St Luke's Sugar Land Hospital — 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 – $675,732 · median $265,311 | 40 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $59,415 – $279,273 · median $120,295 | 40 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $56,117 – $258,093 · median $108,173 | 40 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $114,232 – $515,632 · median $223,574 | 35 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $75,790 – $342,108 · median $147,404 | 35 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $57,465 – $259,390 · median $111,095 | 35 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $26,927 – $121,547 · median $50,587 | 35 plans |
| 007 | LUNG TRANSPLANT | $70,203 – $316,888 · median $136,334 | 35 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $30,044 – $135,614 · median $56,762 | 35 plans |
| 010 | PANCREAS TRANSPLANT | $43,374 – $195,785 · median $81,326 | 35 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,806 – $134,539 · median $56,290 | 35 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,002 – $103,830 · median $43,129 | 35 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $15,349 – $69,282 · median $28,090 | 35 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $70,377 – $317,672 · median $131,956 | 35 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $33,175 – $149,749 · median $62,967 | 35 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,175 – $149,749 · median $62,203 | 35 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $199,952 – $902,560 · median $393,420 | 35 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $43,133 – $194,699 · median $80,942 | 35 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $43,838 – $197,879 · median $84,093 | 35 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $30,497 – $137,662 · median $57,661 | 35 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,984 – $90,205 · median $37,422 | 35 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $31,434 – $141,888 · median $59,516 | 35 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,412 – $96,653 · median $40,148 | 35 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $24,943 – $112,590 · median $46,768 | 35 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $17,500 – $78,993 · median $32,421 | 35 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,389 – $64,952 · median $26,159 | 35 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $33,405 – $150,785 · median $63,421 | 35 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $19,069 – $86,077 · median $35,581 | 35 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,113 – $59,191 · median $23,589 | 35 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,460 – $105,895 · median $43,987 | 35 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $12,640 – $57,057 · median $22,637 | 35 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,797 – $44,222 · median $16,912 | 35 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,870 – $98,720 · median $41,007 | 35 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $13,373 – $60,365 · median $24,113 | 35 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,048 – $49,868 · median $19,431 | 35 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,881 – $85,226 · median $35,202 | 35 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,880 – $44,597 · median $17,080 | 35 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,389 – $33,354 · median $12,065 | 35 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $21,256 – $95,949 · median $39,856 | 35 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,286 – $59,971 · median $23,937 | 35 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,650 – $48,074 · median $18,631 | 35 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,992 – $54,132 · median $20,994 | 35 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,248 – $28,201 · median $9,767 | 35 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,289 – $41,931 · median $15,736 | 35 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,141 – $32,232 · median $11,439 | 35 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,581 – $65,815 · median $26,123 | 35 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,422 – $38,017 · median $14,145 | 35 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,115 – $50,173 · median $19,567 | 35 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,839 – $35,383 · median $12,970 | 35 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,095 – $27,512 · median $9,459 | 35 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $15,630 – $70,551 · median $28,656 | 35 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,773 – $48,628 · median $18,878 | 35 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,793 – $39,690 · median $14,891 | 35 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,870 – $53,578 · median $21,086 | 35 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,751 – $30,471 · median $10,779 | 35 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,864 – $22,662 · median $7,461 | 35 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,057 – $40,880 · median $15,422 | 35 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,038 – $27,253 · median $9,344 | 35 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,609 – $25,319 · median $8,481 | 35 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,551 – $47,627 · median $18,431 | 35 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,945 – $31,350 · median $11,171 | 35 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,301 – $24,133 · median $7,952 | 35 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,534 – $43,036 · median $16,383 | 35 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,885 – $31,077 · median $11,049 | 35 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,465 – $47,237 · median $18,257 | 35 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,224 – $28,095 · median $9,719 | 35 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,538 – $43,052 · median $16,391 | 35 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,650 – $30,020 · median $10,578 | 35 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,711 – $22,148 · median $7,292 | 35 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,862 – $53,545 · median $21,071 | 35 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,160 – $27,807 · median $9,591 | 35 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,612 – $61,444 · median $24,594 | 35 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,717 – $39,347 · median $14,738 | 35 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,430 – $29,026 · median $10,135 | 35 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,327 – $60,156 · median $24,020 | 35 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,302 – $37,475 · median $13,903 | 35 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,051 – $27,313 · median $9,370 | 35 plans |
| 088 | CONCUSSION WITH MCC | $8,824 – $39,830 · median $14,953 | 35 plans |
| 089 | CONCUSSION WITH CC | $7,041 – $31,783 · median $11,364 | 35 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,910 – $26,678 · median $9,087 | 35 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,994 – $49,626 · median $19,323 | 35 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,971 – $31,464 · median $11,222 | 35 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,552 – $25,062 · median $8,367 | 35 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,607 – $93,017 · median $38,638 | 35 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,018 – $63,274 · median $25,410 | 35 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $14,018 – $63,274 · median $25,410 | 35 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $20,269 – $91,493 · median $37,997 | 35 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,818 – $57,858 · median $22,995 | 35 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,732 – $39,416 · median $14,769 | 35 plans |
| 100 | SEIZURES WITH MCC | $11,849 – $53,485 · median $21,044 | 35 plans |
| 101 | SEIZURES WITHOUT MCC | $6,249 – $28,209 · median $9,770 | 35 plans |
| 102 | HEADACHES WITH MCC | $7,501 – $33,860 · median $12,291 | 35 plans |
