85,178 · median $35,481 | 36 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,058 – $58,943 · median $23,589 | 36 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,154 – $104,516 · median $44,068 | 36 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,597 – $56,861 · median $22,637 | 36 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,822 – $44,336 · median $16,912 | 36 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,603 – $97,515 · median $40,894 | 36 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,312 – $60,089 · median $24,113 | 36 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,043 – $49,846 · median $19,431 | 36 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,686 – $84,348 · median $35,119 | 36 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,903 – $44,702 · median $17,080 | 36 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,473 – $33,731 · median $12,065 | 36 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $21,004 – $94,811 · median $39,683 | 36 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,227 – $59,704 · median $23,937 | 36 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,655 – $48,095 · median $18,631 | 36 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,964 – $54,006 · median $21,163 | 36 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,359 – $28,704 · median $9,767 | 36 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,327 – $42,100 · median $15,813 | 36 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,230 – $32,637 · median $11,502 | 36 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,490 – $65,406 · median $26,333 | 36 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,481 – $38,281 · median $14,145 | 36 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,109 – $50,143 · median $19,567 | 36 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,912 – $35,712 · median $12,970 | 36 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,210 – $28,031 · median $9,473 | 36 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,514 – $70,028 · median $28,656 | 36 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,775 – $48,635 · median $18,878 | 36 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,842 – $39,914 · median $14,891 | 36 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,845 – $53,466 · median $21,086 | 36 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,850 – $30,918 · median $10,779 | 36 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,864 – $23,298 · median $7,778 | 36 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,100 – $41,075 · median $15,422 | 36 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,154 – $27,778 · median $9,373 | 36 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,654 – $25,891 · median $8,644 | 36 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,558 – $47,659 · median $18,431 | 36 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,040 – $31,776 · median $11,171 | 36 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,301 – $24,734 · median $8,257 | 36 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,566 – $43,179 · median $16,383 | 36 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,981 – $31,510 · median $11,049 | 36 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,474 – $47,279 · median $18,257 | 36 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,336 – $28,599 · median $9,719 | 36 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,569 – $43,195 · median $16,391 | 36 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,752 – $30,478 · median $10,578 | 36 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,711 – $22,797 · median $7,611 | 36 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,838 – $53,433 · median $21,071 | 36 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,274 – $28,319 · median $9,591 | 36 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,545 – $61,142 · median $24,594 | 36 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,768 – $39,580 · median $14,738 | 36 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,537 – $29,508 · median $10,135 | 36 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,267 – $59,885 · median $24,020 | 36 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,364 – $37,752 · median $13,903 | 36 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,167 – $27,836 · median $9,396 | 36 plans |
| 088 | CONCUSSION WITH MCC | $8,873 – $40,051 · median $14,953 | 36 plans |
| 089 | CONCUSSION WITH CC | $7,133 – $32,198 · median $11,364 | 36 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,030 – $27,217 · median $9,150 | 36 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,990 – $49,609 · median $19,323 | 36 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,064 – $31,888 · median $11,222 | 36 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,577 – $25,640 · median $8,559 | 36 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,370 – $91,949 · median $38,435 | 36 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,941 – $62,927 · median $25,410 | 36 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,941 – $62,927 · median $25,410 | 36 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,041 – $90,463 · median $37,787 | 36 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,770 – $57,642 · median $22,995 | 36 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,783 – $39,647 · median $14,769 | 36 plans |
| 100 | SEIZURES WITH MCC | $11,825 – $53,375 · median $21,044 | 36 plans |
| 101 | SEIZURES WITHOUT MCC | $6,361 – $28,711 · median $9,770 | 36 plans |
| 102 | HEADACHES WITH MCC | $7,582 – $34,225 · median $12,291 | 36 plans |
| 103 | HEADACHES WITHOUT MCC | $5,993 – $27,053 · median $9,084 | 36 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,218 – $59,667 · median $23,920 | 36 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,698 – $34,749 · median $12,530 | 36 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,491 – $42,840 · median $16,229 | 36 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,198 – $46,031 · median $17,687 | 36 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,167 – $32,349 · median $11,348 | 36 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,601 – $34,311 · median $12,330 | 36 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,793 – $23,066 · median $7,701 | 36 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,675 – $25,963 · median $8,668 | 36 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,324 – $37,574 · median $13,821 | 36 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,834 – $26,484 · median $8,858 | 36 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,012 – $63,250 · median $25,558 | 36 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,651 – $30,021 · median $10,369 | 36 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,811 – $39,770 · median $14,825 | 36 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,748 – $26,202 · median $8,747 | 36 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,679 – $39,176 · median $14,439 | 36 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,353 – $105,411 · median $44,475 | 36 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,663 – $57,160 · median $22,774 | 36 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,703 – $43,800 · median $16,667 | 36 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,589 – $83,907 · median $34,927 | 36 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,650 – $48,074 · median $18,621 | 36 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,712 – $34,812 · median $12,559 | 36 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $13,411 – $60,536 · median $24,125 | 36 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $8,020 – $36,203 · median $13,195 | 36 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,658 – $25,905 · median $8,648 | 36 plans |
| 149 | DYSEQUILIBRIUM | $5,282 – $24,671 · median $8,236 | 36 plans |
