St Luke's the Woodlands 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 – $663,392 · median $272,578 | 39 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $57,489 – $279,273 · median $119,769 | 39 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $55,312 – $249,671 · median $109,138 | 39 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $110,850 – $504,736 · median $225,375 | 34 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $73,429 – $332,776 · median $148,591 | 34 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $55,591 – $250,934 · median $111,990 | 34 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,866 – $116,755 · median $50,995 | 34 plans |
| 007 | LUNG TRANSPLANT | $67,991 – $307,783 · median $137,413 | 34 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $28,899 – $130,448 · median $57,219 | 34 plans |
| 010 | PANCREAS TRANSPLANT | $41,875 – $189,019 · median $80,845 | 34 plans |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $28,668 – $129,402 · median $56,744 | 34 plans |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,045 – $99,509 · median $43,155 | 34 plans |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $14,595 – $65,880 · median $27,868 | 34 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $68,160 – $308,560 · median $132,239 | 34 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,948 – $144,208 · median $63,474 | 34 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $31,948 – $144,208 · median $61,434 | 34 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $194,290 – $888,174 · median $396,588 | 34 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $41,641 – $187,962 · median $81,820 | 34 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $42,327 – $191,057 · median $84,771 | 34 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $29,341 – $132,442 · median $58,125 | 34 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,107 – $86,247 · median $37,126 | 34 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,252 – $136,555 · median $59,995 | 34 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,497 – $92,523 · median $39,979 | 34 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,934 – $108,036 · median $47,031 | 34 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,689 – $75,333 · median $32,164 | 34 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,661 – $61,665 · median $25,952 | 34 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $32,171 – $145,216 · median $63,932 | 34 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $18,217 – $82,229 · median $35,299 | 34 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,419 – $56,058 · median $23,437 | 34 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,490 – $101,520 · median $44,068 | 34 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,959 – $53,980 · median $22,530 | 34 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,191 – $41,486 · median $16,912 | 34 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $20,943 – $94,536 · median $40,894 | 34 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,672 – $57,201 · median $23,937 | 34 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,408 – $46,982 · median $19,431 | 34 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $18,033 – $81,400 · median $34,923 | 34 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,272 – $41,852 · median $17,080 | 34 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,847 – $30,907 · median $12,065 | 34 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $20,346 – $91,838 · median $39,668 | 34 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,587 – $56,817 · median $23,769 | 34 plans |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,022 – $45,236 · median $18,631 | 34 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,328 – $51,133 · median $21,117 | 34 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,736 – $25,892 · median $9,767 | 34 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,697 – $39,256 · median $15,813 | 34 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,605 – $29,815 · median $11,502 | 34 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,847 – $62,505 · median $26,043 | 34 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,853 – $35,446 · median $14,145 | 34 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,474 – $47,279 · median $19,567 | 34 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,285 – $32,883 · median $12,970 | 34 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,587 – $25,221 · median $9,459 | 34 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,869 – $67,115 · median $28,429 | 34 plans |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,141 – $45,775 · median $18,878 | 34 plans |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,213 – $37,074 · median $14,891 | 34 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,208 – $50,594 · median $21,051 | 34 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,225 – $28,101 · median $10,779 | 34 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,541 – $20,499 · median $7,296 | 34 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,470 – $38,233 · median $15,422 | 34 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,532 – $24,969 · median $9,344 | 34 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,114 – $23,086 · median $8,481 | 34 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,925 – $44,801 · median $18,431 | 34 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,415 – $28,957 · median $11,171 | 34 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,859 – $21,931 · median $7,952 | 34 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,935 – $40,332 · median $16,383 | 34 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,356 – $28,691 · median $11,049 | 34 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,841 – $44,422 · median $18,257 | 34 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,713 – $25,788 · median $9,719 | 34 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,939 – $40,348 · median $16,391 | 34 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,128 – $27,661 · median $10,578 | 34 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,431 – $20,000 · median $7,067 | 34 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,201 – $50,561 · median $21,037 | 34 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,651 – $25,508 · median $9,591 | 34 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,905 – $58,251 · median $24,399 | 34 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,140 – $36,741 · median $14,738 | 34 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,914 – $26,695 · median $10,135 | 34 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,627 – $56,997 · median $23,848 | 34 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,736 – $34,918 · median $13,903 | 34 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,544 – $25,027 · median $9,370 | 34 plans |
| 088 | CONCUSSION WITH MCC | $8,244 – $37,211 · median $14,953 | 34 plans |
| 089 | CONCUSSION WITH CC | $6,508 – $29,378 · median $11,364 | 34 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,408 – $24,409 · median $9,087 | 34 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,356 – $46,747 · median $19,323 | 34 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,440 – $29,068 · median $11,222 | 34 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,059 – $22,836 · median $8,367 | 34 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,713 – $88,984 · median $38,370 | 34 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,299 – $60,032 · median $25,209 | 34 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,299 – $60,032 · median $25,209 | 34 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,385 – $87,501 · median $37,696 | 34 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $12,131 – $54,760 · median $22,871 | 34 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,154 – $36,808 · median $14,769 | 34 plans |
| 100 | SEIZURES WITH MCC | $11,188 – $50,503 · median $21,011 | 34 plans |
| 101 | SEIZURES WITHOUT MCC | $5,738 – $25,899 · median $9,770 | 34 plans |
| 102 | HEADACHES WITH MCC | $6,956 – $31,400 · median $12,291 | 34 plans |