| 103 | HEADACHES WITHOUT MCC | $5,873 – $26,509 · median $9,012 | 35 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,277 – $59,933 · median $23,920 | 35 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,620 – $34,397 · median $12,530 | 35 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,457 – $42,689 · median $16,229 | 35 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,182 – $45,959 · median $17,687 | 35 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,075 – $31,937 · median $11,263 | 35 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,521 – $33,948 · median $12,330 | 35 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,793 – $22,424 · median $7,383 | 35 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,625 – $25,392 · median $8,514 | 35 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,262 – $37,292 · median $13,821 | 35 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,744 – $25,927 · median $8,752 | 35 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,091 – $63,605 · median $25,558 | 35 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,547 – $29,551 · median $10,369 | 35 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,760 – $39,542 · median $14,825 | 35 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,680 – $25,637 · median $8,623 | 35 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,625 – $38,934 · median $14,323 | 35 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,663 – $106,812 · median $44,368 | 35 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,708 – $57,364 · median $22,774 | 35 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,675 – $43,673 · median $16,667 | 35 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,781 – $84,775 · median $35,000 | 35 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,646 – $48,053 · median $18,621 | 35 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,635 – $34,461 · median $12,559 | 35 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $13,475 – $60,824 · median $23,932 | 35 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $7,950 – $35,887 · median $13,195 | 35 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,612 – $25,333 · median $8,487 | 35 plans |
| 149 | DYSEQUILIBRIUM | $5,282 – $24,069 · median $7,924 | 35 plans |
| 150 | EPISTAXIS WITH MCC | $8,674 – $39,153 · median $14,651 | 35 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,356 – $24,318 · median $8,035 | 35 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,371 – $33,273 · median $12,029 | 35 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,029 – $23,218 · median $7,644 | 35 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $9,959 – $44,954 · median $17,050 | 35 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $6,312 – $28,491 · median $9,896 | 35 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,751 – $22,284 · median $7,337 | 35 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,018 – $45,220 · median $17,358 | 35 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,349 – $28,658 · median $9,970 | 35 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,661 – $21,980 · median $7,236 | 35 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $25,664 – $115,843 · median $48,119 | 35 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $14,648 – $66,121 · median $26,680 | 35 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,210 – $50,603 · median $19,758 | 35 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $21,668 – $97,808 · median $40,628 | 35 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,017 – $49,728 · median $19,368 | 35 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,525 – $38,480 · median $14,351 | 35 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,815 – $39,792 · median $14,936 | 35 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,685 – $25,661 · median $8,634 | 35 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,907 – $44,721 · median $17,135 | 35 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,620 – $29,882 · median $10,516 | 35 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,439 – $24,596 · median $8,159 | 35 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,599 – $47,841 · median $18,527 | 35 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,242 – $32,691 · median $11,769 | 35 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,806 – $26,208 · median $8,878 | 35 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,754 – $44,027 · median $16,825 | 35 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,020 – $31,688 · median $11,322 | 35 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,491 – $24,786 · median $8,244 | 35 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,715 – $43,853 · median $16,748 | 35 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,683 – $30,165 · median $10,642 | 35 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,188 – $23,753 · median $7,820 | 35 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,911 – $35,711 · median $13,116 | 35 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,309 – $32,993 · median $11,904 | 35 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,920 – $26,721 · median $9,106 | 35 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,573 – $21,685 · median $7,139 | 35 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,334 – $37,620 · median $13,968 | 35 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,714 – $25,792 · median $8,692 | 35 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,400 – $21,103 · median $6,948 | 35 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,316 – $51,080 · median $19,714 | 35 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,609 – $29,832 · median $10,494 | 35 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,949 – $22,949 · median $7,556 | 35 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,691 – $48,257 · median $18,712 | 35 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,228 – $32,624 · median $11,740 | 35 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,784 – $22,396 · median $7,373 | 35 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,486 – $29,278 · median $10,247 | 35 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,922 – $22,859 · median $7,526 | 35 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,666 – $25,578 · median $8,597 | 35 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,336 – $51,168 · median $20,011 | 35 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,166 – $27,831 · median $9,601 | 35 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $35,446 – $159,999 · median $67,466 | 35 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $15,527 – $70,085 · median $28,448 | 35 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $52,209 – $235,665 · median $100,680 | 35 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $35,397 – $159,778 · median $67,369 | 35 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,719 – $147,691 · median $62,063 | 35 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,134 – $190,188 · median $80,718 | 35 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $29,283 – $132,182 · median $55,255 | 35 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,576 – $115,449 · median $47,956 | 35 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $27,633 – $124,734 · median $51,986 | 35 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $17,751 – $80,126 · median $32,927 | 35 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $46,011 – $207,689 · median $88,400 | 35 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $33,558 – $151,479 · median $63,726 | 35 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $42,549 – $192,063 · median $81,541 | 35 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $29,407 – $132,740 · median $55,500 | 35 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,377 – $146,144 · median $61,384 | 35 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,047 – $104,029 · median $43,212 | 35 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,916 – $126,008 · median $52,545 | 35 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,729 – $75,513 · median $30,793 | 35 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,346 – $42,187 · median $16,005 | 35 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,255 – $86,916 · median $35,955 | 35 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,257 – $59,843 · median $23,880 | 35 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,898 – $49,193 · median $19,130 | 35 plans |