| 150 | EPISTAXIS WITH MCC | $8,726 – $39,390 · median $14,651 | 36 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,356 – $24,915 · median $8,318 | 36 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,455 – $33,652 · median $12,029 | 36 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,029 – $23,841 · median $7,849 | 36 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $9,980 – $45,050 · median $17,145 | 36 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $6,422 – $28,987 · median $9,896 | 36 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,751 – $22,929 · median $7,642 | 36 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,038 – $45,310 · median $17,358 | 36 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,458 – $29,149 · median $9,970 | 36 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,661 – $22,633 · median $7,548 | 36 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,305 – $114,223 · median $48,471 | 36 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,556 – $65,705 · median $26,680 | 36 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,202 – $50,562 · median $19,758 | 36 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,406 – $96,624 · median $40,490 | 36 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,012 – $49,709 · median $19,368 | 36 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,581 – $38,733 · median $14,351 | 36 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,865 – $40,013 · median $14,936 | 36 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,755 – $26,225 · median $8,755 | 36 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,930 – $44,823 · median $17,135 | 36 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,722 – $30,343 · median $10,516 | 36 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,439 – $25,186 · median $8,408 | 36 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,605 – $47,868 · median $18,527 | 36 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,329 – $33,084 · median $11,769 | 36 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,918 – $26,758 · median $8,967 | 36 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,780 – $44,146 · median $16,825 | 36 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,113 – $32,106 · median $11,322 | 36 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,495 – $25,371 · median $8,459 | 36 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,743 – $43,977 · median $16,748 | 36 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,783 – $30,619 · median $10,642 | 36 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,188 – $24,363 · median $8,117 | 36 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,982 – $36,032 · median $13,116 | 36 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,395 – $33,379 · median $11,904 | 36 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,039 – $27,259 · median $9,166 | 36 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,573 – $22,345 · median $7,377 | 36 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,395 – $37,894 · median $13,968 | 36 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,794 – $26,352 · median $8,806 | 36 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,400 – $21,777 · median $7,194 | 36 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,305 – $51,029 · median $19,843 | 36 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,711 – $30,295 · median $10,494 | 36 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,949 – $23,579 · median $7,872 | 36 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,694 – $48,274 · median $18,712 | 36 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,315 – $33,019 · median $11,740 | 36 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,784 – $23,038 · median $7,691 | 36 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,592 – $29,754 · median $10,247 | 36 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,922 – $23,491 · median $7,734 | 36 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,731 – $26,144 · median $8,728 | 36 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,324 – $51,114 · median $20,011 | 36 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,279 – $28,342 · median $9,601 | 36 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $34,850 – $157,310 · median $67,615 | 36 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,413 – $69,573 · median $28,448 | 36 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $51,207 – $231,144 · median $100,125 | 36 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $34,802 – $157,094 · median $67,520 | 36 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,189 – $145,300 · median $62,327 | 36 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,376 – $186,768 · median $80,586 | 36 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $28,837 – $130,166 · median $55,663 | 36 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,220 – $113,838 · median $48,296 | 36 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,227 – $122,898 · median $52,405 | 36 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,584 – $79,371 · median $32,927 | 36 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $45,159 – $203,845 · median $88,105 | 36 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,008 – $148,996 · median $63,954 | 36 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $41,782 – $188,597 · median $81,391 | 36 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $28,958 – $130,711 · median $55,903 | 36 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $31,855 – $143,790 · median $61,662 | 36 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,751 – $102,695 · median $43,243 | 36 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,502 – $124,141 · median $52,650 | 36 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,587 – $74,870 · median $30,831 | 36 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,382 – $42,351 · median $16,005 | 36 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,052 – $85,996 · median $35,838 | 36 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,199 – $59,579 · median $23,880 | 36 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,897 – $49,187 · median $19,130 | 36 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,731 – $120,661 · median $51,390 | 36 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,506 – $60,965 · median $24,514 | 36 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,653 – $43,573 · median $16,564 | 36 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,249 – $86,887 · median $36,227 | 36 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,741 – $66,540 · median $27,062 | 36 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,613 – $47,905 · median $18,544 | 36 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,067 – $68,013 · median $27,735 | 36 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,327 – $46,613 · median $17,953 | 36 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,207 – $28,020 · median $9,469 | 36 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,038 – $72,396 · median $29,738 | 36 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,655 – $48,097 · median $18,632 | 36 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,124 – $86,326 · median $35,982 | 36 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,374 – $51,342 · median $20,115 | 36 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,423 – $42,534 · median $16,089 | 36 plans |
| 263 | VEIN LIGATION AND STRIPPING | $15,404 – $69,534 · median $28,430 | 36 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,581 – $88,387 · median $36,881 | 36 plans |