| 103 | HEADACHES WITHOUT MCC | $5,371 – $24,245 · median $9,012 | 34 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,579 – $56,779 · median $23,753 | 34 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,072 – $31,923 · median $12,530 | 34 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,860 – $39,994 · median $16,229 | 34 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,565 – $43,177 · median $17,687 | 34 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,542 – $29,528 · median $11,348 | 34 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,975 – $31,485 · median $12,330 | 34 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,490 – $20,268 · median $7,190 | 34 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,130 – $23,157 · median $8,514 | 34 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $7,696 – $34,740 · median $13,821 | 34 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,246 – $23,678 · median $8,752 | 34 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,371 – $60,354 · median $25,356 | 34 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,027 – $27,206 · median $10,369 | 34 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,182 – $36,931 · median $14,825 | 34 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,183 – $23,396 · median $8,623 | 34 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,050 – $36,339 · median $14,439 | 34 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,688 – $102,412 · median $44,475 | 34 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,025 – $54,279 · median $22,660 | 34 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,072 – $40,952 · median $16,667 | 34 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,936 – $80,961 · median $34,723 | 34 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,017 – $45,215 · median $18,621 | 34 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,086 – $31,985 · median $12,559 | 34 plans |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $12,771 – $57,647 · median $23,939 | 34 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $7,393 – $33,373 · median $13,195 | 34 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,117 – $23,100 · median $8,487 | 34 plans |
| 149 | DYSEQUILIBRIUM | $4,845 – $21,869 · median $7,924 | 34 plans |
| 150 | EPISTAXIS WITH MCC | $8,098 – $36,552 · median $14,651 | 34 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,899 – $22,112 · median $8,035 | 34 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,830 – $30,828 · median $12,029 | 34 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,661 – $21,041 · median $7,544 | 34 plans |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $9,349 – $42,199 · median $17,145 | 34 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $5,799 – $26,174 · median $9,896 | 34 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,460 – $20,132 · median $7,127 | 34 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,406 – $42,458 · median $17,358 | 34 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,834 – $26,336 · median $9,970 | 34 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,394 – $19,835 · median $6,992 | 34 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,636 – $111,203 · median $48,471 | 34 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,913 – $62,803 · median $26,469 | 34 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,567 – $47,697 · median $19,758 | 34 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,746 – $93,647 · median $40,490 | 34 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $10,378 – $46,846 · median $19,368 | 34 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,953 – $35,897 · median $14,351 | 34 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,235 – $37,174 · median $14,936 | 34 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,188 – $23,419 · median $8,634 | 34 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,298 – $41,972 · median $17,135 | 34 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,098 – $27,527 · median $10,516 | 34 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,959 – $22,382 · median $8,159 | 34 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,971 – $45,009 · median $18,527 | 34 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,704 – $30,262 · median $11,769 | 34 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,306 – $23,951 · median $8,878 | 34 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,149 – $41,296 · median $16,825 | 34 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,488 – $29,285 · median $11,322 | 34 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,000 – $22,567 · median $8,244 | 34 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,111 – $41,127 · median $16,748 | 34 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,159 – $27,803 · median $10,642 | 34 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,777 – $21,561 · median $7,783 | 34 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,356 – $33,202 · median $13,116 | 34 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,769 – $30,555 · median $11,904 | 34 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,417 – $24,451 · median $9,106 | 34 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,331 – $19,549 · median $6,860 | 34 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,767 – $35,060 · median $13,968 | 34 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,216 – $23,546 · median $8,692 | 34 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,205 – $18,982 · median $6,601 | 34 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,670 – $48,162 · median $19,843 | 34 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,088 – $27,479 · median $10,494 | 34 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,603 – $20,779 · median $7,424 | 34 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,061 – $45,414 · median $18,712 | 34 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,690 – $30,197 · median $11,740 | 34 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,484 – $20,240 · median $7,177 | 34 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,968 – $26,940 · median $10,247 | 34 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,584 – $20,691 · median $7,384 | 34 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,170 – $23,338 · median $8,597 | 34 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,689 – $48,248 · median $20,011 | 34 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,656 – $25,531 · median $9,601 | 34 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $34,158 – $154,185 · median $68,009 | 34 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,768 – $66,662 · median $28,223 | 34 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $50,475 – $227,840 · median $101,491 | 34 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $34,110 – $153,970 · median $67,912 | 34 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,504 – $142,204 · median $62,563 | 34 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $40,668 – $183,571 · median $81,368 | 34 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $28,159 – $127,107 · median $55,700 | 34 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,551 – $110,819 · median $48,296 | 34 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $26,553 – $119,857 · median $52,405 | 34 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,934 – $76,436 · median $32,666 | 34 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $44,442 – $200,607 · median $89,112 | 34 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $32,321 – $145,892 · median $64,239 | 34 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $41,072 – $185,397 · median $82,198 | 34 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $28,280 – $127,651 · median $55,947 | 34 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $31,170 – $140,698 · median $61,879 | 34 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $22,088 – $99,704 · median $43,243 | 34 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $26,828 – $121,097 · median $52,650 | 34 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $15,939 – $71,946 · median $30,587 | 34 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,752 – $39,506 · median $16,005 | 34 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,398 – $83,045 · median $35,670 | 34 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,559 – $56,692 · median $23,714 | 34 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $10,263 – $46,326 · median $19,130 | 34 plans |