| 245 | AICD GENERATOR PROCEDURES | $27,125 – $122,440 · median $50,979 | 35 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,572 – $61,264 · median $24,514 | 35 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,624 – $43,440 · median $16,564 | 35 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,457 – $87,829 · median $36,362 | 35 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,838 – $66,977 · median $27,062 | 35 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,607 – $47,879 · median $18,544 | 35 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,172 – $68,486 · median $27,735 | 35 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,314 – $46,555 · median $17,953 | 35 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,092 – $27,500 · median $9,454 | 35 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,167 – $72,978 · median $29,738 | 35 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,651 – $48,076 · median $18,632 | 35 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $19,330 – $87,254 · median $36,106 | 35 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,387 – $51,401 · median $20,115 | 35 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,388 – $42,375 · median $16,089 | 35 plans |
| 263 | VEIN LIGATION AND STRIPPING | $15,518 – $70,045 · median $28,430 | 35 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,798 – $89,366 · median $37,048 | 35 plans |
| 265 | AICD LEAD PROCEDURES | $20,178 – $91,080 · median $37,812 | 35 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $32,938 – $148,677 · median $62,496 | 35 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $26,167 – $118,113 · median $49,079 | 35 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $36,501 – $164,762 · median $69,556 | 35 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,302 – $105,184 · median $43,692 | 35 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $28,421 – $128,291 · median $53,547 | 35 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,531 – $88,161 · median $36,511 | 35 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $14,571 – $65,770 · median $26,523 | 35 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $21,984 – $99,234 · median $41,220 | 35 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,828 – $80,476 · median $33,083 | 35 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $10,038 – $45,313 · median $17,399 | 35 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $6,250 – $28,211 · median $9,771 | 35 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $5,124 – $23,536 · median $7,749 | 35 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $11,692 – $52,775 · median $20,727 | 35 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $5,236 – $23,914 · median $7,873 | 35 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $3,967 – $19,646 · median $6,468 | 35 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $13,049 – $58,904 · median $23,461 | 35 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,134 – $32,201 · median $11,551 | 35 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,778 – $71,219 · median $28,954 | 35 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,698 – $43,775 · median $16,713 | 35 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,551 – $29,570 · median $10,377 | 35 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,266 – $37,313 · median $13,831 | 35 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,931 – $26,771 · median $9,129 | 35 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,877 – $19,344 · median $6,360 | 35 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,862 – $35,488 · median $13,017 | 35 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,555 – $25,074 · median $8,372 | 35 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $10,023 – $45,241 · median $17,367 | 35 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $4,977 – $23,044 · median $7,587 | 35 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $3,121 – $16,801 · median $5,325 | 35 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,913 – $44,747 · median $17,147 | 35 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,033 – $31,747 · median $11,348 | 35 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,041 – $23,258 · median $7,657 | 35 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,521 – $33,950 · median $12,331 | 35 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,751 – $22,284 · median $7,337 | 35 plans |
| 304 | HYPERTENSION WITH MCC | $7,582 – $34,224 · median $12,453 | 35 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,304 – $24,145 · median $7,957 | 35 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,280 – $41,890 · median $15,872 | 35 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,274 – $28,320 · median $9,820 | 35 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,746 – $34,963 · median $12,783 | 35 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,224 – $23,874 · median $7,860 | 35 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,953 – $19,601 · median $6,453 | 35 plans |
| 311 | ANGINA PECTORIS | $4,934 – $22,899 · median $7,539 | 35 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,984 – $27,011 · median $9,236 | 35 plans |
| 313 | CHEST PAIN | $5,041 – $23,258 · median $7,657 | 35 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,735 – $57,483 · median $22,827 | 35 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,463 – $29,174 · median $10,200 | 35 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,824 – $22,529 · median $7,417 | 35 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $24,524 – $110,700 · median $45,983 | 35 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $13,584 – $61,316 · median $24,537 | 35 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $28,137 – $127,008 · median $52,984 | 35 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $14,180 – $64,009 · median $25,738 | 35 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,786 – $44,174 · median $16,891 | 35 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,573 – $115,432 · median $47,949 | 35 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,841 – $62,478 · median $25,055 | 35 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,089 – $45,541 · median $17,501 | 35 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,659 – $88,739 · median $36,768 | 35 plans |
| 333 | RECTAL RESECTION WITH CC | $12,586 – $56,813 · median $22,528 | 35 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,129 – $45,721 · median $17,581 | 35 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $20,474 – $92,415 · median $38,388 | 35 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,518 – $56,504 · median $22,390 | 35 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,479 – $42,786 · median $16,272 | 35 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $15,583 – $70,340 · median $28,562 | 35 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,235 – $41,684 · median $15,780 | 35 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,953 – $35,899 · median $13,200 | 35 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,858 – $62,552 · median $25,088 | 35 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,025 – $36,222 · median $13,344 | 35 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,034 – $27,239 · median $9,338 | 35 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,131 – $63,785 · median $25,638 | 35 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,318 – $42,059 · median $15,948 | 35 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,202 – $32,508 · median $11,688 | 35 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,839 – $76,008 · median $31,090 | 35 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,353 – $46,731 · median $18,032 | 35 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,416 – $37,988 · median $14,132 | 35 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,855 – $107,680 · median $44,729 | 35 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,253 – $59,824 · median $23,871 | 35 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,531 – $38,509 · median $14,364 | 35 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,189 – $45,992 · median $17,702 | 35 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,754 – $30,488 · median $10,787 | 35 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,932 – $22,892 · median $7,537 | 35 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $10,600 – $47,846 · median $18,529 | 35 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,816 – $30,766 · median $10,911 | 35 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,126 – $23,543 · median $7,751 | 35 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,513 – $56,482 · median $22,381 | 35 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,866 – $35,505 · median $13,024 | 35 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,046 – $27,289 · median $9,360 | 35 