Inova Fairfax Medical Campus — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $47,819 – $145,921 · median $103,982 | 26 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $36,773 – $110,976 · median $79,695 | 26 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $24,346 – $71,664 · median $52,903 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $324,082 – $1,019,867 · median $764,514 | 26 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $70,603 – $217,996 · median $152,818 | 26 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $47,349 – $144,434 · median $101,975 | 26 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,303 – $74,693 · median $55,991 | 26 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $50,463 – $154,283 · median $109,612 | 26 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $34,191 – $102,809 · median $73,886 | 26 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $39,924 – $120,944 · median $86,420 | 26 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $27,839 – $82,714 · median $59,100 | 26 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $22,788 – $66,737 · median $47,813 | 26 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $53,663 – $164,408 · median $115,919 | 26 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $30,387 – $90,775 · median $64,854 | 26 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,716 – $60,181 · median $42,395 | 26 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $37,516 – $113,326 · median $82,966 | 26 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,948 – $57,753 · median $40,904 | 26 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,331 – $43,147 · median $31,200 | 26 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $34,935 – $105,162 · median $74,395 | 26 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,138 – $61,517 · median $44,660 | 26 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,363 – $49,573 · median $36,137 | 26 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,081 – $89,807 · median $63,411 | 26 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,466 – $43,574 · median $30,996 | 26 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,422 – $30,780 · median $22,160 | 26 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,938 – $102,009 · median $73,128 | 26 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,997 – $61,069 · median $42,759 | 26 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,717 – $47,531 · median $33,428 | 26 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,896 – $54,424 · median $37,101 | 26 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,569 – $24,917 · median $18,188 | 26 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,507 – $40,540 · median $28,993 | 26 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,019 – $29,504 · median $20,514 | 26 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,099 – $67,718 · median $46,917 | 26 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,099 – $36,086 · median $25,234 | 26 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,472 – $49,919 · median $34,552 | 26 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,152 – $33,090 · median $23,616 | 26 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,321 – $24,133 · median $17,358 | 26 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,802 – $73,108 · median $52,318 | 26 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,916 – $48,161 · median $33,931 | 26 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,701 – $37,990 · median $26,925 | 26 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,697 – $53,794 · median $38,336 | 26 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,385 – $27,500 · median $19,437 | 26 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,576 – $18,614 · median $13,162 | 26 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,129 – $39,345 · median $28,020 | 26 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,228 – $23,838 · median $16,746 | 26 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,532 – $21,637 · median $15,329 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $16,556 – $47,022 · median $32,694 | 26 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,702 – $28,501 · median $19,954 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $8,105 – $20,288 · median $14,438 | 26 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,905 – $41,798 · median $30,164 | 26 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,603 – $28,190 · median $19,881 | 26 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,902 – $44,951 · median $33,696 | 26 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,530 – $24,796 · median $16,903 | 26 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,524 – $53,248 · median $36,710 | 26 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,427 – $24,469 · median $17,265 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,527 – $62,745 · median $44,173 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,578 – $37,601 · median $26,707 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,865 – $25,856 · median $18,329 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,063 – $61,279 · median $43,499 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,904 – $35,470 · median $25,067 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,249 – $23,906 · median $17,226 | 26 plans |
| 088 | CONCUSSION WITH MCC | $13,752 – $38,150 · median $26,525 | 26 plans |
| 089 | CONCUSSION WITH CC | $10,857 – $28,993 · median $20,795 | 26 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,021 – $23,184 · median $16,129 | 26 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,275 – $49,297 · median $34,348 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,743 – $28,630 · median $19,976 | 26 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,440 – $21,345 · median $15,197 | 26 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,883 – $98,672 · median $68,788 | 26 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,185 – $64,827 · median $47,606 | 26 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,185 – $64,827 · median $47,606 | 26 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,335 – $96,938 · median $68,973 | 26 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,237 – $58,664 · median $42,727 | 26 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,603 – $37,679 · median $26,435 | 26 plans |
| 100 | SEIZURES WITH MCC | $18,664 – $53,688 · median $37,626 | 26 plans |
| 101 | SEIZURES WITHOUT MCC | $9,571 – $24,926 · median $17,499 | 26 plans |
| 102 | HEADACHES WITH MCC | $11,604 – $31,356 · median $21,882 | 26 plans |
| 103 | HEADACHES WITHOUT MCC | $8,960 – $22,992 · median $16,175 | 26 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $20,817 – $60,501 · median $43,923 | 26 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,797 – $31,968 · median $23,964 | 26 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,780 – $41,403 · median $29,389 | 26 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,956 – $45,124 · median $33,253 | 26 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,345 – $27,373 · median $20,064 | 26 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,636 – $31,456 · median $22,303 | 26 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,491 – $18,343 · median $13,751 | 26 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,558 – $21,721 · median $15,358 | 26 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,839 – $35,261 · median $25,173 | 26 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,751 – $22,329 · median $15,490 | 26 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,304 – $65,203 · median $44,449 | 26 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,054 – $26,453 · median $19,090 | 26 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,648 – $37,822 · median $27,670 | 26 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,646 – $21,999 · median $16,254 | 26 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,429 – $37,130 · median $25,311 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $37,846 – $114,370 · median $81,413 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,059 – $58,102 · median $41,488 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,134 – $42,522 · median $30,365 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,919 – $89,293 · median $66,936 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,709 – $47,506 · median $33,466 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,821 – $32,041 · median $22,874 | 26 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,303 – $62,039 · median $42,864 | 26 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,333 – $33,663 · median $24,108 | 26 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,217 – $20,642 · median $14,940 | 26 plans |