| 245 | AICD GENERATOR PROCEDURES | $26,058 – $117,625 · median $51,390 | 34 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,866 – $58,075 · median $24,320 | 34 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,022 – $40,725 · median $16,564 | 34 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,595 – $83,934 · median $36,074 | 34 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,098 – $63,636 · median $26,848 | 34 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,979 – $45,046 · median $18,544 | 34 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $14,423 – $65,105 · median $27,515 | 34 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,694 – $43,758 · median $17,953 | 34 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,585 – $25,209 · median $9,454 | 34 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $15,392 – $69,477 · median $29,503 | 34 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,022 – $45,238 · median $18,632 | 34 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,470 – $83,374 · median $35,820 | 34 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,739 – $48,475 · median $20,115 | 34 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,793 – $39,689 · median $16,089 | 34 plans |
| 263 | VEIN LIGATION AND STRIPPING | $14,760 – $66,623 · median $28,205 | 34 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,926 – $85,430 · median $36,755 | 34 plans |
| 265 | AICD LEAD PROCEDURES | $19,296 – $87,098 · median $37,513 | 34 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $31,716 – $143,164 · median $62,999 | 34 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $25,125 – $113,412 · median $49,475 | 34 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $35,185 – $158,821 · median $70,117 | 34 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,337 – $100,828 · median $43,754 | 34 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,320 – $123,320 · median $53,979 | 34 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,666 – $84,257 · median $36,222 | 34 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $13,838 – $62,461 · median $26,313 | 34 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $21,054 – $95,035 · median $41,121 | 34 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $17,009 – $76,776 · median $32,821 | 34 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $9,426 – $42,548 · median $17,399 | 34 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $5,738 – $25,901 · median $9,771 | 34 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $4,730 – $21,351 · median $7,686 | 34 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $11,035 – $49,812 · median $20,709 | 34 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $4,811 – $21,718 · median $7,855 | 34 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $3,891 – $17,564 · median $5,951 | 34 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $12,357 – $55,778 · median $23,315 | 34 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,599 – $29,785 · median $11,551 | 34 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,013 – $67,766 · median $28,725 | 34 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,094 – $41,051 · median $16,713 | 34 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,031 – $27,224 · median $10,377 | 34 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,701 – $34,761 · median $13,831 | 34 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,428 – $24,499 · median $9,129 | 34 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,826 – $17,270 · median $5,831 | 34 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,307 – $32,984 · median $13,017 | 34 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,062 – $22,847 · median $8,372 | 34 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $9,411 – $42,478 · median $17,367 | 34 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $4,624 – $20,872 · median $7,408 | 34 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $3,121 – $14,795 · median $4,939 | 34 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,304 – $41,997 · median $17,147 | 34 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,501 – $29,343 · median $11,348 | 34 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,670 – $21,080 · median $7,562 | 34 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,976 – $31,488 · median $12,331 | 34 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,460 – $20,132 · median $7,127 | 34 plans |
| 304 | HYPERTENSION WITH MCC | $7,035 – $31,754 · median $12,453 | 34 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,861 – $21,943 · median $7,957 | 34 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,688 – $39,217 · median $15,872 | 34 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,762 – $26,007 · median $9,820 | 34 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,194 – $32,473 · median $12,783 | 34 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,803 – $21,679 · median $7,837 | 34 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,881 – $17,520 · median $5,931 | 34 plans |
| 311 | ANGINA PECTORIS | $4,593 – $20,731 · median $7,402 | 34 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,479 – $24,733 · median $9,236 | 34 plans |
| 313 | CHEST PAIN | $4,670 – $21,080 · median $7,562 | 34 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,050 – $54,394 · median $22,711 | 34 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,946 – $26,838 · median $10,200 | 34 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,513 – $20,370 · median $7,237 | 34 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $23,527 – $106,197 · median $46,195 | 34 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,877 – $58,126 · median $24,343 | 34 plans |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,043 – $122,071 · median $53,411 | 34 plans |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $13,458 – $60,747 · median $25,534 | 34 plans |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $9,181 – $41,440 · median $16,891 | 34 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,547 – $110,803 · median $48,289 | 34 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,128 – $59,257 · median $24,857 | 34 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,475 – $42,770 · median $17,501 | 34 plans |
| 332 | RECTAL RESECTION WITH MCC | $18,791 – $84,820 · median $36,477 | 34 plans |
| 333 | RECTAL RESECTION WITH CC | $11,906 – $53,742 · median $22,426 | 34 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,514 – $42,946 · median $17,581 | 34 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $19,584 – $88,398 · median $38,104 | 34 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,839 – $53,441 · median $22,294 | 34 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,881 – $40,089 · median $16,272 | 34 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,823 – $66,910 · median $28,336 | 34 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,643 – $39,015 · median $15,780 | 34 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,396 – $33,385 · median $13,200 | 34 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $13,144 – $59,329 · median $24,889 | 34 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,466 – $33,699 · median $13,344 | 34 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,528 – $24,955 · median $9,338 | 34 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,410 – $60,529 · median $25,435 | 34 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,724 – $39,381 · median $15,948 | 34 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,665 – $30,084 · median $11,688 | 34 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $16,045 – $72,427 · median $30,844 | 34 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,732 – $43,929 · median $18,032 | 34 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,846 – $35,418 · median $14,132 | 34 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,875 – $103,257 · median $44,858 | 34 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $12,555 – $56,673 · median $23,706 | 34 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,959 – $35,925 · median $14,364 | 34 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,573 – $43,209 · median $17,702 | 34 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,229 – $28,117 · median $10,787 | 34 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,591 – $20,724 · median $7,399 | 34 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,972 – $45,014 · median $18,529 | 34 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,289 – $28,388 · median $10,911 | 34 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,732 – $21,358 · median $7,689 | 34 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,835 – $53,421 · median $22,286 | 34 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,311 – $33,001 · median $13,024 | 34 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,539 – $25,003 · median $9,360 | 34 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,332 – $46,638 · median $19,273 | 34 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,067 – $27,384 · median $10,451 | 34 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,277 – $19,306 · median $6,749 | 34 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,876 – $49,092 · median $20,395 | 34 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,595 – $29,771 · median $11,544 | 34 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,854 – $21,911 · median $7,943 | 34 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,493 – $33,822 · median $13,401 | 34 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,471 – $24,693 · median $9,218 | 34 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,341 – $42,164 · median $17,223 | 34 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,100 – $27,537 · median $10,520 | 34 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,449 – $20,083 · median $7,105 | 34 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,547 – $38,580 · median $15,581 | 34 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,122 – $23,120 · median $8,497 | 34 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,818 – $17,235 · median $5,817 | 34 plans |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,597 – $34,292 · median $13,616 | 34 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,013 – $22,628 · median $8,271 | 34 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,501 – $42,886 · median $17,554 | 34 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,838 – $26,352 · median $9,978 | 34 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,275 – $19,299 · median $6,746 | 34 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $28,836 – $130,161 · median $57,088 | 34 plans |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $15,407 – $69,545 · median $29,533 | 34 plans |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,960 – $53,985 · median $22,532 | 34 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,958 – $85,574 · median $36,820 | 34 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,758 – $53,076 · median $22,135 | 34 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,963 – $40,459 · median $16,442 | 34 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $15,038 – $67,879 · median $28,776 | 34 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,938 – $53,888 · median $22,490 | 34 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,534 – $43,036 · median $17,622 | 34 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,971 – $85,631 · median $36,846 | 34 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $11,152 – $50,337 · median $20,939 | 34 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,036 – $36,274 · median $14,524 | 34 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,193 – $59,553 · median $24,992 | 34 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,513 – $42,941 · median $17,579 | 34 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,767 – $35,057 · median $13,967 | 34 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $19,102 – $86,226 · median $36,909 | 34 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,407 – $42,460 · median $17,359 | 34 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,545 – $38,569 · median $15,576 | 34 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $21,859 – $98,669 · median $42,773 | 34 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,716 – $57,397 · median $24,022 | 34 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,936 – $40,336 · median $16,308 | 34 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,054 – $49,897 · median $20,746 | 34 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,497 – $29,325 · median $11,340 | 34 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,583 – $20,689 · median $7,325 | 34 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $10,365 – $46,786 · median $19,341 | 34 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,793 – $30,664 · median $11,954 | 34 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,038 – $22,741 · median $8,323 | 34 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $9,540 – $43,064 · median $17,635 | 34 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,422 – $24,476 · median $9,118 | 34 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,166 – $18,806 · median $6,520 | 34 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,702 – $48,308 · median $20,038 | 34 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,966 – $26,928 · median $10,242 | 34 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,615 – $20,833 · median $7,423 | 34 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,646 – $43,543 · median $17,855 | 34 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,572 – $29,665 · median $11,496 | 34 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,100 – $23,021 · median $8,451 | 34 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $44,418 – $200,498 · median $89,063 | 34 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,428 – $137,349 · median $60,356 | 34 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,143 – $104,467 · median $45,408 | 34 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $32,464 – $146,539 · median $64,534 | 34 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $15,691 – $70,826 · median $30,116 | 34 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,694 – $129,520 · median $56,797 | 34 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,125 – $72,788 · median $31,008 | 34 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,911 – $44,739 · median $18,403 | 34 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $27,123 – $122,432 · median $53,575 | 34 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,568 – $83,813 · median $36,020 | 34 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $14,458 – $65,263 · median $27,587 | 34 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,766 – $80,193 · median $34,374 | 34 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,677 – $48,195 · median $19,986 | 34 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,907 – $116,943 · median $51,079 | 34 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,862 – $71,599 · median $30,467 | 34 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $13,147 – $59,343 · median $24,896 | 34 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,998 – $108,323 · median $46,632 | 34 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,070 – $54,482 · median $22,749 | 34 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,975 – $31,483 · median $12,329 | 34 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,639 – $84,132 · median $36,165 | 34 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,999 – $58,676 · median $24,593 | 34 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,115 – $45,657 · median $18,823 | 34 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $16,086 – $72,612 · median $30,928 | 34 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $11,648 – $52,576 · median $21,917 | 34 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $9,144 – $41,275 · median $16,816 | 34 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,073 – $63,525 · median $26,665 | 34 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,513 – $79,050 · median $33,855 | 34 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,883 – $53,640 · median $22,382 | 34 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,112 – $41,132 · median $16,750 | 34 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,086 – $50,043 · median $20,810 | 34 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,361 – $33,225 · median $13,127 | 34 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $19,214 – $86,728 · median $37,345 | 34 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $13,319 – $60,120 · median $25,249 | 34 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $10,676 – $48,192 · median $19,985 | 34 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $19,057 – $86,020 · median $37,023 | 34 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,125 – $50,219 · median $20,887 | 34 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,895 – $35,636 · median $14,232 | 34 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,954 – $62,986 · median $26,552 | 34 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,963 – $31,430 · median $12,304 | 34 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $17,253 – $77,879 · median $33,322 | 34 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,160 – $45,863 · median $18,918 | 34 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,174 – $36,899 · median $14,810 | 34 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,578 – $65,802 · median $27,832 | 34 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,008 – $45,176 · median $18,603 | 34 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,008 – $45,176 · median $18,603 | 34 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,697 – $39,256 · median $15,890 | 34 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,947 – $49,414 · median $20,535 | 34 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $7,628 – $34,433 · median $13,680 | 34 plans |
