St Marys Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 | $154,197 – $709,381 · median $177,291 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $62,351 – $450,721 · median $71,690 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $109,966 – $529,994 · median $134,279 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $71,056 – $352,596 · median $87,630 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,732 – $376,914 · median $65,228 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,514 – $170,937 · median $29,336 | 9 plans |
| 007 | LUNG TRANSPLANT | $71,256 – $435,775 · median $81,928 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $30,838 – $191,776 · median $35,457 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $39,483 – $187,374 · median $45,396 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,505 – $148,323 · median $34,850 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,672 – $120,597 · median $26,939 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,231 – $71,641 · median $18,414 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $66,127 – $345,141 · median $76,030 | 9 plans |
| 016 | AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,627 – $107,497 · median $37,514 | 9 plans |
| 017 | AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $29,890 – $89,498 · median $34,367 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $273,192 – $1,302,780 · median $275,924 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $39,257 – $268,707 · median $45,136 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,781 – $272,719 · median $50,279 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,491 – $206,225 · median $33,826 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,102 – $145,093 · median $20,303 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,252 – $151,944 · median $36,615 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $21,974 – $107,994 · median $24,748 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,764 – $111,260 · median $29,052 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,670 – $76,434 · median $19,867 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,961 – $65,890 · median $16,121 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,894 – $145,022 · median $38,011 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,392 – $84,137 · median $21,583 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $10,736 – $48,601 · median $13,888 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $18,404 – $97,805 · median $28,345 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,017 – $52,932 · median $13,482 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $7,902 – $44,270 · median $10,520 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $19,522 – $139,199 · median $24,488 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,478 – $65,251 · median $15,123 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,280 – $47,003 · median $12,291 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,685 – $100,432 · median $20,827 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,265 – $54,104 · median $10,368 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,437 – $36,034 · median $7,511 | 9 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $16,809 – $91,273 · median $24,428 | 9 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,878 – $64,789 · median $13,910 | 9 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,930 – $41,323 · median $11,039 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,459 – $67,558 · median $11,574 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,195 – $35,324 · median $6,257 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,704 – $30,957 · median $9,660 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $4,117 – $27,052 · median $6,450 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,697 – $61,878 · median $14,844 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,197 – $39,371 · median $8,278 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,815 – $58,399 · median $10,923 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,850 – $30,495 · median $7,929 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,819 – $27,123 · median $5,877 | 9 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,443 – $82,256 · median $17,617 | 9 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,117 – $61,168 · median $11,228 | 9 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,881 – $57,334 · median $8,970 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,722 – $49,843 · median $12,850 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,392 – $31,312 · median $6,455 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,330 – $24,460 · median $4,373 | 9 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,292 – $50,731 · median $9,385 | 9 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,469 – $26,981 · median $5,523 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,054 – $24,283 · median $5,104 | 9 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,532 – $55,311 · median $10,630 | 9 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,491 – $30,389 · median $6,556 | 9 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,784 – $23,502 · median $4,832 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $7,702 – $43,347 · median $10,149 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,865 – $28,081 · median $6,521 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $8,053 – $40,578 · median $12,131 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,221 – $21,585 · median $5,273 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,451 – $74,055 · median $11,565 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,666 – $23,324 · median $5,723 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,460 – $62,056 · median $14,604 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,830 – $38,980 · median $8,919 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,728 – $24,318 · median $6,047 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,065 – $50,021 · median $14,373 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,663 – $31,063 · median $8,241 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,519 – $20,342 · median $5,787 | 9 plans |
| 088 | CONCUSSION WITH MCC | $8,552 – $45,690 · median $8,638 | 9 plans |
| 089 | CONCUSSION WITH CC | $6,950 – $25,774 · median $7,020 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,208 – $20,910 · median $5,260 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,110 – $44,873 · median $11,222 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,472 – $31,915 · median $6,537 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,038 – $24,389 · median $5,088 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,265 – $101,000 · median $22,488 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $13,350 – $78,599 · median $16,317 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,576 – $72,351 · median $16,317 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $18,438 – $109,627 · median $22,850 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,977 – $58,719 · median $14,518 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,591 – $32,945 · median $8,619 | 9 plans |
| 100 | SEIZURES WITH MCC | $8,228 – $43,631 · median $12,253 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $3,919 – $19,348 · median $5,710 | 9 plans |