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,969 – $49,514 · median $19,273 | 35 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,587 – $29,734 · median $10,451 | 35 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,499 – $21,436 · median $7,057 | 35 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $11,528 – $52,036 · median $20,398 | 35 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,131 – $32,187 · median $11,544 | 35 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,295 – $24,111 · median $7,943 | 35 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,053 – $36,348 · median $13,401 | 35 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,975 – $26,970 · median $9,218 | 35 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,951 – $44,918 · median $17,223 | 35 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,622 – $29,891 · median $10,520 | 35 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,736 – $22,234 · median $7,320 | 35 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,136 – $41,237 · median $15,581 | 35 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,617 – $25,354 · median $8,497 | 35 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,867 – $19,309 · median $6,343 | 35 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,159 – $36,831 · median $13,616 | 35 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,505 – $24,848 · median $8,271 | 35 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,115 – $45,659 · median $17,554 | 35 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,352 – $28,674 · median $9,978 | 35 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,497 – $21,428 · median $7,055 | 35 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $29,978 – $135,319 · median $56,632 | 35 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $16,183 – $73,047 · median $29,769 | 35 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $12,641 – $57,062 · median $22,639 | 35 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $19,831 – $89,514 · median $37,114 | 35 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,435 – $56,128 · median $22,223 | 35 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,563 – $43,167 · median $16,442 | 35 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,804 – $71,336 · median $29,006 | 35 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,619 – $56,962 · median $22,595 | 35 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,150 – $45,814 · median $17,622 | 35 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $19,844 – $89,573 · median $37,140 | 35 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,811 – $53,314 · median $20,968 | 35 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,611 – $38,867 · median $14,524 | 35 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,909 – $62,782 · median $25,191 | 35 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,128 – $45,717 · median $17,579 | 35 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,334 – $37,617 · median $13,967 | 35 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,979 – $90,184 · median $36,998 | 35 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,018 – $45,222 · median $17,359 | 35 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,133 – $41,225 · median $15,576 | 35 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $22,811 – $102,967 · median $42,771 | 35 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,418 – $60,567 · median $24,203 | 35 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,535 – $43,041 · median $16,230 | 35 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,711 – $52,863 · median $20,766 | 35 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,029 – $31,728 · median $11,340 | 35 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,921 – $22,857 · median $7,525 | 35 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,003 – $49,666 · median $19,341 | 35 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,334 – $33,104 · median $11,954 | 35 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,531 – $24,965 · median $8,323 | 35 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,156 – $45,842 · median $17,635 | 35 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,926 – $26,747 · median $9,118 | 35 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,346 – $20,922 · median $6,888 | 35 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,349 – $51,230 · median $20,038 | 35 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,484 – $29,266 · median $10,242 | 35 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,965 – $23,004 · median $7,574 | 35 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,265 – $46,334 · median $17,855 | 35 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,106 – $32,078 · median $11,496 | 35 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,594 – $25,252 · median $8,451 | 35 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $45,986 – $207,577 · median $88,351 | 35 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $31,614 – $142,703 · median $59,873 | 35 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $24,131 – $108,923 · median $45,245 | 35 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $33,706 – $152,145 · median $64,018 | 35 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,474 – $74,363 · median $30,356 | 35 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $29,832 – $134,661 · median $56,343 | 35 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,921 – $76,379 · median $31,255 | 35 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,537 – $47,563 · median $18,403 | 35 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $28,219 – $127,379 · median $53,147 | 35 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $19,430 – $87,705 · median $36,307 | 35 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $15,208 – $68,648 · median $27,807 | 35 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,606 – $83,986 · median $34,648 | 35 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,324 – $51,114 · median $19,986 | 35 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,970 – $121,739 · median $50,671 | 35 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $16,650 – $75,157 · median $30,710 | 35 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,861 – $62,566 · median $25,094 | 35 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,008 – $112,884 · median $46,784 | 35 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,755 – $57,573 · median $22,867 | 35 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,520 – $33,946 · median $12,329 | 35 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,503 – $88,033 · median $36,453 | 35 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,709 – $61,882 · median $24,789 | 35 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,746 – $48,507 · median $18,823 | 35 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,881 – $76,198 · median $31,175 | 35 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,321 – $55,615 · median $21,994 | 35 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,749 – $44,005 · median $16,816 | 35 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,813 – $66,863 · median $26,747 | 35 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $18,346 – $82,812 · median $34,125 | 35 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,563 – $56,708 · median $22,482 | 35 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,716 – $43,858 · median $16,750 | 35 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,744 – $53,012 · median $20,833 | 35 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,917 – $35,735 · median $13,127 | 35 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $20,093 – $90,699 · median $37,643 | 35 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $14,038 – $63,365 · median $25,451 | 35 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $11,323 – $51,111 · median $19,985 | 35 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,932 – $89,972 · median $37,318 | 35 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,784 – $53,193 · median $20,914 | 35 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,465 – $38,211 · median $14,232 | 35 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $14,690 – $66,309 · median $26,764 | 35 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,508 – $33,891 · median $12,304 | 35 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $18,080 – $81,609 · median $33,588 | 35 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,793 – $48,718 · median $18,918 | 35 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,753 – $39,509 · median $14,810 | 35 plans |