| 149 | DYSEQUILIBRIUM | $8,082 – $20,215 · median $14,369 | 26 plans |
| 150 | EPISTAXIS WITH MCC | $13,508 – $37,379 · median $26,043 | 26 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,172 – $20,499 · median $14,316 | 26 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,393 – $30,688 · median $22,186 | 26 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,776 – $19,247 · median $13,885 | 26 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,595 – $43,980 · median $30,614 | 26 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,673 – $25,247 · median $17,745 | 26 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,440 – $18,184 · median $13,061 | 26 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,690 – $44,283 · median $32,112 | 26 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,733 – $25,437 · median $17,756 | 26 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,331 – $17,838 · median $13,088 | 26 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,094 – $124,647 · median $87,221 | 26 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,209 – $68,067 · median $48,322 | 26 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,627 – $50,408 · median $36,192 | 26 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,607 – $104,124 · median $72,804 | 26 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,312 – $49,413 · median $34,818 | 26 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,266 – $36,614 · median $26,071 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,924 – $82,984 · median $58,001 | 26 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,738 – $38,106 · median $26,696 | 26 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,655 – $22,027 · median $15,531 | 26 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,511 – $43,715 · median $30,507 | 26 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,173 – $26,829 · median $18,876 | 26 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,272 – $20,815 · median $14,625 | 26 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,633 – $47,266 · median $33,675 | 26 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,184 – $30,026 · median $20,933 | 26 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,852 – $22,649 · median $15,440 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,261 – $42,925 · median $29,915 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,823 – $28,885 · median $20,443 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,340 – $21,031 · median $14,990 | 26 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,199 – $42,728 · median $30,099 | 26 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,275 – $27,151 · median $19,115 | 26 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,969 – $19,855 · median $13,923 | 26 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,270 – $33,463 · median $23,707 | 26 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,292 – $30,369 · median $21,393 | 26 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,036 – $23,233 · median $16,326 | 26 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,225 – $17,502 · median $12,362 | 26 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,957 – $35,635 · median $25,234 | 26 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,702 – $22,175 · median $15,594 | 26 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,015 – $16,840 · median $11,991 | 26 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,799 – $50,952 · median $36,152 | 26 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,155 – $26,773 · median $18,614 | 26 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,445 – $18,200 · median $13,294 | 26 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,783 – $47,739 · median $33,835 | 26 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,160 – $29,950 · median $21,160 | 26 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,480 – $18,311 · median $13,325 | 26 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,956 – $26,142 · median $18,575 | 26 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,647 – $18,838 · median $13,116 | 26 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,625 – $21,932 · median $15,517 | 26 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,830 – $51,052 · median $35,681 | 26 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,435 – $24,496 · median $17,686 | 26 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $56,977 – $174,892 · median $123,702 | 26 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $24,635 – $72,578 · median $52,043 | 26 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES | $94,819 – $294,604 · median $208,690 | 26 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,262 – $286,515 · median $199,209 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $84,195 – $260,995 · median $186,231 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $56,898 – $174,641 · median $124,878 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,550 – $160,887 · median $119,723 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $67,837 – $209,245 · median $147,816 | 26 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $46,971 – $143,239 · median $101,880 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,952 – $124,198 · median $92,099 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $44,292 – $134,763 · median $95,220 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $28,247 – $84,004 · median $59,947 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $74,132 – $229,160 · median $162,072 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $53,913 – $165,198 · median $116,706 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $68,511 – $211,379 · median $148,317 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $47,172 – $143,874 · median $103,292 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $51,994 – $159,126 · median $112,677 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $36,845 – $111,204 · median $79,534 | 26 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $44,750 – $136,213 · median $95,531 | 26 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,587 – $78,755 · median $55,278 | 26 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,600 – $40,832 · median $28,112 | 26 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $30,689 – $91,730 · median $63,778 | 26 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $20,950 – $60,922 · median $42,358 | 26 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,120 – $48,805 · median $34,627 | 26 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,467 – $132,154 · median $91,872 | 26 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,462 – $62,540 · median $43,483 | 26 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,050 – $42,257 · median $29,381 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $31,017 – $92,768 · median $66,294 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,517 – $69,041 · median $49,334 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,647 – $47,309 · median $33,833 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,059 – $70,758 · median $50,897 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,171 – $45,803 · median $32,511 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,468 – $23,709 · median $16,068 | 26 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,675 – $75,869 · median $56,832 | 26 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,718 – $47,533 · median $35,632 | 26 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $30,810 – $92,114 · median $64,045 | 26 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,914 – $51,317 · median $36,319 | 26 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,667 – $41,046 · median $30,114 | 26 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,620 – $72,532 · median $54,372 | 26 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,570 – $94,518 · median $65,717 | 26 plans |