| 102 | HEADACHES WITH MCC | $7,091 – $31,844 · median $7,162 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $4,687 – $22,934 · median $5,291 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,874 – $82,930 · median $15,023 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,560 – $44,802 · median $8,645 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,710 – $54,033 · median $9,808 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,281 – $64,115 · median $11,439 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,864 – $39,051 · median $6,932 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,152 – $37,667 · median $7,360 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,734 – $21,656 · median $4,971 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,052 – $25,383 · median $5,103 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,370 – $47,749 · median $8,454 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,857 – $20,626 · median $4,906 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,728 – $87,474 · median $13,866 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,423 – $38,554 · median $6,487 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,447 – $28,046 · median $9,541 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,606 – $21,159 · median $5,663 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,818 – $44,447 · median $7,896 | 9 plans |
| 140 | SIMPLE PNEUMONIA & PLEURISY AGE 0-17 | $26,984 – $142,004 · median $27,254 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,799 – $65,570 · median $13,937 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,099 – $55,843 · median $10,200 | 9 plans |
| 143 | STOMACH ESOPHAGEAL & DUODENAL PROC AGE 0-17 | $21,121 – $85,380 · median $23,703 | 9 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,114 – $43,205 · median $10,963 | 9 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,846 – $31,596 · median $7,606 | 9 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $11,578 – $75,120 · median $13,396 | 9 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $7,113 – $43,134 · median $8,044 | 9 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,043 – $29,572 · median $5,093 | 9 plans |
| 149 | DYSEQUILIBRIUM | $4,434 – $20,697 · median $4,755 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $8,424 – $47,784 · median $8,508 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,644 – $20,804 · median $4,690 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,049 – $28,152 · median $7,479 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,297 – $13,987 · median $4,670 | 9 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $7,953 – $54,423 · median $9,891 | 9 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $5,798 – $21,301 · median $5,856 | 9 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,936 – $17,040 · median $4,372 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,864 – $49,382 · median $10,861 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,750 – $21,904 · median $5,756 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,740 – $17,822 · median $4,482 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,118 – $116,550 · median $28,354 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,968 – $70,647 · median $16,128 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,110 – $51,157 · median $12,231 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,134 – $93,829 · median $23,646 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,409 – $48,565 · median $11,523 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,644 – $37,525 · median $8,731 | 9 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $18,830 – $94,397 · median $19,018 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,690 – $35,004 · median $8,777 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,093 – $21,691 · median $5,144 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,742 – $38,412 · median $9,886 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,973 – $26,448 · median $6,175 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,516 – $19,810 · median $4,776 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,172 – $47,181 · median $11,284 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,776 – $32,625 · median $6,843 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,769 – $28,010 · median $4,817 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,333 – $37,454 · median $9,679 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,732 – $27,158 · median $6,799 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,976 – $21,230 · median $5,025 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $7,783 – $37,276 · median $9,860 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,257 – $27,229 · median $6,282 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,506 – $21,159 · median $4,537 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,574 – $31,347 · median $7,816 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,008 – $25,916 · median $7,027 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,333 – $22,898 · median $5,387 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,924 – $18,283 · median $4,062 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,921 – $30,566 · median $8,315 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,098 – $21,691 · median $5,149 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,162 – $16,295 · median $3,976 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $8,321 – $50,021 · median $11,939 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,198 – $29,146 · median $6,004 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,728 – $22,401 · median $4,531 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,839 – $37,205 · median $11,160 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,337 – $25,383 · median $6,955 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,979 – $15,443 · median $4,524 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,031 – $23,147 · median $6,144 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,418 – $14,733 · median $4,239 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,543 – $20,804 · median $5,108 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,350 – $39,974 · median $11,584 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,172 – $22,472 · median $5,954 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $36,205 – $200,794 · median $40,709 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,143 – $69,404 · median $17,389 | 9 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $68,794 – $383,482 · median $69,482 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,992 – $189,930 · median $63,622 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,890 – $243,466 · median $62,509 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,598 – $159,719 · median $42,014 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,308 – $145,057 · median $41,598 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,576 – $168,239 · median $49,062 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,737 – $132,170 · median $34,075 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,678 – $105,047 · median $31,886 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,299 – $181,872 · median $31,612 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,925 – $97,095 · median $20,124 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,331 – $251,418 · median $53,864 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $32,978 – $169,340 · median $38,355 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $48,367 – $173,600 · median $48,832 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $34,559 – $135,436 · median $34,905 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,127 – $132,667 · median $37,498 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,500 – $103,982 · median $26,765 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $27,892 – $113,213 · median $31,137 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $16,459 – $70,718 · median $18,033 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,758 – $52,754 · median $8,846 | 9 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,199 – $93,616 · median $20,401 | 9 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,481 – $69,191 · median $13,616 | 9 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,435 – $60,494 · median $11,549 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,864 – $170,937 · median $29,152 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,807 – $64,754 · median $13,945 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,455 – $52,506 · median $9,549 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,068 – $104,692 · median $22,289 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,421 – $74,481 · median $16,585 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,272 – $51,547 · median $11,384 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,658 – $66,671 · median $17,065 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,243 – $35,395 · median $10,742 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,629 – $25,987 · median $6,910 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,878 – $100,894 · median $20,077 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,793 – $67,665 · median $12,921 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,579 – $102,740 · median $20,784 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,960 – $54,530 · median $12,080 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,423 – $48,459 · median $10,311 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,342 – $95,356 · median $19,536 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $15,019 – $65,428 · median $21,134 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $22,890 – $123,295 · median $23,119 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,771 – $157,944 · median $39,158 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $25,195 – $142,253 · median $30,119 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $36,888 – $195,504 · median $43,512 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $25,547 – $103,876 · median $26,718 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,380 – $126,348 · median $33,714 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,499 – $102,527 · median $22,724 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,151 – $74,659 · median $16,313 | 9 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $26,100 – $130,182 · median $26,361 | 9 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $20,825 – $90,670 · median $21,033 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,084 – $219,822 · median $45,110 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $28,914 – $189,433 · median $38,000 | 9 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,585 – $146,193 · median $29,219 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,214 – $163,163 · median $35,566 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,013 – $113,674 · median $22,816 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $9,810 – $38,909 · median $10,148 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $5,815 – $26,839 · median $5,873 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $4,575 – $24,212 · median $4,620 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $10,394 – $55,240 · median $12,531 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,379 – $26,200 · median $4,423 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $3,789 – $18,496 · median $3,827 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $12,962 – $49,879 · median $13,999 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,770 – $30,424 · median $6,838 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,344 – $74,978 · median $17,121 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,391 – $36,957 · median $10,799 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,135 – $35,821 · median $5,882 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,648 – $30,069 · median $8,122 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,371 – $20,520 · median $5,425 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,271 – $18,354 · median $3,581 | 9 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $9,881 – $52,790 · median $9,980 | 9 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,011 – $24,851 · median $4,051 | 9 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $2,879 – $16,295 · median $2,908 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,918 – $31,241 · median $10,329 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,155 – $25,064 · median $6,753 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,659 – $18,532 · median $4,553 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,924 – $40,755 · median $7,570 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,187 – $17,680 · median $4,259 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $7,528 – $28,685 · median $7,604 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,777 – $20,449 · median $4,825 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,909 – $51,370 · median $9,969 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,632 – $31,667 · median $5,777 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,617 – $27,904 · median $7,693 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,654 – $17,573 · median $4,701 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,581 – $13,739 · median $3,596 | 9 plans |
| 311 | ANGINA PECTORIS | $4,410 – $17,431 · median $4,441 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,514 – $22,934 · median $5,569 | 9 plans |
| 313 | CHEST PAIN | $4,555 – $16,543 · median $4,601 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $12,577 – $51,583 · median $13,192 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,094 – $26,839 · median $6,155 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,315 – $23,466 · median $4,358 | 9 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,302 – $219,609 · median $42,725 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,234 – $154,110 · median $28,516 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,217 – $82,611 · median $15,369 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,213 – $87,581 · median $17,385 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,153 – $64,967 · median $11,265 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,377 – $138,596 · median $27,651 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,935 – $107,355 · median $20,134 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,310 – $95,817 · median $20,513 | 9 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,473 – $129,756 · median $31,552 | 9 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,463 – $70,043 · median $15,618 | 9 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,137 – $43,418 · median $10,238 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,194 – $102,243 · median $29,079 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,166 – $62,872 · median $15,317 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,647 – $47,252 · median $10,753 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,906 – $133,448 · median $23,135 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $14,818 – $74,588 · median $14,966 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,362 – $44,021 · median $10,466 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,591 – $79,842 · median $22,817 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,341 – $53,038 · median $13,474 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,711 – $40,791 · median $9,808 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,340 – $96,740 · median $16,503 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,519 – $40,436 · median $9,615 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,480 – $34,258 · median $7,504 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,523 – $88,397 · median $14,668 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,280 – $34,010 · median $8,363 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,508 – $26,022 · median $5,563 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,765 – $85,451 · median $15,922 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,645 – $50,944 · median $9,741 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,388 – $30,531 · median $7,462 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,359 – $80,729 · median $18,543 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,644 – $43,560 · median $10,750 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,509 – $36,389 · median $8,594 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $24,458 – $99,083 · median $27,791 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,839 – $50,305 · median $14,712 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,844 – $37,241 · median $8,932 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,071 – $43,098 · median $10,172 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,328 – $28,578 · median $6,391 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,434 – $24,425 · median $4,478 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $8,930 – $43,950 · median $11,217 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,076 – $25,596 · median $6,459 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,602 – $18,922 · median $4,648 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,263 – $53,962 · median $13,530 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,652 – $31,880 · median $7,729 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,848 – $26,590 · median $5,906 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,565 – $47,571 · median $11,680 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,204 – $27,336 · median $6,266 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,988 – $19,277 · median $4,028 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,476 – $48,672 · median $12,414 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,013 – $26,981 · median $6,855 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,312 – $21,336 · median $5,065 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,735 – $47,678 · median $8,822 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,408 – $22,579 · median $5,462 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $7,714 – $37,738 · median $10,010 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,176 – $26,342 · median $6,238 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,310 – $18,922 · median $4,353 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,553 – $32,483 · median $9,343 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,389 – $18,248 · median $4,997 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,152 – $14,271 · median $3,442 | 9 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,148 – $31,028 · median $8,024 | 9 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,818 – $18,425 · median $4,932 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,116 – $43,737 · median $10,118 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,920 – $23,502 · median $5,979 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,106 – $19,206 · median $4,147 | 9 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,151 – $49,346 · median $15,303 | 9 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,576 – $43,879 · median $9,671 | 9 plans |
| 399 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $7,138 – $31,525 · median $7,242 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,908 – $93,581 · median $25,435 | 9 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $32,177 – $153,826 · median $34,609 | 9 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $18,348 – $80,587 · median $18,531 | 9 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,042 – $61,346 · median $14,183 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,557 – $120,774 · median $22,783 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,775 – $62,553 · median $13,912 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,044 – $52,222 · median $10,145 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,898 – $112,325 · median $21,107 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,301 – $77,037 · median $13,434 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,505 – $57,050 · median $10,610 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,538 – $110,124 · median $22,764 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,075 – $54,246 · median $13,206 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,625 – $41,110 · median $8,711 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $13,470 – $55,630 · median $15,097 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,702 – $45,299 · median $10,809 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,641 – $37,667 · median $8,727 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,555 – $118,644 · median $21,770 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,992 – $59,642 · median $11,102 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,854 – $50,553 · median $8,942 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,274 – $124,289 · median $26,536 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,842 – $75,440 · median $13,980 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,492 – $54,778 · median $9,586 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,725 – $183,079 · median $70,422 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $40,049 – $142,927 · median $45,668 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $31,086 – $125,709 · median $35,567 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $56,998 – $296,078 · median $57,568 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,485 – $133,377 · median $36,850 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $9,717 – $51,938 · median $12,452 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,682 – $28,294 · median $6,749 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,136 – $23,928 · median $4,508 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,620 – $45,406 · median $11,736 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,156 – $29,750 · median $7,227 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,398 – $28,188 · median $5,452 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,687 – $49,098 · median $10,313 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,166 – $23,218 · median $5,322 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,929 – $16,685 · median $3,931 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,577 – $53,784 · median $11,354 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,808 – $27,584 · median $6,107 