| 503 | FOOT PROCEDURES WITH MCC | $15,331 – $69,201 · median $28,054 | 35 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,637 – $48,012 · median $18,603 | 35 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,637 – $48,012 · median $18,603 | 35 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,289 – $41,931 · median $15,890 | 35 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,601 – $52,366 · median $20,545 | 35 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,192 – $36,976 · median $13,680 | 35 plans |
| 509 | ARTHROSCOPY | $10,646 – $48,053 · median $18,326 | 35 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,444 – $74,228 · median $30,296 | 35 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,722 – $52,913 · median $20,789 | 35 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,862 – $44,514 · median $17,043 | 35 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,323 – $42,085 · median $15,959 | 35 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,765 – $30,535 · median $10,808 | 35 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,678 – $79,796 · median $32,779 | 35 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,988 – $54,113 · median $21,324 | 35 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,256 – $41,779 · median $15,823 | 35 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $20,266 – $91,479 · median $37,990 | 35 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,779 – $53,167 · median $20,902 | 35 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,942 – $40,365 · median $15,192 | 35 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $16,742 – $75,573 · median $30,896 | 35 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $12,496 – $56,404 · median $22,346 | 35 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,425 – $42,544 · median $16,164 | 35 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,682 – $25,649 · median $8,628 | 35 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,398 – $37,910 · median $14,097 | 35 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,666 – $25,575 · median $8,596 | 35 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $6,235 – $28,144 · median $9,741 | 35 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $4,745 – $22,263 · median $7,330 | 35 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,044 – $54,367 · median $21,437 | 35 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,210 – $37,059 · median $13,717 | 35 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,003 – $27,096 · median $9,274 | 35 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,216 – $50,629 · median $19,770 | 35 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,982 – $31,517 · median $11,246 | 35 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,340 – $24,264 · median $8,010 | 35 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $14,701 – $66,357 · median $26,785 | 35 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,492 – $33,817 · median $12,272 | 35 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,273 – $24,038 · median $7,914 | 35 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,003 – $54,182 · median $21,355 | 35 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,741 – $34,944 · median $12,774 | 35 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,936 – $26,792 · median $9,138 | 35 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,381 – $46,857 · median $18,088 | 35 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,471 – $29,209 · median $10,216 | 35 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,273 – $37,342 · median $13,844 | 35 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,791 – $26,139 · median $8,847 | 35 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,486 – $38,307 · median $14,274 | 35 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,695 – $25,709 · median $8,655 | 35 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $9,556 – $43,133 · median $16,245 | 35 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $5,944 – $26,833 · median $9,156 | 35 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,170 – $50,420 · median $19,677 | 35 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,392 – $33,366 · median $12,070 | 35 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,701 – $25,735 · median $8,667 | 35 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $9,102 – $41,085 · median $15,513 | 35 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $6,102 – $27,546 · median $9,474 | 35 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,658 – $43,597 · median $16,634 | 35 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,765 – $30,538 · median $10,809 | 35 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,286 – $24,083 · median $7,930 | 35 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,245 – $77,842 · median $31,908 | 35 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,212 – $46,094 · median $17,748 | 35 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,411 – $33,454 · median $12,109 | 35 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,819 – $152,656 · median $64,242 | 35 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,639 – $88,649 · median $36,728 | 35 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,909 – $53,756 · median $21,165 | 35 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,802 – $134,525 · median $56,284 | 35 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $15,416 – $69,586 · median $28,226 | 35 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,296 – $46,477 · median $17,918 | 35 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,557 – $83,765 · median $34,550 | 35 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,731 – $48,440 · median $18,794 | 35 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,974 – $40,507 · median $15,256 | 35 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,617 – $47,922 · median $18,563 | 35 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,045 – $45,343 · median $17,140 | 35 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,176 – $54,961 · median $21,702 | 35 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,848 – $53,481 · median $20,887 | 35 plans |
| 592 | SKIN ULCERS WITH MCC | $12,223 – $55,173 · median $21,451 | 35 plans |
| 593 | SKIN ULCERS WITH CC | $7,834 – $35,362 · median $12,961 | 35 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,865 – $26,474 · median $8,960 | 35 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,532 – $56,570 · median $22,420 | 35 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,089 – $31,997 · median $11,460 | 35 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,646 – $48,053 · median $18,621 | 35 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,077 – $31,945 · median $11,436 | 35 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,898 – $26,621 · median $9,010 | 35 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,433 – $29,038 · median $10,140 | 35 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,236 – $20,551 · median $6,766 | 35 plans |
| 602 | CELLULITIS WITH MCC | $9,132 – $41,220 · median $15,574 | 35 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,034 – $27,237 · median $9,336 | 35 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,219 – $41,612 · median $15,748 | 35 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,260 – $28,256 · median $9,791 | 35 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,875 – $44,573 · median $17,069 | 35 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,947 – $26,842 · median $9,161 | 35 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,395 – $60,465 · median $24,157 | 35 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,941 – $40,360 · median $15,190 | 35 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,746 – $98,157 · median $40,773 | 35 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,566 – $52,209 · median $20,475 | 35 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,952 – $35,894 · median $13,198 | 35 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,751 – $71,100 · median $28,901 | 35 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,805 – $44,257 · median $16,928 | 35 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,093 – $41,044 · median $15,495 | 35 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,098 – $95,234 · median $39,559 | 35 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,467 – $51,762 · median $20,276 | 35 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,678 – $30,143 · median $10,633 | 35 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,492 – $74,442 · median $30,391 | 35 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,343 – $42,173 · median $15,999 | 35 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,067 – $36,412 · median $13,429 | 35 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,170 – $100,075 · median $41,350 | 35 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,238 – $59,755 · median $23,840 | 35 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,774 – $39,606 · median $14,854 | 35 plans |