| 509 | ARTHROSCOPY | $10,017 – $45,215 · median $18,474 | 34 plans |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $15,662 – $70,694 · median $30,056 | 34 plans |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $11,065 – $49,946 · median $20,768 | 34 plans |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,254 – $41,771 · median $17,043 | 34 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,730 – $39,406 · median $15,959 | 34 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,239 – $28,163 · median $10,808 | 34 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,862 – $76,114 · median $32,520 | 34 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $11,324 – $51,114 · median $21,278 | 34 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $8,664 – $39,108 · median $15,823 | 34 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,382 – $87,487 · median $37,689 | 34 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $11,120 – $50,193 · median $20,876 | 34 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $8,359 – $37,731 · median $15,192 | 34 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,952 – $72,004 · median $30,651 | 34 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,818 – $53,344 · median $22,252 | 34 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,829 – $39,853 · median $16,164 | 34 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,186 – $23,407 · median $8,628 | 34 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,830 – $35,342 · median $14,097 | 34 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,170 – $23,336 · median $8,596 | 34 plans |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $5,724 – $25,836 · median $9,741 | 34 plans |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $4,455 – $20,111 · median $7,118 | 34 plans |
| 539 | OSTEOMYELITIS WITH MCC | $11,379 – $51,362 · median $21,386 | 34 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,646 – $34,514 · median $13,717 | 34 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,498 – $24,816 · median $9,274 | 34 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,572 – $47,723 · median $19,770 | 34 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,451 – $29,119 · median $11,246 | 34 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,887 – $22,059 · median $8,010 | 34 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,964 – $63,032 · median $26,573 | 34 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,947 – $31,358 · median $12,272 | 34 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,838 – $21,839 · median $7,910 | 34 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $11,339 – $51,181 · median $21,307 | 34 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,190 – $32,455 · median $12,774 | 34 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,432 – $24,520 · median $9,138 | 34 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,759 – $44,052 · median $18,088 | 34 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,953 – $26,873 · median $10,216 | 34 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $7,707 – $34,789 · median $13,844 | 34 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,291 – $23,884 · median $8,847 | 34 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,915 – $35,728 · median $14,274 | 34 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,198 – $23,465 · median $8,655 | 34 plans |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $8,956 – $40,426 · median $16,336 | 34 plans |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $5,441 – $24,559 · median $9,156 | 34 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,527 – $47,519 · median $19,677 | 34 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,850 – $30,919 · median $12,070 | 34 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,204 – $23,491 · median $8,667 | 34 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $8,514 – $38,432 · median $15,513 | 34 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $5,595 – $25,253 · median $9,474 | 34 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,056 – $40,878 · median $16,634 | 34 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,240 – $28,166 · median $10,809 | 34 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,848 – $21,883 · median $7,930 | 34 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,441 – $74,213 · median $31,655 | 34 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,595 – $43,309 · median $17,748 | 34 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,869 – $31,004 · median $12,109 | 34 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,574 – $147,037 · median $64,760 | 34 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,771 – $84,732 · median $36,437 | 34 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,247 – $50,767 · median $21,126 | 34 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $28,665 – $129,388 · median $56,737 | 34 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,661 – $66,176 · median $28,002 | 34 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,677 – $43,681 · median $17,918 | 34 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,718 – $79,978 · median $34,276 | 34 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,100 – $45,592 · median $18,794 | 34 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,390 – $37,870 · median $15,256 | 34 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,989 – $45,088 · median $18,563 | 34 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,433 – $42,578 · median $17,277 | 34 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,507 – $51,940 · median $21,639 | 34 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $11,187 – $50,499 · median $20,932 | 34 plans |
| 592 | SKIN ULCERS WITH MCC | $11,552 – $52,146 · median $21,556 | 34 plans |
| 593 | SKIN ULCERS WITH CC | $7,280 – $32,862 · median $12,961 | 34 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,363 – $24,210 · median $8,925 | 34 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,854 – $53,506 · median $22,323 | 34 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,554 – $29,586 · median $11,460 | 34 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,017 – $45,215 · median $18,621 | 34 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,543 – $29,535 · median $11,436 | 34 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,395 – $24,353 · median $8,990 | 34 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,916 – $26,706 · median $10,140 | 34 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,086 – $18,445 · median $6,355 | 34 plans |
| 602 | CELLULITIS WITH MCC | $8,543 – $38,564 · median $15,574 | 34 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,528 – $24,953 · median $9,336 | 34 plans |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,628 – $38,946 · median $15,748 | 34 plans |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,748 – $25,945 · median $9,791 | 34 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,267 – $41,828 · median $17,069 | 34 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,443 – $24,569 · median $9,161 | 34 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,694 – $57,298 · median $23,979 | 34 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,358 – $37,727 · median $15,190 | 34 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,822 – $93,987 · median $40,645 | 34 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,913 – $49,261 · median $20,469 | 34 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,395 – $33,380 · median $13,198 | 34 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,987 – $67,650 · median $28,672 | 34 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,198 – $41,521 · median $16,928 | 34 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,506 – $38,393 · median $15,495 | 34 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,191 – $91,142 · median $39,351 | 34 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,817 – $48,826 · median $20,276 | 34 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,155 – $27,782 · median $10,633 | 34 plans |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $15,708 – $70,902 · median $30,151 | 34 plans |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,749 – $39,492 · median $15,999 | 34 plans |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,507 – $33,884 · median $13,429 | 34 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,235 – $95,854 · median $41,256 | 34 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,540 – $56,606 · median $23,677 | 34 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,195 – $36,993 · median $14,854 | 34 plans |