| 265 | AICD LEAD PROCEDURES | $19,952 – $90,059 · median $37,611 | 36 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $32,403 – $146,262 · median $62,751 | 36 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $25,795 – $116,438 · median $49,475 | 36 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $35,880 – $161,957 · median $69,661 | 36 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,001 – $103,822 · median $43,754 | 36 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,996 – $126,370 · median $53,979 | 36 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,321 – $87,212 · median $36,369 | 36 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,480 – $65,362 · median $26,523 | 36 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $21,714 – $98,016 · median $41,121 | 36 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,659 – $79,712 · median $33,083 | 36 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $10,058 – $45,400 · median $17,399 | 36 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $6,361 – $28,713 · median $9,771 | 36 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $5,124 – $24,152 · median $8,041 | 36 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $11,671 – $52,682 · median $20,727 | 36 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $5,236 – $24,520 · median $8,186 | 36 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $3,967 – $20,355 · median $6,507 | 36 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $12,996 – $58,663 · median $23,461 | 36 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,224 – $32,607 · median $11,551 | 36 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,658 – $70,680 · median $28,954 | 36 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,726 – $43,900 · median $16,713 | 36 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,655 – $30,039 · median $10,377 | 36 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,329 – $37,595 · median $13,831 | 36 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,050 – $27,308 · median $9,186 | 36 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,877 – $20,061 · median $6,360 | 36 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,934 – $35,814 · median $13,017 | 36 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,581 – $25,652 · median $8,564 | 36 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $10,043 – $45,331 · median $17,367 | 36 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $4,977 – $23,672 · median $7,793 | 36 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $3,121 – $17,580 · median $5,545 | 36 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,936 – $44,848 · median $17,147 | 36 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,125 – $32,164 · median $11,348 | 36 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,041 – $23,880 · median $7,972 | 36 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,602 – $34,313 · median $12,331 | 36 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,751 – $22,929 · median $7,610 | 36 plans |
| 304 | HYPERTENSION WITH MCC | $7,661 – $34,580 · median $12,453 | 36 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,304 – $24,745 · median $8,261 | 36 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,318 – $42,061 · median $15,872 | 36 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,385 – $28,820 · median $9,820 | 36 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,821 – $35,301 · median $12,783 | 36 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,224 – $24,481 · median $8,173 | 36 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,953 – $20,311 · median $6,485 | 36 plans |
| 311 | ANGINA PECTORIS | $4,934 – $23,530 · median $7,747 | 36 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,102 – $27,542 · median $9,279 | 36 plans |
| 313 | CHEST PAIN | $5,041 – $23,880 · median $7,972 | 36 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,689 – $57,276 · median $22,827 | 36 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,569 – $29,652 · median $10,200 | 36 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,824 – $23,168 · median $7,682 | 36 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,193 – $109,205 · median $46,195 | 36 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,517 – $61,016 · median $24,537 | 36 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,718 – $125,118 · median $53,411 | 36 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,100 – $63,644 · median $25,738 | 36 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,812 – $44,290 · median $16,891 | 36 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,216 – $113,822 · median $48,289 | 36 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,769 – $62,150 · median $25,055 | 36 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,107 – $45,623 · median $17,501 | 36 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,446 – $87,775 · median $36,614 | 36 plans |
| 333 | RECTAL RESECTION WITH CC | $12,544 – $56,622 · median $22,528 | 36 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,146 – $45,799 · median $17,581 | 36 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,240 – $91,363 · median $38,179 | 36 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,477 – $56,320 · median $22,390 | 36 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,512 – $42,935 · median $16,272 | 36 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,468 – $69,822 · median $28,562 | 36 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,273 – $41,859 · median $15,780 | 36 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,023 – $36,215 · median $13,200 | 36 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,785 – $62,222 · median $25,088 | 36 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,093 – $36,530 · median $13,344 | 36 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,151 – $27,765 · median $9,368 | 36 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,051 – $63,426 · median $25,638 | 36 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,355 – $42,226 · median $15,948 | 36 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,290 – $32,906 · median $11,688 | 36 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,693 – $75,352 · median $31,090 | 36 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,365 – $46,785 · median $18,032 | 36 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,475 – $38,253 · median $14,132 | 36 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,540 – $106,257 · median $44,858 | 36 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,195 – $59,560 · median $23,871 | 36 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,587 – $38,761 · median $14,364 | 36 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,205 – $46,064 · median $17,702 | 36 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,853 – $30,935 · median $10,787 | 36 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,932 – $23,523 · median $7,853 | 36 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,606 – $47,872 · median $18,529 | 36 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,913 – $31,206 · median $10,911 | 36 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,126 – $24,159 · median $8,065 | 36 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,473 – $56,300 · median $22,381 | 36 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,938 – $35,830 · median $13,024 | 36 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,162 – $27,813 · median $9,387 | 36 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,966 – $49,500 · median $19,273 | 36 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,690 – $30,199 · median $10,451 | 36 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,499 – $22,102 · median $7,277 | 36 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,511 – $51,961 · median $20,398 | 36 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,221 – $32,593 · median $11,544 | 36 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,295 – $24,713 · median $8,250 | 36 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,120 – $36,653 · median $13,401 | 36 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,093 – $27,503 · median $9,263 | 36 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,973 – $45,015 · median $17,223 | 36 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,724 – $30,353 · median $10,520 | 36 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,736 – $22,881 · median $7,639 | 36 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,177 – $41,423 · median $15,581 | 36 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,664 – $25,926 · median $8,655 | 36 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,867 – $20,026 · median $6,381 | 36 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,224 – $37,124 · median $13,616 | 36 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,514 – $25,432 · median $8,490 | 36 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,133 – $45,739 · median $17,554 | 36 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,461 – $29,165 · median $9,978 | 36 