| 637 | DIABETES WITH MCC | $9,064 – $40,914 · median $15,437 | 35 plans |
| 638 | DIABETES WITH CC | $6,226 – $28,102 · median $9,722 | 35 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,428 – $21,196 · median $6,978 | 35 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $8,388 – $37,864 · median $14,077 | 35 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,511 – $24,874 · median $8,283 | 35 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,931 – $35,799 · median $13,156 | 35 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,122 – $45,690 · median $17,567 | 35 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,837 – $30,863 · median $10,954 | 35 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,496 – $24,810 · median $8,254 | 35 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,654 – $115,798 · median $48,101 | 35 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,679 – $88,829 · median $36,808 | 35 plans |
| 652 | KIDNEY TRANSPLANT | $17,567 – $79,297 · median $32,557 | 35 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $30,746 – $138,786 · median $58,154 | 35 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,255 – $73,372 · median $29,914 | 35 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,333 – $55,672 · median $22,019 | 35 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $18,550 – $83,731 · median $34,535 | 35 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,021 – $49,750 · median $19,378 | 35 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,315 – $42,047 · median $15,942 | 35 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,003 – $67,721 · median $27,394 | 35 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,452 – $38,150 · median $14,204 | 35 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,802 – $30,702 · median $10,882 | 35 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,821 – $80,442 · median $33,068 | 35 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,438 – $42,603 · median $16,190 | 35 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,082 – $31,966 · median $11,446 | 35 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,474 – $87,905 · median $35,819 | 35 plans |
| 666 | PROSTATECTOMY WITH CC | $10,070 – $45,453 · median $17,461 | 35 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,808 – $30,730 · median $10,895 | 35 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $16,751 – $75,611 · median $30,913 | 35 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,544 – $43,081 · median $16,404 | 35 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,428 – $29,017 · median $10,130 | 35 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,472 – $47,268 · median $18,271 | 35 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,159 – $32,313 · median $11,601 | 35 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,455 – $105,871 · median $43,706 | 35 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,550 – $61,164 · median $24,469 | 35 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,638 – $43,504 · median $16,592 | 35 plans |
| 682 | RENAL FAILURE WITH MCC | $9,304 – $41,997 · median $15,920 | 35 plans |
| 683 | RENAL FAILURE WITH CC | $6,077 – $27,429 · median $9,422 | 35 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,292 – $20,739 · median $6,828 | 35 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,325 – $51,118 · median $19,672 | 35 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,939 – $31,322 · median $11,159 | 35 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,117 – $23,515 · median $7,742 | 35 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,558 – $34,117 · median $12,405 | 35 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,622 – $25,378 · median $8,508 | 35 plans |
| 693 | URINARY STONES WITH MCC | $9,138 – $41,249 · median $15,586 | 35 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,511 – $24,874 · median $8,283 | 35 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,334 – $33,107 · median $11,955 | 35 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,888 – $22,745 · median $7,488 | 35 plans |
| 697 | URETHRAL STRICTURE | $6,671 – $30,112 · median $10,619 | 35 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,246 – $46,251 · median $17,818 | 35 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,766 – $30,542 · median $10,811 | 35 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,905 – $22,802 · median $7,507 | 35 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,614 – $52,423 · median $20,570 | 35 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,202 – $41,536 · median $15,714 | 35 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,227 – $59,707 · median $23,819 | 35 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,301 – $41,985 · median $15,915 | 35 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,456 – $51,710 · median $20,252 | 35 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,028 – $31,724 · median $11,338 | 35 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,010 – $40,669 · median $15,328 | 35 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,344 – $28,636 · median $9,961 | 35 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,286 – $59,973 · median $23,938 | 35 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,869 – $40,034 · median $14,911 | 35 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,166 – $50,401 · median $19,668 | 35 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,882 – $35,581 · median $13,058 | 35 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $10,499 – $47,392 · median $18,326 | 35 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $7,309 – $32,990 · median $11,903 | 35 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,148 – $23,620 · median $7,776 | 35 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,044 – $36,310 · median $13,384 | 35 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,260 – $23,995 · median $7,900 | 35 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,133 – $41,225 · median $15,576 | 35 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,699 – $25,723 · median $8,661 | 35 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,193 – $32,467 · median $11,670 | 35 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,288 – $20,727 · median $6,824 | 35 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,468 – $56,278 · median $22,290 | 35 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,788 – $35,153 · median $12,867 | 35 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,128 – $99,882 · median $41,490 | 35 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,918 – $53,797 · median $21,183 | 35 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,383 – $42,354 · median $15,926 | 35 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,356 – $100,911 · median $41,917 | 35 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,970 – $49,517 · median $19,274 | 35 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,629 – $38,948 · median $14,560 | 35 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,014 – $49,716 · median $19,363 | 35 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,708 – $34,792 · median $12,706 | 35 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,684 – $52,742 · median $20,712 | 35 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,792 – $30,659 · median $10,863 | 35 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,213 – $46,102 · median $17,737 | 35 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,426 – $29,005 · median $10,125 | 35 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,569 – $38,680 · median $14,440 | 35 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,025 – $67,823 · median $27,439 | 35 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,186 – $36,950 · median $13,669 | 35 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,922 – $49,303 · median $19,179 | 35 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,241 – $32,686 · median $11,767 | 35 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,425 – $29,000 · median $10,123 | 35 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,848 – $39,939 · median $15,002 | 35 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,763 – $30,528 · median $10,805 | 35 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,522 – $21,514 · median $7,083 | 35 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,586 – $29,727 · median $10,447 | 35 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,479 – $21,369 · median $7,035 | 35 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,021 – $32,358 · median $11,437 | 35 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,712 – $39,326 · median $14,729 | 35 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,062 – $31,876 · median $11,225 | 35 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,042 – $23,261 · median $7,658 | 35 plans |