| 637 | DIABETES WITH MCC | $8,477 – $38,266 · median $15,437 | 34 plans |
| 638 | DIABETES WITH CC | $5,715 – $25,795 · median $9,722 | 34 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,225 – $19,072 · median $6,642 | 34 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $7,820 – $35,298 · median $14,077 | 34 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,019 – $22,653 · median $8,283 | 34 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,374 – $33,288 · median $13,156 | 34 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $9,507 – $42,916 · median $17,567 | 34 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,310 – $28,483 · median $10,954 | 34 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,005 – $22,591 · median $8,254 | 34 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $24,626 – $111,159 · median $48,450 | 34 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,810 – $84,907 · median $36,517 | 34 plans |
| 652 | KIDNEY TRANSPLANT | $16,755 – $75,629 · median $32,299 | 34 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $29,583 – $133,536 · median $58,623 | 34 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,477 – $69,861 · median $29,677 | 34 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,660 – $52,632 · median $21,941 | 34 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,711 – $79,945 · median $34,261 | 34 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $10,383 – $46,867 · median $19,378 | 34 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,722 – $39,369 · median $15,942 | 34 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,258 – $64,360 · median $27,177 | 34 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,881 – $35,575 · median $14,204 | 34 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,275 – $28,325 · median $10,882 | 34 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $17,002 – $76,744 · median $32,806 | 34 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,842 – $39,911 · median $16,190 | 34 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,548 – $29,556 · median $11,446 | 34 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,611 – $84,008 · median $35,357 | 34 plans |
| 666 | PROSTATECTOMY WITH CC | $9,456 – $42,684 · median $17,461 | 34 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,281 – $28,353 · median $10,895 | 34 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $15,960 – $72,041 · median $30,668 | 34 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,945 – $40,376 · median $16,404 | 34 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,912 – $26,685 · median $10,130 | 34 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,848 – $44,452 · median $18,271 | 34 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,623 – $29,894 · median $11,601 | 34 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,485 – $101,496 · median $42,933 | 34 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,844 – $57,978 · median $24,276 | 34 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,036 – $40,787 · median $16,592 | 34 plans |
| 682 | RENAL FAILURE WITH MCC | $8,711 – $39,321 · median $15,920 | 34 plans |
| 683 | RENAL FAILURE WITH CC | $5,569 – $25,140 · median $9,422 | 34 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,127 – $18,628 · median $6,438 | 34 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,678 – $48,199 · median $19,830 | 34 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,409 – $28,929 · median $11,159 | 34 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,725 – $21,330 · median $7,677 | 34 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,012 – $31,650 · median $12,405 | 34 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,127 – $23,144 · median $8,508 | 34 plans |
| 693 | URINARY STONES WITH MCC | $8,550 – $38,592 · median $15,586 | 34 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,019 – $22,653 · median $8,283 | 34 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,794 – $30,667 · median $11,955 | 34 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,559 – $20,580 · median $7,333 | 34 plans |
| 697 | URETHRAL STRICTURE | $6,148 – $27,752 · median $10,619 | 34 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $9,628 – $43,462 · median $17,818 | 34 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,241 – $28,170 · median $10,811 | 34 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,572 – $20,636 · median $7,359 | 34 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,959 – $49,469 · median $20,559 | 34 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,612 – $38,872 · median $15,714 | 34 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,530 – $56,560 · median $23,657 | 34 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,708 – $39,309 · median $15,915 | 34 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,806 – $48,775 · median $20,252 | 34 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,496 – $29,320 · median $11,338 | 34 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,425 – $38,028 · median $15,328 | 34 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,830 – $26,315 · median $9,961 | 34 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,588 – $56,819 · median $23,770 | 34 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,288 – $37,410 · median $14,978 | 34 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $10,523 – $47,501 · median $19,668 | 34 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,327 – $33,075 · median $13,058 | 34 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $9,874 – $44,572 · median $18,326 | 34 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $6,769 – $30,553 · median $11,903 | 34 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,748 – $21,432 · median $7,723 | 34 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,485 – $33,785 · median $13,384 | 34 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,829 – $21,797 · median $7,891 | 34 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $8,545 – $38,569 · median $15,576 | 34 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,201 – $23,479 · median $8,661 | 34 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,656 – $30,044 · median $11,670 | 34 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,124 – $18,616 · median $6,433 | 34 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,791 – $53,222 · median $22,199 | 34 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,235 – $32,658 · median $12,867 | 34 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,194 – $95,667 · median $41,408 | 34 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $11,256 – $50,806 · median $21,144 | 34 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,788 – $39,668 · median $16,003 | 34 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $21,416 – $96,668 · median $41,864 | 34 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,333 – $46,640 · median $19,274 | 34 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,054 – $36,353 · median $14,560 | 34 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,376 – $46,834 · median $19,363 | 34 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,157 – $32,307 · median $12,706 | 34 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,028 – $49,779 · median $20,695 | 34 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,266 – $28,284 · median $10,863 | 34 plans |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,596 – $43,316 · median $17,744 | 34 plans |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,909 – $26,674 · median $10,125 | 34 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $7,996 – $36,091 · median $14,440 | 34 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $14,280 – $64,460 · median $27,222 | 34 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,623 – $34,407 · median $13,669 | 34 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,286 – $46,432 · median $19,179 | 34 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,703 – $30,257 · median $11,767 | 34 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,908 – $26,669 · median $10,123 | 34 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,267 – $37,317 · median $15,002 | 34 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,238 – $28,157 · median $10,805 | 34 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,294 – $19,382 · median $6,784 | 34 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,065 – $27,377 · median $10,447 | 34 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,263 – $19,241 · median $6,666 | 34 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,021 – $29,938 · median $11,529 | 34 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,135 – $36,721 · median $14,729 | 34 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,528 – $29,468 · median $11,316 | 34 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,671 – $21,082 · median $7,563 | 34 plans |