| 265 | AICD LEAD PROCEDURES | $32,187 – $96,468 · median $68,855 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $52,905 – $162,009 · median $116,105 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $41,911 – $127,229 · median $90,710 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $58,691 – $180,312 · median $129,738 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $37,260 – $112,518 · median $80,338 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $45,572 – $138,812 · median $99,710 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $31,137 – $93,147 · median $67,051 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,082 – $67,667 · median $48,434 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $35,120 – $105,746 · median $76,917 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,372 – $84,401 · median $61,382 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $62,105 – $191,113 · median $136,069 | 26 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $54,645 – $167,515 · median $117,068 | 26 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $41,459 – $125,801 · median $88,889 | 26 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $44,463 – $135,304 · median $101,015 | 26 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $29,085 – $86,657 · median $64,960 | 26 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,724 – $44,388 · median $31,133 | 26 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,572 – $24,928 · median $17,649 | 26 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,891 – $19,609 · median $13,884 | 26 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,408 – $52,880 · median $37,720 | 26 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,027 – $20,039 · median $13,933 | 26 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,491 – $15,182 · median $11,103 | 26 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,613 – $59,854 · median $42,431 | 26 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,008 – $29,469 · median $20,716 | 26 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,043 – $73,868 · median $52,142 | 26 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,171 – $42,639 · median $31,407 | 26 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,061 – $26,475 · median $18,408 | 26 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,846 – $35,286 · median $24,827 | 26 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,054 – $23,289 · median $16,402 | 26 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,383 – $14,838 · median $10,677 | 26 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,698 – $44,307 · median $30,806 | 26 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,714 – $19,049 · median $12,986 | 26 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,468 – $11,945 · median $8,590 | 26 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,520 – $43,745 · median $31,151 | 26 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,844 – $28,952 · median $20,499 | 26 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,791 – $19,292 · median $13,735 | 26 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,637 – $31,459 · median $22,605 | 26 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,440 – $18,184 · median $12,899 | 26 plans |
| 304 | HYPERTENSION WITH MCC | $11,735 – $31,770 · median $22,662 | 26 plans |
| 305 | HYPERTENSION WITHOUT MCC | $8,110 – $20,301 · median $14,433 | 26 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,493 – $40,494 · median $29,418 | 26 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,612 – $25,053 · median $17,643 | 26 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,001 – $32,611 · median $23,104 | 26 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,012 – $19,993 · median $14,142 | 26 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,475 – $15,131 · median $10,787 | 26 plans |
| 311 | ANGINA PECTORIS | $7,662 – $18,884 · median $13,421 | 26 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,141 – $23,563 · median $16,708 | 26 plans |
| 313 | CHEST PAIN | $7,791 – $19,292 · median $13,738 | 26 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,102 – $58,237 · median $40,672 | 26 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,918 – $26,023 · median $18,459 | 26 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,528 – $18,462 · median $13,084 | 26 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $54,577 – $167,299 · median $123,131 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $39,244 – $118,794 · median $84,857 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,480 – $62,599 · median $45,200 | 26 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $26,028 – $76,986 · median $53,527 | 26 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,158 – $48,926 · median $34,270 | 26 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $38,104 – $115,187 · median $82,280 | 26 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,006 – $86,405 · median $60,861 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $26,159 – $77,400 · median $58,020 | 26 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $45,110 – $137,351 · median $96,552 | 26 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,449 – $65,663 · median $46,699 | 26 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,314 – $43,093 · median $30,632 | 26 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $40,946 – $124,179 · median $88,082 | 26 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,898 – $63,922 · median $45,622 | 26 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,806 – $44,648 · median $31,943 | 26 plans |
| 332 | RECTAL RESECTION WITH MCC | $31,345 – $93,804 · median $67,879 | 26 plans |
| 333 | RECTAL RESECTION WITH CC | $19,860 – $57,474 · median $42,709 | 26 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,871 – $44,854 · median $31,613 | 26 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,667 – $97,988 · median $68,997 | 26 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,749 – $57,123 · median $40,467 | 26 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,815 – $41,514 · median $29,432 | 26 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,726 – $72,867 · median $50,663 | 26 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,418 – $40,259 · median $28,687 | 26 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,338 – $33,677 · median $23,415 | 26 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,925 – $64,005 · median $44,735 | 26 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,454 – $34,044 · median $24,588 | 26 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,223 – $23,822 · median $16,796 | 26 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $22,369 – $65,409 · median $47,035 | 26 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,553 – $40,686 · median $29,027 | 26 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,118 – $29,818 · median $21,729 | 26 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,765 – $79,317 · median $55,954 | 26 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,234 – $46,003 · median $32,446 | 26 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,089 – $36,054 · median $25,668 | 26 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $38,158 – $115,357 · median $82,935 | 26 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,944 – $60,901 · median $43,842 | 26 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,276 – $36,646 · median $26,368 | 26 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,968 – $45,162 · median $31,400 | 26 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,391 – $27,519 · median $19,353 | 26 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,659 – $18,876 · median $13,408 | 26 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,635 – $47,271 · median $33,741 | 26 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,491 – $27,835 · median $19,660 | 26 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,893 – $19,617 · median $13,926 | 26 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,742 – $57,099 · median $40,729 | 26 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,196 – $33,228 · median $23,385 | 26 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,241 – $23,879 · median $17,303 | 26 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,235 – $49,170 · median $34,949 | 26 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,120 – $26,662 · median $18,856 | 26 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,135 – $17,218 · median $12,151 | 26 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,142 – $52,039 · median $37,237 | 26 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,002 – $29,453 · median $20,831 | 26 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,098 – $20,263 · median $14,830 | 26 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,499 – $34,188 · median $25,291 | 26 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,126 – $23,517 · median $16,539 | 26 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,582 – $43,939 · median $30,768 | 26 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,177 – $26,840 · median $18,883 | 26 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,422 – $18,127 · median $12,951 | 26 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,258 – $39,751 · median $28,245 | 26 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,545 – $21,678 · median $15,262 | 26 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,370 – $14,798 · median $10,463 | 26 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,673 – $34,737 · median $24,481 | 26 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,363 – $21,102 · median $14,954 | 26 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,849 – $44,783 · median $31,238 | 26 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,739 – $25,456 · median $17,997 | 26 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,132 – $17,210 · median $12,316 | 26 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,874 – $67,007 · median $46,758 | 26 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,628 – $40,921 · median $29,016 | 26 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,299 – $30,391 · median $21,735 | 26 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $35,136 – $105,798 · median $75,987 | 26 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $48,100 – $146,808 · median $104,462 | 26 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $25,700 – $75,948 · median $54,675 | 26 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $19,950 – $57,758 · median $41,707 | 26 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $31,623 – $94,686 · median $67,712 | 26 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,614 – $56,696 · median $40,926 | 26 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,952 – $41,946 · median $30,070 | 26 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,888 – $73,378 · median $55,006 | 26 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,914 – $57,645 · median $40,606 | 26 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,904 – $44,959 · median $31,857 | 26 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $31,645 – $94,753 · median $67,710 | 26 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,602 – $53,494 · median $38,727 | 26 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,405 – $37,054 · median $26,208 | 26 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,008 – $64,268 · median $45,654 | 26 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,869 – $44,848 · median $32,097 | 26 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,956 – $35,632 · median $25,698 | 26 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,864 – $95,448 · median $66,565 | 26 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,691 – $44,286 · median $32,301 | 26 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,253 – $39,737 · median $27,628 | 26 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $36,463 – $109,995 · median $78,758 | 26 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,211 – $61,747 · median $42,932 | 26 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,907 – $41,803 · median $29,226 | 26 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,242 – $283,286 · median $205,777 | 26 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $62,410 – $192,078 · median $137,227 | 26 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $48,744 – $148,847 · median $106,596 | 26 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $72,992 – $225,555 · median $165,960 | 26 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $48,457 – $147,939 · median $107,566 | 26 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,440 – $52,980 · median $37,644 | 26 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,837 – $28,931 · median $20,388 | 26 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,646 – $18,835 · median $13,499 | 26 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,290 – $49,343 · median $35,092 | 26 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,332 – $30,496 · median $21,652 | 26 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,405 – $21,234 · median $15,670 | 26 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,914 – $44,991 · median $31,595 | 26 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,046 – $23,262 · median $16,321 | 26 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,950 – $16,634 · median $11,850 | 26 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,852 – $51,122 · median $35,544 | 26 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,952 – $26,129 · median $18,517 | 26 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,699 – $19,003 · median $13,446 | 26 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,091 – $45,551 · median $32,173 | 26 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,963 – $29,328 · median $20,883 | 26 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,508 – $21,561 · median $15,558 | 26 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $59,008 – $181,315 · median $128,340 | 26 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $36,600 – $110,430 · median $79,714 | 26 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $45,718 – $139,274 · median $100,365 | 26 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $28,073 – $83,455 · median $60,473 | 26 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $74,092 – $229,033 · median $161,785 | 26 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $50,756 – $155,211 · median $112,063 | 26 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,605 – $116,772 · median $81,475 | 26 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $52,905 – $162,009 · median $111,866 | 26 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,174 – $77,446 · median $53,691 | 26 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,863 – $146,059 · median $106,251 | 26 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $26,898 – $79,739 · median $58,035 | 26 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,533 – $46,949 · median $34,078 | 26 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $45,244 – $137,773 · median $98,680 | 26 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $30,973 – $92,628 · median $66,588 | 26 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,118 – $70,942 · median $51,423 | 26 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,635 – $88,395 · median $61,251 | 26 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,810 – $50,990 · median $36,543 | 26 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $43,215 – $131,356 · median $92,871 | 26 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $26,459 – $78,349 · median $55,990 | 26 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,930 – $64,022 · median $46,058 | 26 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,030 – $121,280 · median $84,324 | 26 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,134 – $58,340 · median $42,432 | 26 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,635 – $31,454 · median $22,455 | 26 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,091 – $93,001 · median $66,077 | 26 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,684 – $63,243 · median $45,928 | 26 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,873 – $48,023 · median $34,798 | 26 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,833 – $79,533 · median $56,128 | 26 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,430 – $56,112 · median $39,959 | 26 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,254 – $42,901 · median $30,819 | 26 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $23,476 – $68,911 · median $50,878 | 26 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,213 – $87,060 · median $61,794 | 26 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,823 – $57,356 · median $40,395 | 26 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,201 – $42,733 · median $30,171 | 26 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,494 – $53,150 · median $36,233 | 26 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,279 – $33,490 · median $22,854 | 26 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $32,050 – $96,035 · median $69,175 | 26 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,217 – $64,930 · median $47,255 | 26 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,810 – $50,987 · median $37,243 | 26 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $31,788 – $95,208 · median $68,450 | 26 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,558 – $53,356 · median $36,679 | 26 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,169 – $36,308 · median $24,751 | 26 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,276 – $68,281 · median $51,185 | 26 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,084 – $43,737 · median $22,273 | 26 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $28,780 – $85,691 · median $60,718 | 26 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,949 – $48,264 · median $33,887 | 26 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,636 – $37,784 · median $26,325 | 26 plans |