| 779 | ABORTION WITHOUT D&C | $6,318 – $28,520 · median $9,909 | 35 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,095 – $50,082 · median $19,217 | 35 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,095 – $32,042 · median $11,298 | 35 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,996 – $27,063 · median $9,160 | 35 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,095 – $44,706 · median $16,857 | 35 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,987 – $31,538 · median $11,077 | 35 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,160 – $27,805 · median $9,438 | 35 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,021 – $36,643 · median $13,317 | 35 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,021 – $29,314 · median $10,100 | 35 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,494 – $29,314 · median $10,263 | 35 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $26,430 – $119,303 · median $49,602 | 35 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $16,738 – $75,551 · median $30,397 | 35 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,040 – $45,320 · median $17,402 | 35 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $20,270 – $91,498 · median $37,999 | 35 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,768 – $48,606 · median $18,868 | 35 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,218 – $32,579 · median $11,719 | 35 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,021 – $30,022 · median $10,411 | 35 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,021 – $23,501 · median $7,737 | 35 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,503 – $21,450 · median $7,062 | 35 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,455 – $60,734 · median $24,277 | 35 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,917 – $35,737 · median $13,128 | 35 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,408 – $28,924 · median $10,089 | 35 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,804 – $39,740 · median $14,913 | 35 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,256 – $28,237 · median $9,783 | 35 plans |
| 813 | COAGULATION DISORDERS | $9,547 – $43,093 · median $16,409 | 35 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $12,403 – $55,986 · median $21,808 | 35 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,746 – $30,452 · median $10,771 | 35 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,659 – $21,975 · median $7,235 | 35 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,744 – $66,552 · median $26,872 | 35 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,178 – $36,914 · median $13,653 | 35 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,695 – $25,709 · median $8,655 | 35 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,051 – $144,673 · median $60,328 | 35 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,150 – $59,358 · median $23,663 | 35 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,418 – $33,485 · median $12,123 | 35 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $26,034 – $117,514 · median $48,817 | 35 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,976 – $58,574 · median $23,314 | 35 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,877 – $35,554 · median $13,046 | 35 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $26,539 – $119,795 · median $49,818 | 35 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,821 – $62,388 · median $25,015 | 35 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,836 – $44,398 · median $16,991 | 35 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,633 – $79,592 · median $32,688 | 35 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,097 – $41,061 · median $15,502 | 35 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,457 – $33,658 · median $12,201 | 35 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,281 – $24,066 · median $7,923 | 35 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,673 – $18,657 · median $6,025 | 35 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $30,497 – $137,662 · median $57,661 | 35 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $12,642 – $57,064 · median $22,641 | 35 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,087 – $36,503 · median $13,469 | 35 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,759 – $125,302 · median $52,235 | 35 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,075 – $54,505 · median $21,499 | 35 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,612 – $38,872 · median $14,526 | 35 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $18,186 – $82,092 · median $33,803 | 35 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,652 – $43,568 · median $16,621 | 35 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,935 – $31,303 · median $11,150 | 35 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,365 – $51,299 · median $20,069 | 35 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,689 – $34,708 · median $12,669 | 35 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,802 – $26,191 · median $8,870 | 35 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,842 – $66,996 · median $27,070 | 35 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,087 – $36,503 · median $13,469 | 35 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,708 – $25,766 · median $8,680 | 35 plans |
| 849 | RADIOTHERAPY | $15,460 – $69,784 · median $27,865 | 35 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $27,728 – $125,162 · median $52,174 | 35 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,916 – $53,790 · median $21,180 | 35 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,955 – $44,937 · median $17,231 | 35 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,150 – $113,524 · median $47,156 | 35 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,868 – $58,086 · median $23,096 | 35 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,180 – $36,923 · median $13,657 | 35 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,077 – $50,001 · median $19,490 | 35 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,661 – $30,067 · median $10,599 | 35 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,125 – $27,645 · median $9,519 | 35 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,167 – $41,379 · median $15,645 | 35 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,055 – $27,332 · median $9,379 | 35 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,686 – $57,264 · median $22,730 | 35 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,925 – $31,260 · median $11,131 | 35 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,085 – $23,406 · median $7,706 | 35 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $38,022 – $171,627 · median $72,570 | 35 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,727 – $52,934 · median $20,798 | 35 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,825 – $30,806 · median $10,929 | 35 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $22,086 – $99,692 · median $40,994 | 35 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,444 – $29,086 · median $10,161 | 35 plans |
| 881 | DEPRESSIVE NEUROSES | $6,209 – $28,028 · median $9,689 | 35 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,461 – $29,166 · median $10,036 | 35 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,157 – $50,363 · median $19,340 | 35 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,190 – $45,997 · median $17,704 | 35 plans |