| 779 | ABORTION WITHOUT D&C | $5,805 – $26,202 · median $9,909 | 34 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,095 – $47,191 · median $19,372 | 34 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,564 – $29,630 · median $11,389 | 34 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,491 – $24,784 · median $9,186 | 34 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,095 – $41,958 · median $16,993 | 34 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,456 – $29,140 · median $11,166 | 34 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,650 – $25,505 · median $9,514 | 34 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,021 – $34,109 · median $13,425 | 34 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,021 – $26,974 · median $10,182 | 34 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,976 – $26,974 · median $10,263 | 34 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $25,382 – $114,571 · median $50,002 | 34 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $15,947 – $71,983 · median $30,279 | 34 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,428 – $42,555 · median $17,402 | 34 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $19,386 – $87,505 · median $37,698 | 34 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,136 – $45,754 · median $18,868 | 34 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $6,680 – $30,153 · median $11,719 | 34 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,021 – $27,664 · median $10,495 | 34 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,722 – $21,316 · median $7,610 | 34 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,280 – $19,320 · median $6,702 | 34 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,752 – $57,559 · median $24,093 | 34 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,361 – $33,227 · median $13,128 | 34 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,892 – $26,595 · median $10,089 | 34 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,224 – $37,123 · median $14,913 | 34 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,744 – $25,926 · median $9,783 | 34 plans |
| 813 | COAGULATION DISORDERS | $8,947 – $40,387 · median $16,409 | 34 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,728 – $52,937 · median $21,899 | 34 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,221 – $28,083 · median $10,771 | 34 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,393 – $19,831 · median $6,990 | 34 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,006 – $63,222 · median $26,659 | 34 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,615 – $34,372 · median $13,653 | 34 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,198 – $23,465 · median $8,655 | 34 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $30,853 – $139,266 · median $60,533 | 34 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $12,455 – $56,220 · median $23,508 | 34 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,875 – $31,034 · median $12,123 | 34 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $24,996 – $112,829 · median $48,950 | 34 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,286 – $55,456 · median $23,175 | 34 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,322 – $33,049 · median $13,046 | 34 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,488 – $115,050 · median $50,219 | 34 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $13,108 – $59,169 · median $24,817 | 34 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,229 – $41,657 · median $16,991 | 34 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,818 – $75,915 · median $32,429 | 34 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,509 – $38,409 · median $15,502 | 34 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,913 – $31,203 · median $12,201 | 34 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,844 – $21,867 · median $7,922 | 34 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,673 – $16,601 · median $5,564 | 34 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $29,341 – $132,442 · median $58,125 | 34 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $11,960 – $53,987 · median $22,533 | 34 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,526 – $33,972 · median $13,469 | 34 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,676 – $120,410 · median $52,656 | 34 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $11,408 – $51,496 · median $21,445 | 34 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,037 – $36,279 · median $14,526 | 34 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,357 – $78,349 · median $33,536 | 34 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,050 – $40,850 · median $16,621 | 34 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,405 – $28,911 · median $11,150 | 34 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,717 – $48,375 · median $20,069 | 34 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,139 – $32,226 · median $12,669 | 34 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,302 – $23,935 · median $8,870 | 34 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,102 – $63,655 · median $26,856 | 34 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,526 – $33,972 · median $13,469 | 34 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,211 – $23,521 · median $8,680 | 34 plans |
| 849 | RADIOTHERAPY | $14,703 – $66,368 · median $27,717 | 34 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $26,645 – $120,274 · median $52,594 | 34 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $11,254 – $50,800 · median $21,141 | 34 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,345 – $42,182 · median $17,231 | 34 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $24,136 – $108,945 · median $47,444 | 34 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,181 – $54,982 · median $22,967 | 34 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,617 – $34,382 · median $13,657 | 34 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $10,437 – $47,112 · median $19,490 | 34 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,138 – $27,708 · median $10,599 | 34 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,616 – $25,350 · median $9,519 | 34 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,578 – $38,719 · median $15,645 | 34 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,548 – $25,045 · median $9,379 | 34 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,003 – $54,182 · median $22,618 | 34 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,396 – $28,869 · median $11,131 | 34 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,702 – $21,223 · median $7,628 | 34 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $36,666 – $165,504 · median $73,155 | 34 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,070 – $49,967 · median $20,777 | 34 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,298 – $28,427 · median $10,929 | 34 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $21,153 – $95,482 · median $40,328 | 34 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,927 – $26,752 · median $10,161 | 34 plans |
| 881 | DEPRESSIVE NEUROSES | $5,699 – $25,723 · median $9,689 | 34 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,944 – $26,831 · median $10,117 | 34 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,515 – $47,464 · median $19,496 | 34 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,574 – $43,214 · median $17,704 | 34 plans |