| 503 | FOOT PROCEDURES WITH MCC | $24,317 – $71,572 · median $52,049 | 26 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,695 – $47,460 · median $34,681 | 26 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,695 – $47,460 · median $33,990 | 26 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,507 – $40,540 · median $27,636 | 26 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,261 – $52,415 · median $36,404 | 26 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,305 – $33,574 · median $25,168 | 26 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $26,125 – $77,292 · median $56,266 | 26 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $18,458 – $53,037 · median $38,670 | 26 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,437 – $43,480 · median $31,257 | 26 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,563 – $40,716 · median $29,488 | 26 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,408 – $27,573 · median $19,573 | 26 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $28,128 – $83,628 · median $60,145 | 26 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $18,889 – $54,402 · median $39,170 | 26 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,453 – $40,367 · median $29,017 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $32,330 – $96,922 · median $70,101 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,549 – $53,326 · median $38,063 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,944 – $38,758 · median $28,027 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,609 – $78,822 · median $55,481 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,713 – $57,009 · median $40,505 | 26 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,728 – $41,238 · median $29,624 | 26 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,651 – $22,013 · median $15,535 | 26 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,061 – $35,964 · median $25,065 | 26 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,624 – $21,929 · median $15,518 | 26 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,548 – $24,853 · median $17,939 | 26 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,433 – $18,159 · median $13,316 | 26 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,981 – $54,692 · median $38,299 | 26 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,755 – $34,996 · median $24,832 | 26 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,171 – $23,660 · median $16,129 | 26 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,636 – $50,438 · median $35,069 | 26 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,761 – $28,690 · median $20,043 | 26 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,152 – $20,436 · median $14,479 | 26 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,294 – $68,335 · median $48,040 | 26 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,589 – $31,308 · median $22,158 | 26 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,071 – $20,179 · median $15,120 | 26 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,914 – $54,481 · median $37,880 | 26 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,994 – $32,590 · median $23,124 | 26 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,062 – $23,314 · median $16,637 | 26 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,279 – $46,146 · median $32,443 | 26 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,931 – $26,064 · median $18,456 | 26 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,857 – $35,318 · median $24,952 | 26 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,827 – $22,570 · median $15,961 | 26 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,204 – $36,416 · median $25,594 | 26 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,672 – $22,081 · median $15,782 | 26 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,940 – $41,909 · median $29,145 | 26 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,076 – $23,360 · median $16,827 | 26 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,561 – $50,200 · median $35,669 | 26 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,426 – $30,794 · median $21,718 | 26 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,681 – $22,110 · median $15,552 | 26 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,203 – $39,577 · median $27,710 | 26 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,333 – $24,171 · median $17,152 | 26 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,107 – $42,436 · median $29,855 | 26 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,409 – $27,576 · median $19,173 | 26 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $8,087 – $20,231 · median $14,354 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,425 – $81,405 · median $57,090 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,005 – $45,278 · median $32,239 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,458 – $30,894 · median $21,938 | 26 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $54,336 – $166,536 · median $121,625 | 26 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,312 – $93,701 · median $66,491 | 26 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,761 – $53,997 · median $36,809 | 26 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,814 – $145,905 · median $99,956 | 26 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,455 – $72,010 · median $50,945 | 26 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,143 – $45,713 · median $31,784 | 26 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,555 – $88,144 · median $62,304 | 26 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,849 – $47,947 · median $33,587 | 26 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,995 – $38,920 · median $27,629 | 26 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,662 – $47,358 · median $35,161 | 26 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,735 – $44,424 · median $32,234 | 26 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,195 – $55,368 · median $40,098 | 26 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,662 – $53,683 · median $37,554 | 26 plans |
| 592 | SKIN ULCERS WITH MCC | $19,271 – $55,609 · median $38,664 | 26 plans |
| 593 | SKIN ULCERS WITH CC | $12,145 – $33,065 · median $23,114 | 26 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,947 – $22,951 · median $16,436 | 26 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,773 – $57,199 · median $40,603 | 26 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,934 – $29,236 · median $20,741 | 26 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,709 – $47,506 · median $33,030 | 26 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,760 – $28,687 · median $20,976 | 26 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,000 – $23,119 · median $15,760 | 26 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,870 – $25,869 · median $19,109 | 26 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,817 – $16,212 · median $11,544 | 26 plans |