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,497 – $22,095 · median $7,295 | 36 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $29,515 – $133,227 · median $57,011 | 36 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $16,053 – $72,463 · median $29,769 | 36 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,598 – $56,865 · median $22,639 | 36 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,613 – $88,531 · median $36,944 | 36 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,396 – $55,954 · median $22,223 | 36 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,594 – $43,306 · median $16,442 | 36 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,683 – $70,793 · median $29,006 | 36 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,576 – $56,768 · median $22,595 | 36 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,166 – $45,890 · median $17,622 | 36 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,626 – $88,589 · median $36,969 | 36 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,788 – $53,208 · median $20,968 | 36 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,665 – $39,111 · median $14,524 | 36 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,834 – $62,447 · median $25,191 | 36 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,145 – $45,795 · median $17,579 | 36 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,394 – $37,892 · median $13,967 | 36 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,758 – $89,185 · median $37,022 | 36 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,038 – $45,312 · median $17,359 | 36 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,174 – $41,412 · median $15,576 | 36 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,521 – $101,659 · median $42,773 | 36 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,356 – $60,286 · median $24,203 | 36 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,567 – $43,183 · median $16,308 | 36 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,690 – $52,768 · median $20,766 | 36 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,121 – $32,145 · median $11,340 | 36 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,921 – $23,488 · median $7,733 | 36 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,999 – $49,649 · median $19,341 | 36 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,419 – $33,488 · median $11,954 | 36 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,548 – $25,545 · median $8,528 | 36 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,173 – $45,918 · median $17,635 | 36 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,045 – $27,285 · median $9,176 | 36 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,346 – $21,601 · median $7,112 | 36 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,337 – $51,175 · median $20,038 | 36 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,589 – $29,743 · median $10,242 | 36 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,965 – $23,632 · median $7,780 | 36 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,279 – $46,398 · median $17,855 | 36 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,197 – $32,486 · median $11,496 | 36 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,634 – $25,826 · median $8,622 | 36 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $45,135 – $203,736 · median $88,057 | 36 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $31,111 – $140,432 · median $60,183 | 36 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,809 – $107,470 · median $45,408 | 36 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,152 – $149,645 · median $64,240 | 36 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,338 – $73,748 · median $30,356 | 36 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,373 – $132,585 · median $56,728 | 36 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,774 – $75,714 · median $31,255 | 36 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,544 – $47,596 · median $18,403 | 36 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $27,799 – $125,479 · median $53,575 | 36 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,222 – $86,766 · median $36,174 | 36 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,102 – $68,170 · median $27,807 | 36 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,418 – $83,137 · median $34,591 | 36 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,312 – $51,061 · median $19,986 | 36 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,579 – $119,976 · median $51,079 | 36 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,510 – $74,522 · median $30,710 | 36 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,788 – $62,236 · median $25,094 | 36 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,665 – $111,336 · median $46,632 | 36 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,708 – $57,364 · median $22,867 | 36 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,601 – $34,309 · median $12,329 | 36 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,293 – $87,086 · median $36,314 | 36 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,640 – $61,568 · median $24,789 | 36 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,748 – $48,517 · median $18,823 | 36 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,735 – $75,538 · median $31,175 | 36 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,285 – $55,453 · median $21,994 | 36 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,775 – $44,125 · median $16,816 | 36 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,717 – $66,429 · median $26,879 | 36 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,164 – $81,992 · median $34,092 | 36 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,521 – $56,520 · median $22,482 | 36 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,744 – $43,981 · median $16,750 | 36 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,722 – $52,914 · median $20,833 | 36 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,988 – $36,055 · median $13,127 | 36 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $19,869 – $89,688 · median $37,449 | 36 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $13,960 – $63,015 · median $25,451 | 36 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $11,311 – $51,059 · median $19,985 | 36 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,712 – $88,979 · median $37,139 | 36 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,762 – $53,090 · median $20,914 | 36 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,523 – $38,471 · median $14,232 | 36 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $14,597 – $65,889 · median $26,764 | 36 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,589 – $34,255 · median $12,304 | 36 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,904 – $80,818 · median $33,579 | 36 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,794 – $48,723 · median $18,918 | 36 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,803 – $39,737 · median $14,810 | 36 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,222 – $68,711 · median $28,054 | 36 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,642 – $48,035 · median $18,603 | 36 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,642 – $48,035 · median $18,603 | 36 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,327 – $42,100 · median $15,890 | 36 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,583 – $52,283 · median $20,545 | 36 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,256 – $37,265 · median $13,680 | 36 plans |