| 885 | PSYCHOSES | $8,238 – $37,186 · median $14,824 | 34 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,221 – $46,136 · median $18,892 | 34 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,110 – $32,092 · median $12,608 | 34 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $4,212 – $19,014 · median $6,563 | 34 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,434 – $38,072 · median $15,348 | 34 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,140 – $45,773 · median $18,876 | 34 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,535 – $24,985 · median $9,351 | 34 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,720 – $107,069 · median $46,591 | 34 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,739 – $48,475 · median $20,115 | 34 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,262 – $32,779 · median $12,922 | 34 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,802 – $93,897 · median $40,288 | 34 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,461 – $42,705 · median $17,471 | 34 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,199 – $55,065 · median $22,821 | 34 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,430 – $96,733 · median $41,893 | 34 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $11,351 – $51,239 · median $21,332 | 34 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,514 – $33,917 · median $13,444 | 34 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,308 – $42,013 · median $17,154 | 34 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,710 – $25,776 · median $9,714 | 34 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,921 – $44,780 · median $18,422 | 34 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,417 – $19,940 · median $7,039 | 34 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,417 – $42,509 · median $17,327 | 34 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,547 – $25,040 · median $9,327 | 34 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $10,360 – $46,763 · median $19,330 | 34 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,220 – $28,078 · median $10,769 | 34 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,538 – $20,486 · median $7,290 | 34 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,672 – $43,658 · median $17,780 | 34 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,241 – $28,170 · median $10,756 | 34 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $122,592 – $558,696 · median $238,668 | 34 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $35,243 – $159,082 · median $69,957 | 34 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,313 – $78,150 · median $33,260 | 34 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,189 – $104,673 · median $44,309 | 34 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $12,011 – $54,216 · median $22,453 | 34 plans |
| 935 | NON-EXTENSIVE BURNS | $12,270 – $55,387 · median $22,985 | 34 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $17,280 – $78,002 · median $33,378 | 34 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,835 – $53,421 · median $22,286 | 34 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,030 – $49,786 · median $20,698 | 34 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,606 – $34,331 · median $13,634 | 34 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,086 – $22,956 · median $8,422 | 34 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,544 – $29,538 · median $11,437 | 34 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,018 – $18,135 · median $6,213 | 34 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,920 – $17,693 · median $6,010 | 34 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,009 – $162,539 · median $71,807 | 34 plans |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,603 – $93,002 · median $40,196 | 34 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $39,267 – $177,249 · median $78,494 | 34 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $22,076 – $99,650 · median $43,219 | 34 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,564 – $65,739 · median $27,803 | 34 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,937 – $67,423 · median $28,569 | 34 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,702 – $39,279 · median $15,901 | 34 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,691 – $25,688 · median $9,674 | 34 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,426 – $150,879 · median $66,507 | 34 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,612 – $65,957 · median $27,902 | 34 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $16,318 – $73,658 · median $31,403 | 34 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,298 – $37,458 · median $15,067 | 34 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,154 – $27,779 · median $10,551 | 34 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,404 – $37,933 · median $15,163 | 34 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,377 – $114,551 · median $49,992 | 34 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,561 – $61,214 · median $25,747 | 34 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,563 – $43,168 · median $17,683 | 34 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,740 – $75,564 · median $32,012 | 33 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $56,844 – $256,590 · median $113,645 | 33 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,232 – $168,060 · median $73,723 | 33 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $32,760 – $147,874 · median $64,620 | 33 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,855 – $112,191 · median $48,529 | 33 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $26,656 – $120,320 · median $52,194 | 33 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,436 – $78,705 · median $33,428 | 33 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $32,719 – $147,689 · median $64,537 | 33 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $15,604 – $70,433 · median $29,698 | 33 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $10,286 – $46,430 · median $19,178 | 33 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $22,843 – $103,111 · median $44,434 | 33 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,389 – $78,490 · median $33,331 | 33 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $15,682 – $70,787 · median $29,857 | 33 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,712 – $61,897 · median $25,848 | 33 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,769 – $39,582 · median $16,040 | 33 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,773 – $30,574 · median $11,912 | 33 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,064 – $95,079 · median $40,812 | 33 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,700 – $246,908 · median $109,279 | 33 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $37,415 – $168,886 · median $74,095 | 33 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $29,222 – $131,905 · median $57,419 | 33 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $43,759 – $197,523 · median $87,009 | 33 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $29,050 – $131,128 · median $57,068 | 33 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,375 – $159,679 · median $69,943 | 33 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,942 – $99,042 · median $42,599 | 33 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,408 – $123,716 · median $53,726 | 33 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,829 – $75,966 · median $32,193 | 33 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,224 – $217,679 · median $96,099 | 33 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,965 – $85,606 · median $35,559 | 31 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,808 – $44,274 · median $17,901 | 31 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,936 – $31,307 · median $12,054 | 31 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,252 – $46,277 · median $19,108 | 29 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $31,481 – $142,100 · median $59,026 | 29 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,821 – $98,496 · median $40,914 | 29 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $13,568 – $61,247 · median $25,441 | 29 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $22,387 – $101,055 · median $41,977 | 29 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,579 – $38,726 · median $15,648 | 29 plans |
| 795 | NORMAL NEWBORN | $2,038 – $9,199 · median $2,915 | 29 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,837 – $39,890 · median $13,133 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,736 – $30,405 · median $10,010 | 24 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.