| 602 | CELLULITIS WITH MCC | $14,252 – $39,732 · median $27,736 | 26 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,222 – $23,819 · median $16,798 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,393 – $40,178 · median $28,362 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,588 – $24,980 · median $17,641 | 26 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,458 – $43,547 · median $30,278 | 26 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,080 – $23,371 · median $16,951 | 26 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,174 – $61,631 · median $42,907 | 26 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,942 – $38,753 · median $27,170 | 26 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,732 – $104,521 · median $71,348 | 26 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,205 – $52,236 · median $36,481 | 26 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,336 – $33,671 · median $25,241 | 26 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,000 – $73,733 · median $53,729 | 26 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,344 – $43,188 · median $30,649 | 26 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,681 – $101,195 · median $70,359 | 26 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,044 – $51,728 · median $35,965 | 26 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,206 – $27,176 · median $20,189 | 26 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $26,202 – $77,535 · median $56,354 | 26 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,595 – $40,816 · median $28,848 | 26 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,522 – $34,261 · median $24,845 | 26 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,422 – $106,704 · median $74,189 | 26 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,919 – $60,822 · median $42,487 | 26 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,671 – $37,895 · median $27,393 | 26 plans |
| 637 | DIABETES WITH MCC | $14,141 – $39,383 · median $27,745 | 26 plans |
| 638 | DIABETES WITH CC | $9,533 – $24,804 · median $17,396 | 26 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,049 – $16,945 · median $11,965 | 26 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,045 – $35,913 · median $25,530 | 26 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,372 – $21,131 · median $14,953 | 26 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,302 – $33,563 · median $25,160 | 26 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,860 – $44,818 · median $31,674 | 26 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,526 – $27,946 · median $19,737 | 26 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,349 – $21,058 · median $14,836 | 26 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $49,347 – $150,754 · median $104,714 | 26 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,817 – $76,318 · median $53,902 | 26 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,450 – $56,176 · median $40,183 | 26 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,543 – $88,106 · median $61,795 | 26 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,320 – $49,437 · median $35,067 | 26 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,549 – $40,673 · median $29,268 | 26 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,784 – $69,887 · median $49,157 | 26 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,147 – $36,238 · median $25,526 | 26 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,468 – $27,762 · median $19,763 | 26 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,360 – $84,363 · median $59,287 | 26 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,749 – $41,305 · median $29,220 | 26 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,923 – $29,201 · median $20,406 | 26 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,045 – $92,855 · median $63,635 | 26 plans |
| 666 | PROSTATECTOMY WITH CC | $15,774 – $44,548 · median $32,505 | 26 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,478 – $27,795 · median $20,415 | 26 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,622 – $78,866 · median $55,948 | 26 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,921 – $41,849 · median $29,711 | 26 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,862 – $25,845 · median $18,519 | 26 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,427 – $46,614 · median $33,693 | 26 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,048 – $29,596 · median $20,848 | 26 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $37,507 – $113,299 · median $80,436 | 26 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,426 – $62,426 · median $44,532 | 26 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,073 – $42,330 · median $30,699 | 26 plans |
| 682 | RENAL FAILURE WITH MCC | $14,531 – $40,616 · median $28,607 | 26 plans |
| 683 | RENAL FAILURE WITH CC | $9,291 – $24,039 · median $16,924 | 26 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,885 – $16,426 · median $11,582 | 26 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,812 – $50,995 · median $35,456 | 26 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,691 – $28,468 · median $20,139 | 26 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,883 – $19,585 · median $14,482 | 26 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,697 – $31,648 · median $22,348 | 26 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,553 – $21,705 · median $15,451 | 26 plans |
| 693 | URINARY STONES WITH MCC | $14,262 – $39,764 · median $27,336 | 26 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,372 – $21,131 · median $14,985 | 26 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,333 – $30,499 · median $21,768 | 26 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,606 – $18,708 · median $13,239 | 26 plans |
| 697 | URETHRAL STRICTURE | $10,008 – $26,307 · median $19,600 | 26 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,061 – $45,457 · median $31,988 | 26 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,411 – $27,581 · median $19,510 | 26 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,627 – $18,773 · median $13,271 | 26 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,282 – $52,480 · median $37,747 | 26 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,365 – $40,091 · median $28,891 | 26 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,902 – $60,768 · median $43,807 | 26 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,527 – $40,602 · median $28,221 | 26 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,999 – $51,587 · median $38,167 | 26 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,267 – $23,963 · median $17,963 | 26 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,053 – $39,104 · median $28,243 | 26 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,725 – $25,412 · median $19,050 | 26 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,997 – $61,071 · median $43,109 | 26 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,825 – $38,382 · median $27,679 | 26 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,554 – $50,178 · median $35,892 | 26 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,223 – $33,314 · median $24,624 | 26 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,472 – $46,755 · median $33,878 | 26 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,291 – $30,367 · median $21,708 | 26 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,308 – $17,765 · median $12,584 | 26 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,486 – $34,144 · median $23,644 | 26 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,056 – $20,131 · median $14,070 | 26 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,253 – $39,737 · median $28,295 | 26 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,677 – $22,097 · median $15,613 | 26 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,103 – $29,772 · median $20,726 | 26 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,880 – $16,412 · median $12,224 | 26 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,668 – $56,866 · median $40,563 | 26 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,069 – $32,828 · median $24,463 | 26 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $35,353 – $106,485 · median $72,923 | 26 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,776 – $54,043 · median $38,877 | 26 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,659 – $41,022 · median $28,646 | 26 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $35,723 – $107,655 · median $73,388 | 26 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,236 – $49,172 · median $34,784 | 26 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,434 – $37,146 · median $26,810 | 26 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,973 – $49,399 · median $31,604 | 26 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,806 – $32,416 · median $20,739 | 26 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,396 – $52,842 · median $38,323 | 26 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,453 – $27,714 · median $20,667 | 26 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,008 – $45,286 · median $32,672 | 26 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,858 – $25,831 · median $17,609 | 26 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,338 – $36,841 · median $26,345 | 26 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,821 – $70,004 · median $49,441 | 26 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,716 – $34,872 · median $26,141 | 26 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,159 – $48,929 · median $34,983 | 26 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,182 – $30,020 · median $21,082 | 26 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,856 – $25,826 · median $18,360 | 26 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,791 – $38,274 · median $27,286 | 26 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,406 – $27,565 · median $19,179 | 26 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,163 – $17,308 · median $12,484 | 26 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,118 – $26,654 · median $19,095 | 26 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,111 – $17,143 · median $11,686 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,595 – $23,262 · median $10,336 | 26 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,458 – $37,219 · median $27,900 | 26 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,890 – $29,098 · median $20,208 | 26 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,792 – $19,295 · median $13,290 | 26 plans |
| 779 | ABORTION WITHOUT D&C | $9,683 – $25,280 · median $17,233 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,797 – $53,295 · median $16,469 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,950 – $23,013 · median $13,940 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,159 – $20,792 · median $13,727 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,797 – $35,807 · median $15,506 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,769 – $24,243 · median $13,940 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,426 – $20,814 · median $13,727 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,595 – $25,333 · median $10,293 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,595 – $21,717 · median $9,969 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,595 – $20,777 · median $9,969 | 26 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,339 – $128,584 · median $89,402 | 26 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,601 – $78,798 · median $54,923 | 26 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,726 – $44,396 · median $33,281 | 26 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $32,337 – $96,944 · median $72,340 | 26 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,909 – $48,137 · median $34,841 | 26 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,143 – $29,899 · median $22,413 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,595 – $23,427 · median $10,224 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,595 – $16,368 · median $9,503 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $7,140 – $14,636 · median $8,839 | 26 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,271 – $61,937 · median $43,167 | 26 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,280 – $33,493 · median $23,993 | 26 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,829 – $25,740 · median $19,106 | 26 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,719 – $38,047 · median $26,951 | 26 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,582 – $24,958 · median $17,652 | 26 plans |
| 813 | COAGULATION DISORDERS | $14,925 – $41,863 · median $29,475 | 26 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,563 – $56,533 · median $40,408 | 26 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,378 – $27,478 · median $19,463 | 26 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,329 – $17,832 · median $12,398 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,688 – $59,113 · median $29,350 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,150 – $26,756 · median $20,057 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,466 – $22,192 · median $13,716 | 26 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $51,464 – $157,452 · median $112,015 | 26 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,776 – $60,371 · median $42,858 | 26 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,469 – $30,929 · median $22,473 | 26 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $41,695 – $126,548 · median $88,864 | 26 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,494 – $59,478 · median $42,767 | 26 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,214 – $33,285 · median $24,670 | 26 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $42,516 – $129,144 · median $90,678 | 26 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,866 – $63,819 · median $44,806 | 26 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,395 – $43,347 · median $31,644 | 26 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $28,054 – $83,395 · median $59,814 | 26 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,194 – $39,550 · median $28,425 | 26 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $48,943 – $149,475 · median $105,637 | 26 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $19,951 – $57,761 · median $40,499 | 26 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,313 – $33,598 · median $23,614 | 26 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $44,497 – $135,410 · median $94,169 | 26 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,030 – $54,849 · median $39,422 | 26 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,407 – $37,060 · median $26,939 | 26 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $28,954 – $86,240 · median $61,558 | 26 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,096 – $42,403 · median $30,636 | 26 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,684 – $28,447 · median $19,793 | 26 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,877 – $51,201 · median $37,218 | 26 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,909 – $32,322 · median $23,116 | 26 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,846 – $22,630 · median $16,178 | 26 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,523 – $69,062 · median $49,314 | 26 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,555 – $34,364 · median $24,702 | 26 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,693 – $22,146 · median $15,976 | 26 plans |
| 849 | RADIOTHERAPY | $24,526 – $72,235 · median $51,560 | 26 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,441 – $249,117 · median $173,207 | 26 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $44,446 – $135,250 · median $95,323 | 26 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,773 – $54,035 · median $38,310 | 26 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,589 – $43,961 · median $30,339 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $40,260 – $122,007 · median $86,836 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,319 – $58,924 · median $41,438 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,706 – $34,842 · median $25,647 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,410 – $49,724 · median $35,118 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,240 – $27,040 · median $19,153 | 26 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,369 – $24,285 · median $17,124 | 26 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,092 – $39,226 · median $28,242 | 26 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,256 – $23,928 · median $16,827 | 26 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,023 – $57,988 · median $40,651 | 26 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,669 – $28,398 · median $19,962 | 26 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,844 – $19,460 · median $13,888 | 26 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $61,160 – $188,125 · median $132,973 | 26 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,465 – $53,061 · median $37,442 | 26 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,506 – $27,881 · median $19,698 | 26 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,285 – $106,268 · median $72,808 | 26 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,860 – $32,165 · median $21,774 | 26 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $39,567 – $119,814 · median $83,304 | 26 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,914 – $51,317 · median $36,535 | 26 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,114 – $32,968 · median $22,926 | 26 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,699 – $104,416 · median $72,598 | 26 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,782 – $44,572 · median $30,385 | 26 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,349 – $59,021 · median $40,235 | 26 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,747 – $107,731 · median $75,075 | 26 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,935 – $54,548 · median $38,476 | 26 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,534 – $34,299 · median $24,718 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,526 – $43,764 · median $31,175 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,526 – $24,782 · median $17,291 | 26 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,549 – $46,998 · median $32,812 | 26 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,369 – $17,959 · median $12,753 | 26 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,709 – $44,342 · median $30,830 | 26 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,254 – $23,922 · median $16,712 | 26 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,281 – $49,316 · median $35,029 | 26 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,377 – $27,473 · median $19,355 | 26 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,571 – $18,597 · median $13,192 | 26 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,134 – $45,686 · median $32,933 | 26 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,411 – $27,581 · median $19,535 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $173,623 – $543,897 · median $396,803 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $58,787 – $180,617 · median $132,517 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $28,880 – $86,008 · median $61,343 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $38,681 – $117,012 · median $79,767 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,036 – $58,029 · median $41,727 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $20,468 – $59,397 · median $41,298 | 26 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,825 – $85,834 · median $64,343 | 26 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,742 – $57,099 · median $42,520 | 26 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,399 – $52,850 · median $38,133 | 26 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,687 – $34,783 · median $24,508 | 26 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,484 – $21,486 · median $15,287 | 26 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,916 – $29,179 · median $21,688 | 26 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,702 – $15,850 · median $11,613 | 26 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,539 – $15,333 · median $10,772 | 26 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $60,064 – $184,658 · median $130,041 | 26 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,368 – $103,369 · median $72,750 | 26 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $65,500 – $201,854 · median $144,518 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $36,825 – $111,141 · median $79,738 | 26 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,294 – $71,499 · median $53,404 | 26 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,916 – $73,468 · median $52,242 | 26 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,516 – $40,567 · median $29,055 | 26 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,494 – $24,679 · median $17,749 | 26 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $55,756 – $171,028 · median $119,421 | 26 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,374 – $71,753 · median $50,728 | 26 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,220 – $80,756 · median $56,349 | 26 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,843 – $38,439 · median $26,375 | 26 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,266 – $27,124 · median $18,490 | 26 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,018 – $38,993 · median $26,581 | 26 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,331 – $128,560 · median $90,585 | 26 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,622 – $66,209 · median $47,033 | 26 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,953 – $45,113 · median $32,398 | 26 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,635 – $94,724 · median $66,486 | 26 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,362 – $46,406 · median $32,265 | 26 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,570 – $31,248 · median $22,549 | 26 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,911 – $41,817 · median $29,074 | 24 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,223 – $26,986 · median $18,763 | 24 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,348 – $17,892 · median $12,440 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,190 – $33,209 · median $23,089 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,444 – $21,359 · median $14,850 | 24 plans |
| 509 | ARTHROSCOPY | $16,709 – $47,506 · median $33,030 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $242,491 – $761,755 · median $557,999 | 23 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $82,087 – $645,542 · median $190,648 | 23 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $92,729 – $287,992 · median $186,352 | 23 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,146 – $131,137 · median $84,051 | 23 plans |
| 007 | LUNG TRANSPLANT | $113,412 – $416,989 · median $264,931 | 23 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $48,206 – $254,880 · median $110,302 | 23 plans |
| 010 | PANCREAS TRANSPLANT | $69,850 – $215,614 · median $154,636 | 23 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $113,694 – $354,312 · median $227,094 | 23 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $53,290 – $163,229 · median $107,173 | 23 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $53,290 – $163,229 · median $104,620 | 23 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $69,459 – $214,378 · median $137,404 | 23 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,188 – $39,531 · median $27,263 | 23 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $41,078 – $206,660 · median $93,399 | 23 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $31,377 – $157,811 · median $70,395 | 23 plans |
| 652 | KIDNEY TRANSPLANT | $27,948 – $137,292 · median $62,263 | 23 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,742 – $41,281 · median $27,989 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,237 – $30,194 · median $20,727 | 23 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,532 – $31,126 · median $21,187 | 21 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $8,081 – $22,192 · median $15,178 | 21 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,136 – $22,192 · median $10,556 | 21 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,887 – $25,923 · median $17,355 | 21 plans |
| 881 | DEPRESSIVE NEUROSES | $9,506 – $24,720 · median $17,006 | 21 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,916 – $26,015 · median $18,547 | 21 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,540 – $50,135 · median $35,539 | 21 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,970 – $45,167 · median $29,079 | 21 plans |
| 885 | PSYCHOSES | $13,742 – $38,120 · median $25,246 | 21 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,050 – $48,583 · median $34,637 | 21 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,027 – $16,878 · median $11,150 | 21 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,688 – $37,949 · median $25,586 | 21 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,915 – $48,158 · median $31,541 | 21 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,234 – $23,857 · median $15,956 | 21 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $184,901 – $579,575 · median $355,743 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $122,483 – $455,998 · median $234,544 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $17,102 – $48,748 · median $18,299 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $52,512 – $160,765 · median $56,187 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $36,398 – $109,792 · median $38,946 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $22,634 – $66,247 · median $24,218 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $37,344 – $112,783 · median $39,958 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,312 – $39,921 · median $15,313 | 12 plans |
| 795 | NORMAL NEWBORN | $3,400 – $5,403 · median $3,574 | 12 plans |
No procedures match that keyword.