| 509 | ARTHROSCOPY | $10,650 – $48,074 · median $18,474 | 36 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,309 – $73,615 · median $30,296 | 36 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,701 – $52,816 · median $20,789 | 36 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,885 – $44,621 · median $17,043 | 36 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,360 – $42,251 · median $15,959 | 36 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,863 – $30,981 · median $10,808 | 36 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,512 – $79,049 · median $32,779 | 36 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,960 – $53,988 · median $21,324 | 36 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,294 – $41,952 · median $15,823 | 36 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,038 – $90,449 · median $37,781 | 36 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,756 – $53,065 · median $20,902 | 36 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,988 – $40,572 · median $15,192 | 36 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,599 – $74,928 · median $30,896 | 36 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,456 – $56,223 · median $22,346 | 36 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,459 – $42,699 · median $16,164 | 36 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,752 – $26,213 · median $8,751 | 36 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,458 – $38,177 · median $14,097 | 36 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,730 – $26,141 · median $8,711 | 36 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $6,347 – $28,648 · median $9,741 | 36 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $4,745 – $22,909 · median $7,648 | 36 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,015 – $54,236 · median $21,437 | 36 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,274 – $37,347 · median $13,717 | 36 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,120 – $27,625 · median $9,277 | 36 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,207 – $50,588 · median $19,770 | 36 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,076 – $31,939 · median $11,246 | 36 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,340 – $24,861 · median $8,300 | 36 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,607 – $65,935 · median $26,785 | 36 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,573 – $34,183 · median $12,272 | 36 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,273 – $24,641 · median $8,226 | 36 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,975 – $54,055 · median $21,355 | 36 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,816 – $35,283 · median $12,774 | 36 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,054 – $27,329 · median $9,194 | 36 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,392 – $46,908 · median $18,088 | 36 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,577 – $29,687 · median $10,216 | 36 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,335 – $37,623 · median $13,844 | 36 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,897 – $26,691 · median $8,940 | 36 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,543 – $38,564 · median $14,274 | 36 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,769 – $26,271 · median $8,773 | 36 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $9,587 – $43,274 · median $16,336 | 36 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $6,063 – $27,368 · median $9,210 | 36 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,162 – $50,384 · median $19,677 | 36 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,475 – $33,743 · median $12,070 | 36 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,777 – $26,297 · median $8,784 | 36 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $9,144 – $41,275 · median $15,513 | 36 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $6,217 – $28,064 · median $9,486 | 36 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,687 – $43,726 · median $16,634 | 36 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,864 – $30,983 · median $10,809 | 36 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,286 – $24,685 · median $8,241 | 36 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,090 – $77,143 · median $31,908 | 36 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,227 – $46,163 · median $17,748 | 36 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,494 – $33,829 · median $12,109 | 36 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,263 – $150,144 · median $64,460 | 36 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,426 – $87,687 · median $36,576 | 36 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,883 – $53,640 · median $21,165 | 36 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,343 – $132,453 · median $56,670 | 36 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,305 – $69,086 · median $28,226 | 36 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,310 – $46,537 · median $17,918 | 36 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,370 – $82,921 · median $34,497 | 36 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,734 – $48,452 · median $18,794 | 36 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,019 – $40,711 · median $15,256 | 36 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,622 – $47,947 · median $18,563 | 36 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,065 – $45,431 · median $17,277 | 36 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,144 – $54,815 · median $21,702 | 36 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,824 – $53,371 · median $20,965 | 36 plans |
| 592 | SKIN ULCERS WITH MCC | $12,189 – $55,022 · median $21,624 | 36 plans |
| 593 | SKIN ULCERS WITH CC | $7,907 – $35,691 · median $12,961 | 36 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,985 – $27,018 · median $8,996 | 36 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,492 – $56,385 · median $22,420 | 36 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,179 – $32,407 · median $11,460 | 36 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,650 – $48,074 · median $18,621 | 36 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,168 – $32,356 · median $11,436 | 36 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,017 – $27,162 · median $9,062 | 36 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,540 – $29,520 · median $10,140 | 36 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,236 – $21,239 · median $6,971 | 36 plans |
| 602 | CELLULITIS WITH MCC | $9,173 – $41,407 · median $15,574 | 36 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,150 – $27,762 · median $9,366 | 36 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,258 – $41,790 · median $15,748 | 36 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,371 – $28,757 · median $9,791 | 36 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,898 – $44,679 · median $17,069 | 36 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,065 – $27,377 · median $9,214 | 36 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,334 – $60,186 · median $24,157 | 36 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,987 – $40,568 · median $15,190 | 36 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,482 – $96,965 · median $40,645 | 36 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,549 – $52,130 · median $20,475 | 36 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,022 – $36,210 · median $13,198 | 36 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,633 – $70,564 · median $28,901 | 36 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,830 – $44,371 · median $16,928 | 36 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,135 – $41,236 · median $15,495 | 36 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,850 – $94,113 · median $39,379 | 36 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,452 – $51,694 · median $20,276 | 36 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,779 – $30,598 · median $10,633 | 36 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,355 – $73,824 · median $30,391 | 36 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,379 – $42,337 · median $15,999 | 36 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,134 – $36,716 · median $13,429 | 36 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,896 – $98,837 · median $41,256 | 36 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,180 – $59,493 · median $23,840 | 36 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,824 – $39,833 · median $14,854 | 36 plans |
| 637 | DIABETES WITH MCC | $9,107 – $41,108 · median $15,437 | 36 plans |