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,794 – $22,792 · median $4,427 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,526 – $42,388 · median $10,571 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,924 – $29,430 · median $6,958 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,234 – $24,993 · median $5,286 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,271 – $149,814 · median $42,693 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,651 – $94,433 · median $26,829 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,717 – $126,029 · median $34,054 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,437 – $72,458 · median $20,641 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $45,742 – $241,975 · median $53,163 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $37,725 – $175,978 · median $38,102 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,398 – $159,080 · median $26,662 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $34,941 – $226,780 · median $35,290 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $16,828 – $67,736 · median $16,997 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,280 – $129,543 · median $36,057 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,100 – $74,765 · median $19,705 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,462 – $49,417 · median $11,537 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $31,079 – $114,420 · median $32,932 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,311 – $75,582 · median $22,534 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,385 – $61,381 · median $17,559 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $17,016 – $78,848 · median $19,189 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,396 – $42,814 · median $12,203 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $26,975 – $106,219 · median $30,548 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,638 – $68,197 · median $18,825 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,445 – $55,098 · median $15,599 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $24,149 – $101,497 · median $27,159 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,397 – $55,453 · median $14,541 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,466 – $41,856 · median $7,541 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,289 – $86,622 · median $21,855 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,241 – $57,547 · median $15,558 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,699 – $44,483 · median $11,760 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,424 – $90,492 · median $18,609 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,251 – $63,476 · median $13,383 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,318 – $45,974 · median $10,422 | 9 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $13,414 – $52,435 · median $17,536 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,416 – $116,550 · median $20,620 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,207 – $50,021 · median $13,229 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,329 – $37,631 · median $9,908 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $9,734 – $65,748 · median $11,191 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,065 – $38,980 · median $7,136 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $19,840 – $82,504 · median $23,228 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $15,770 – $67,132 · median $16,044 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $11,595 – $47,181 · median $12,694 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,938 – $126,952 · median $23,167 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,412 – $47,323 · median $11,526 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,644 – $37,596 · median $7,721 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,878 – $90,918 · median $19,086 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,746 – $44,163 · median $12,874 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,022 – $75,759 · median $20,222 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,059 – $46,080 · median $11,170 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,515 – $34,471 · median $8,600 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,658 – $85,628 · median $17,834 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,857 – $43,595 · median $11,825 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,741 – $40,613 · median $11,342 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,536 – $51,654 · median $8,621 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,428 – $71,535 · median $11,542 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,581 – $49,843 · median $9,677 | 9 plans |
| 510 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $19,109 – $98,977 · median $19,300 | 9 plans |
| 511 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC | $13,155 – $52,790 · median $13,287 | 9 plans |
| 512 | SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $9,818 – $38,590 · median $10,473 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,302 – $33,122 · median $9,960 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,467 – $25,880 · median $6,532 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,162 – $89,640 · median $20,363 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,147 – $58,825 · median $13,278 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,722 – $37,312 · median $9,819 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,644 – $74,872 · median $23,880 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,654 – $48,849 · median $12,781 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,451 – $33,406 · median $9,546 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,136 – $94,859 · median $18,158 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,397 – $58,790 · median $13,531 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,918 – $54,246 · median $10,017 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,591 – $25,170 · median $5,100 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,110 – $40,933 · median $8,192 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,109 – $21,336 · median $5,160 | 9 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $6,037 – $33,868 · median $6,098 | 9 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $4,557 – $24,851 · median $4,602 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,679 – $41,678 · median $12,461 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $7,810 – $28,010 · median $8,201 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,146 – $19,881 · median $4,981 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,176 – $53,820 · median $11,287 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,504 – $33,903 · median $6,569 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,774 – $27,265 · median $4,822 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,700 – $84,812 · median $15,857 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,311 – $34,720 · median $7,297 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,482 – $28,969 · median $5,290 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,216 – $67,842 · median $12,338 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,838 – $31,880 · median $7,637 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,313 – $27,300 · median $5,530 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,266 – $43,666 · median $10,604 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,064 – $22,437 · median $6,082 