| 885 | PSYCHOSES | $8,818 – $39,804 · median $14,705 | 35 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,855 – $48,999 · median $18,741 | 35 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,659 – $34,571 · median $12,608 | 35 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $4,410 – $21,136 · median $6,959 | 35 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $9,020 – $40,714 · median $15,348 | 35 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,772 – $48,625 · median $18,876 | 35 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,041 – $27,270 · median $9,351 | 35 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $24,723 – $111,596 · median $46,355 | 35 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,387 – $51,401 · median $20,115 | 35 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,815 – $35,276 · median $12,922 | 35 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $21,725 – $98,064 · median $40,296 | 35 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,074 – $45,474 · median $17,471 | 35 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,887 – $58,172 · median $22,768 | 35 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,371 – $100,978 · median $41,945 | 35 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,017 – $54,241 · median $21,381 | 35 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,074 – $36,446 · median $13,444 | 35 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,917 – $44,764 · median $17,154 | 35 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,221 – $28,083 · median $9,714 | 35 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,547 – $47,606 · median $18,422 | 35 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,693 – $22,087 · median $7,272 | 35 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,030 – $45,272 · median $17,273 | 35 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,054 – $27,327 · median $9,277 | 35 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,998 – $49,643 · median $19,330 | 35 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,745 – $30,447 · median $10,769 | 35 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,859 – $22,648 · median $7,456 | 35 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,291 – $46,453 · median $17,651 | 35 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,766 – $30,542 · median $10,701 | 35 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $126,295 – $570,084 · median $236,804 | 35 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $36,561 – $165,030 · median $69,674 | 35 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $18,141 – $81,887 · median $33,341 | 35 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,177 – $109,134 · median $45,138 | 35 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,694 – $57,300 · median $22,385 | 35 plans |
| 935 | NON-EXTENSIVE BURNS | $12,961 – $58,502 · median $22,963 | 35 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $18,107 – $81,735 · median $33,644 | 35 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,513 – $56,482 · median $22,381 | 35 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,686 – $52,749 · median $20,716 | 35 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,168 – $36,871 · median $13,634 | 35 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,580 – $25,186 · median $8,422 | 35 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,077 – $31,947 · median $11,437 | 35 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,141 – $20,233 · median $6,661 | 35 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,006 – $19,779 · median $6,512 | 35 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,347 – $168,581 · median $71,233 | 35 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $21,521 – $97,145 · median $40,352 | 35 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $40,695 – $183,693 · median $77,867 | 35 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,034 – $103,975 · median $43,190 | 35 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $15,317 – $69,137 · median $28,025 | 35 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $15,700 – $70,867 · median $28,797 | 35 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,295 – $41,954 · median $15,901 | 35 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,201 – $27,992 · median $9,674 | 35 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $34,694 – $156,603 · median $65,975 | 35 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,366 – $69,361 · median $28,125 | 35 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,119 – $77,272 · median $31,654 | 35 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,880 – $40,084 · median $15,067 | 35 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,677 – $30,141 · median $10,469 | 35 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,988 – $40,571 · median $15,042 | 35 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,426 – $119,282 · median $49,593 | 35 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $14,287 – $64,489 · median $25,952 | 35 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,180 – $45,949 · median $17,683 | 35 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $17,553 – $79,230 · median $32,270 | 34 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $58,752 – $265,201 · median $111,903 | 34 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $38,604 – $174,254 · median $73,053 | 34 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $34,010 – $153,516 · median $64,194 | 34 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $25,889 – $116,858 · median $48,535 | 34 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $27,739 – $125,209 · median $52,102 | 34 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $18,268 – $82,458 · median $33,698 | 34 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $33,968 – $153,326 · median $64,113 | 34 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $16,385 – $73,959 · median $29,937 | 34 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,922 – $49,300 · median $19,026 | 34 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $23,822 – $107,530 · median $44,550 | 34 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,219 – $82,237 · median $33,600 | 34 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $16,465 – $74,323 · median $30,098 | 34 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,442 – $65,190 · median $26,057 | 34 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,364 – $42,266 · median $15,913 | 34 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,313 – $33,012 · median $11,818 | 34 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,994 – $99,279 · median $41,025 | 34 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $56,549 – $255,255 · median $107,654 | 34 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $38,792 – $175,102 · median $73,415 | 34 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $30,375 – $137,111 · median $57,186 | 34 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $45,309 – $204,521 · median $85,982 | 34 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $30,198 – $136,312 · median $56,845 | 34 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,696 – $165,643 · median $69,374 | 34 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,896 – $103,350 · median $42,764 | 34 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $28,512 – $128,698 · median $53,593 | 34 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $17,644 – $79,644 · median $32,453 | 34 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $49,897 – $225,228 · median $94,828 | 34 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $19,838 – $89,547 · median $33,424 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,431 – $47,085 · median $16,919 | 32 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,480 – $33,765 · median $11,741 | 32 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,887 – $49,143 · median $17,871 | 30 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $32,696 – $147,584 · median $55,628 | 30 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $22,772 – $102,789 · median $38,744 | 30 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,294 – $64,522 · median $23,903 | 30 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $23,354 – $105,417 · median $39,734 | 30 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,169 – $41,386 · median $14,828 | 30 plans |
| 795 | NORMAL NEWBORN | $1,618 – $11,052 · median $3,469 | 30 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,434 – $42,582 · median $14,019 | 25 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,275 – $32,838 · median $10,811 | 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.