| 638 | DIABETES WITH CC | $6,337 – $28,606 · median $9,722 | 36 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,428 – $21,867 · median $7,199 | 36 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $8,448 – $38,133 · median $14,077 | 36 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,521 – $25,457 · median $8,499 | 36 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,001 – $36,118 · median $13,156 | 36 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,140 – $45,769 · median $17,567 | 36 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,934 – $31,301 · median $10,954 | 36 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,502 – $25,395 · median $8,393 | 36 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,295 – $114,179 · median $48,450 | 36 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,465 – $87,863 · median $36,653 | 36 plans |
| 652 | KIDNEY TRANSPLANT | $17,404 – $78,562 · median $32,557 | 36 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,264 – $136,610 · median $58,501 | 36 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,124 – $72,781 · median $29,914 | 36 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,297 – $55,509 · median $22,019 | 36 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,363 – $82,889 · median $34,483 | 36 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,017 – $49,730 · median $19,378 | 36 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,352 – $42,214 · median $15,942 | 36 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,902 – $67,266 · median $27,394 | 36 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,510 – $38,411 · median $14,204 | 36 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,899 – $31,143 · median $10,882 | 36 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,652 – $79,680 · median $33,068 | 36 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,472 – $42,757 · median $16,190 | 36 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,173 – $32,377 · median $11,446 | 36 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,265 – $86,961 · median $35,971 | 36 plans |
| 666 | PROSTATECTOMY WITH CC | $10,088 – $45,537 · median $17,461 | 36 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,906 – $31,171 · median $10,895 | 36 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,608 – $74,965 · median $30,913 | 36 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,576 – $43,223 · median $16,404 | 36 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,535 – $29,499 · median $10,130 | 36 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,481 – $47,309 · median $18,271 | 36 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,248 – $32,716 · median $11,601 | 36 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,149 – $104,493 · median $43,555 | 36 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,485 – $60,868 · median $24,469 | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,667 – $43,636 · median $16,592 | 36 plans |
| 682 | RENAL FAILURE WITH MCC | $9,341 – $42,165 · median $15,920 | 36 plans |
| 683 | RENAL FAILURE WITH CC | $6,192 – $27,950 · median $9,441 | 36 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,292 – $21,422 · median $7,040 | 36 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,313 – $51,066 · median $19,830 | 36 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,034 – $31,749 · median $11,159 | 36 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,117 – $24,131 · median $8,056 | 36 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,638 – $34,476 · median $12,405 | 36 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,671 – $25,949 · median $8,663 | 36 plans |
| 693 | URINARY STONES WITH MCC | $9,179 – $41,435 · median $15,586 | 36 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,521 – $25,457 · median $8,499 | 36 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,419 – $33,490 · median $11,955 | 36 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,888 – $23,379 · median $7,780 | 36 plans |
| 697 | URETHRAL STRICTURE | $6,772 – $30,568 · median $10,619 | 36 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,261 – $46,316 · median $17,818 | 36 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,865 – $30,988 · median $10,811 | 36 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,905 – $23,435 · median $7,824 | 36 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,595 – $52,339 · median $20,570 | 36 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,242 – $41,716 · median $15,714 | 36 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,170 – $59,446 · median $23,819 | 36 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,339 – $42,154 · median $15,915 | 36 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,441 – $51,643 · median $20,252 | 36 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,120 – $32,140 · median $11,338 | 36 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,054 – $40,869 · median $15,328 | 36 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,453 – $29,128 · median $9,961 | 36 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,227 – $59,706 · median $23,938 | 36 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,917 – $40,250 · median $14,978 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,158 – $50,365 · median $19,668 | 36 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,954 – $35,904 · median $13,058 | 36 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $10,507 – $47,430 · median $18,326 | 36 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $7,394 – $33,377 · median $11,903 | 36 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,148 – $24,233 · median $8,090 | 36 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,112 – $36,616 · median $13,384 | 36 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,260 – $24,599 · median $8,212 | 36 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,174 – $41,412 · median $15,576 | 36 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,774 – $26,285 · median $8,779 | 36 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,281 – $32,866 · median $11,670 | 36 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,288 – $21,411 · median $7,042 | 36 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,428 – $56,100 · median $22,290 | 36 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,862 – $35,487 · median $12,867 | 36 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,855 – $98,649 · median $41,408 | 36 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,892 – $53,679 · median $21,183 | 36 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,418 – $42,513 · median $16,003 | 36 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,077 – $99,653 · median $41,864 | 36 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,967 – $49,503 · median $19,274 | 36 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,682 – $39,190 · median $14,560 | 36 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,010 – $49,697 · median $19,363 | 36 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,784 – $35,134 · median $12,706 | 36 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,664 – $52,650 · median $20,712 | 36 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,890 – $31,102 · median $10,863 | 36 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,229 – $46,170 · median $17,744 | 36 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,533 – $29,488 · median $10,125 | 36 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,624 – $38,928 · median $14,440 | 36 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,924 – $67,366 · median $27,439 | 36 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,250 – $37,240 · median $13,669 | 36 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,921 – $49,294 · median $19,179 | 36 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,328 – $33,080 · median $11,767 | 36 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,532 – $29,483 · median $10,123 | 36 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,896 – $40,157 · median $15,002 | 36 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,862 – $30,974 · median $10,805 | 36 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,522 – $22,178 · median $7,302 | 36 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,689 – $30,193 · median $10,447 | 36 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,479 – $22,037 · median $7,255 | 36 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,021 – $32,760 · median $11,529 | 36 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,764 – $39,559 · median $14,729 | 36 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,153 – $32,289 · median $11,316 | 36 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,042 – $23,883 · median $7,886 | 36 plans |
| 779 | ABORTION WITHOUT D&C | $6,428 – $29,014 · median $9,909 | 36 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,095 – $50,055 · median $19,372 | 36 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,095 – $32,451 · median $11,389 | 36 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,113 – $27,593 · median $9,259 | 36 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,095 – $44,809 · median $16,993 | 36 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,080 – $31,960 · median $11,166 | 36 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,273 – $28,316 · median $9,587 | 36 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,021 – $36,941 · median $13,425 | 36 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,021 – $29,789 · median $10,182 | 36 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,599 – $29,789 · median $10,263 | 36 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $26,053 – $117,599 · median $50,002 | 36 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $16,595 – $74,907 · median $30,642 | 36 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,059 – $45,407 · median $17,402 | 36 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $20,042 – $90,467 · median $37,789 | 36 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,770 – $48,614 · median $18,868 | 36 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,305 – $32,975 · median $11,719 | 36 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,021 – $30,480 · median $10,495 | 36 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,021 – $24,117 · median $7,940 | 36 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,503 – $22,116 · median $7,281 | 36 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,392 – $60,448 · median $24,277 | 36 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,988 – $36,057 · median $13,128 | 36 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,515 – $29,409 · median $10,089 | 36 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,853 – $39,962 · median $14,913 | 36 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,367 – $28,739 · median $9,783 | 36 plans |
| 813 | COAGULATION DISORDERS | $9,578 – $43,234 · median $16,409 | 36 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,365 – $55,815 · median $21,984 | 36 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,846 – $30,900 · median $10,771 | 36 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,659 – $22,628 · median $7,546 | 36 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,649 – $66,125 · median $26,872 | 36 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,242 – $37,205 · median $13,653 | 36 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,769 – $26,271 · median $8,773 | 36 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $31,537 – $142,355 · median $60,533 | 36 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,094 – $59,106 · median $23,663 | 36 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,501 – $33,859 · median $12,123 | 36 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,666 – $115,853 · median $48,950 | 36 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,925 – $58,340 · median $23,314 | 36 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,949 – $35,879 · median $13,046 | 36 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,159 – $118,080 · median $50,219 | 36 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,749 – $62,062 · median $25,015 | 36 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,860 – $44,508 · median $16,991 | 36 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,468 – $78,849 · median $32,688 | 36 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,139 – $41,252 · median $15,502 | 36 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,539 – $34,028 · median $12,201 | 36 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,281 – $24,669 · median $8,122 | 36 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,673 – $19,391 · median $6,116 | 36 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $30,021 – $135,514 · median $58,018 | 36 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,598 – $56,868 · median $22,641 | 36 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,153 – $36,804 · median $13,469 | 36 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,350 – $123,453 · median $52,656 | 36 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,045 – $54,370 · median $21,499 | 36 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,666 – $39,116 · median $14,526 | 36 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,009 – $81,289 · median $33,785 | 36 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,681 – $43,698 · median $16,621 | 36 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,029 – $31,730 · median $11,150 | 36 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,352 – $51,242 · median $20,069 | 36 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,766 – $35,053 · median $12,669 | 36 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,913 – $26,742 · median $8,961 | 36 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,745 – $66,559 · median $27,070 | 36 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,153 – $36,804 · median $13,469 | 36 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,786 – $26,327 · median $8,795 | 36 plans |
| 849 | RADIOTHERAPY | $15,348 – $69,279 · median $28,090 | 36 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,319 – $123,316 · median $52,594 | 36 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,890 – $53,672 · median $21,180 | 36 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,977 – $45,034 · median $17,231 | 36 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $24,803 – $111,960 · median $47,444 | 36 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,819 – $57,865 · median $23,096 | 36 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,244 – $37,214 · median $13,657 | 36 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,072 – $49,976 · median $19,490 | 36 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,762 – $30,524 · median $10,599 | 36 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,239 – $28,161 · median $9,525 | 36 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,208 – $41,562 · median $15,645 | 36 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,171 – $27,855 · median $9,403 | 36 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,642 – $57,063 · median $22,730 | 36 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,020 – $31,688 · median $11,131 | 36 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,085 – $24,024 · median $8,020 | 36 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $37,364 – $168,656 · median $72,611 | 36 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,706 – $52,837 · median $20,798 | 36 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,922 – $31,245 · median $10,929 | 36 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $21,813 – $98,463 · median $40,947 | 36 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,550 – $29,566 · median $10,161 | 36 plans |
| 881 | DEPRESSIVE NEUROSES | $6,321 – $28,534 · median $9,689 | 36 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,568 – $29,645 · median $10,117 | 36 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,150 – $50,328 · median $19,496 | 36 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,206 – $46,068 · median $17,704 | 36 plans |
| 885 | PSYCHOSES | $8,867 – $40,025 · median $14,824 | 36 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,855 – $48,997 · median $18,892 | 36 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,736 – $34,919 · median $12,608 | 36 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $4,410 – $21,809 · median $7,180 | 36 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,064 – $40,913 · median $15,348 | 36 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,774 – $48,633 · median $18,876 | 36 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,158 – $27,795 · median $9,379 | 36 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,387 – $110,079 · median $46,591 | 36 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,374 – $51,342 · median $20,115 | 36 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,888 – $35,607 · median $12,922 | 36 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,461 – $96,875 · median $40,288 | 36 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,093 – $45,558 · median $17,471 | 36 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,838 – $57,948 · median $22,951 | 36 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,091 – $99,718 · median $41,893 | 36 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,988 – $54,113 · median $21,381 | 36 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,141 – $36,748 · median $13,444 | 36 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,939 – $44,865 · median $17,154 | 36 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,333 – $28,588 · median $9,714 | 36 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,554 – $47,638 · median $18,422 | 36 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,693 – $22,737 · median $7,510 | 36 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,049 – $45,361 · median $17,327 | 36 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,170 – $27,850 · median $9,377 | 36 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,994 – $49,626 · median $19,330 | 36 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,844 – $30,895 · median $10,769 | 36 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,859 – $23,284 · median $7,773 | 36 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,305 – $46,513 · median $17,780 | 36 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,865 – $30,988 · median $10,756 | 36 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $123,500 – $558,696 · median $235,850 | 36 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $35,938 – $162,219 · median $69,776 | 36 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,964 – $81,089 · median $33,512 | 36 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,855 – $107,677 · median $44,933 | 36 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,649 – $57,097 · median $22,565 | 36 plans |
| 935 | NON-EXTENSIVE BURNS | $12,909 – $58,271 · median $23,123 | 36 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,932 – $80,941 · median $33,633 | 36 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,473 – $56,300 · median $22,381 | 36 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,665 – $52,656 · median $20,716 | 36 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,233 – $37,163 · median $13,634 | 36 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,614 – $25,761 · median $8,600 | 36 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,169 – $32,358 · median $11,437 | 36 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,141 – $20,928 · median $6,842 | 36 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,006 – $20,485 · median $6,572 | 36 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,705 – $165,684 · median $71,302 | 36 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,263 – $95,977 · median $40,196 | 36 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $39,972 – $180,430 · median $77,795 | 36 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,739 – $102,642 · median $43,219 | 36 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,208 – $68,648 · median $28,025 | 36 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,582 – $70,336 · median $28,797 | 36 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,332 – $42,124 · median $15,901 | 36 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,314 – $28,500 · median $9,674 | 36 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $34,116 – $153,996 · median $66,156 | 36 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,257 – $68,866 · median $28,125 | 36 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,967 – $76,586 · median $31,654 | 36 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,928 – $40,299 · median $15,067 | 36 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,778 – $30,596 · median $10,551 | 36 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,033 – $40,774 · median $15,163 | 36 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,048 – $117,579 · median $49,992 | 36 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,203 – $64,112 · median $25,952 | 36 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,196 – $46,022 · median $17,683 | 36 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $17,390 – $78,497 · median $32,527 | 35 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $57,592 – $259,964 · median $111,984 | 35 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,932 – $171,219 · median $73,723 | 35 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $33,449 – $150,984 · median $64,620 | 35 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $25,524 – $115,213 · median $48,529 | 35 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $27,329 – $123,362 · median $52,194 | 35 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $18,088 – $81,646 · median $33,915 | 35 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $33,408 – $150,798 · median $64,537 | 35 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,251 – $73,353 · median $30,176 | 35 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,920 – $49,292 · median $19,178 | 35 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $23,508 – $106,111 · median $44,434 | 35 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,040 – $81,430 · median $33,825 | 35 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $16,329 – $73,708 · median $30,338 | 35 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,355 – $64,796 · median $26,265 | 35 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,399 – $42,427 · median $16,040 | 35 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,399 – $33,397 · median $11,912 | 35 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,724 – $98,060 · median $40,812 | 35 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,442 – $250,259 · median $107,804 | 35 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $38,115 – $172,047 · median $74,095 | 35 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $29,902 – $134,976 · median $57,419 | 35 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $44,475 – $200,753 · median $86,478 | 35 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $29,730 – $134,196 · median $57,068 | 35 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,070 – $162,817 · median $69,943 | 35 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,604 – $102,032 · median $42,599 | 35 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $28,084 – $126,766 · median $53,726 | 35 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,479 – $78,900 · median $32,712 | 35 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,951 – $220,959 · median $95,182 | 35 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,620 – $88,564 · median $36,540 | 33 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,441 – $47,130 · median $17,901 | 33 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,562 – $34,132 · median $12,054 | 33 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,886 – $49,139 · median $19,108 | 31 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $32,166 – $145,195 · median $60,312 | 31 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $22,483 – $101,485 · median $42,155 | 31 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,211 – $64,145 · median $25,967 | 31 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $23,051 – $104,050 · median $43,221 | 31 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,209 – $41,569 · median $15,648 | 31 plans |
| 795 | NORMAL NEWBORN | $1,618 – $11,970 · median $3,720 | 31 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,468 – $42,736 · median $14,070 | 26 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,361 – $33,228 · median $10,940 | 26 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.