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,201 – $46,897 · median $8,283 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,252 – $21,514 · median $5,304 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,362 – $48,459 · median $8,446 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,138 – $23,431 · median $5,255 | 9 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $6,162 – $34,294 · median $9,407 | 9 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $4,504 – $16,437 · median $5,651 | 9 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,798 – $50,198 · median $11,916 | 9 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,124 – $29,217 · median $7,195 | 9 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,625 – $23,537 · median $5,086 | 9 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $9,014 – $42,211 · median $9,104 | 9 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $5,251 – $21,727 · median $5,665 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,765 – $50,944 · median $9,863 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,164 – $26,129 · median $6,226 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,740 – $22,969 · median $4,788 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $13,755 – $69,617 · median $18,607 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,941 – $35,821 · median $10,688 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,252 – $30,744 · median $7,324 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,447 – $207,894 · median $41,861 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,705 – $115,556 · median $21,962 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,369 – $66,777 · median $11,482 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,007 – $194,297 · median $31,317 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,769 – $82,717 · median $16,937 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,163 – $57,725 · median $10,264 | 9 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $18,164 – $65,038 · median $20,488 | 9 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,932 – $47,465 · median $11,041 | 9 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,130 – $39,797 · median $9,221 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,188 – $74,623 · median $12,310 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,909 – $67,381 · median $11,018 | 9 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,543 – $81,297 · median $13,678 | 9 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,204 – $70,896 · median $12,326 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $12,244 – $39,761 · median $12,366 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $5,196 – $24,283 · median $7,505 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,611 – $16,508 · median $5,484 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,416 – $75,440 · median $13,551 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $3,040 – $22,295 · median $6,848 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,547 – $58,612 · median $10,652 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,157 – $30,318 · median $7,229 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,868 – $26,129 · median $4,916 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,590 – $22,614 · median $6,655 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,261 – $12,603 · median $3,827 | 9 plans |
| 602 | CELLULITIS WITH MCC | $7,629 – $38,270 · median $8,992 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,626 – $17,466 · median $5,510 | 9 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,325 – $51,973 · median $9,313 | 9 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,390 – $21,159 · median $5,795 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,858 – $50,589 · median $9,573 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,466 – $18,638 · median $5,734 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,866 – $65,499 · median $14,005 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,853 – $48,636 · median $8,941 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,024 – $81,191 · median $22,063 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,832 – $41,146 · median $11,870 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,515 – $25,951 · median $8,973 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,267 – $77,676 · median $18,450 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,124 – $45,335 · median $10,225 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,543 – $36,602 · median $9,638 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,812 – $71,322 · median $22,517 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,525 – $40,507 · median $11,349 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,549 – $30,850 · median $7,920 | 9 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,106 – $102,385 · median $19,297 | 9 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,486 – $46,826 · median $9,581 | 9 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,378 – $33,690 · median $8,403 | 9 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $15,533 – $81,049 · median $23,577 | 9 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,103 – $46,897 · median $13,784 | 9 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,233 – $30,460 · median $9,326 | 9 plans |
| 637 | DIABETES WITH MCC | $7,847 – $31,489 · median $9,089 | 9 plans |
| 638 | DIABETES WITH CC | $4,937 – $19,455 · median $5,670 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,814 – $15,017 · median $3,930 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $7,352 – $34,294 · median $8,450 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,655 – $18,851 · median $4,923 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,473 – $27,371 · median $8,997 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,141 – $41,607 · median $10,414 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,962 – $24,034 · median $6,485 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,861 – $16,472 · median $4,882 | 9 plans |
| 650 | NEONATE BIRTHWT 15001999G W/O SIGNIF O.R. PROC W OTHER PROB | $25,869 – $161,778 · median $29,743 | 9 plans |
| 651 | NEONATE BIRTHWT 20002499G W SIGNIF O.R. PROC W MULT MAJOR PROB | $20,391 – $125,070 · median $23,444 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $17,770 – $145,306 · median $20,431 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $32,875 – $194,474 · median $33,203 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,710 – $76,363 · median $17,887 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,390 – $62,872 · median $13,524 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,142 – $85,841 · median $20,343 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,577 – $50,766 · median $11,693 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,817 – $43,773 · median $9,916 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $14,682 – $56,447 · median $16,075 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,362 – $31,312 · median $8,445 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,550 – $25,632 · median $6,585 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,368 – $107,639 · median $19,562 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,617 – $53,749 · median $9,714 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,623 – $39,087 · median $6,689 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,746 – $112,254 · median $19,943 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $11,067 – $60,565 · median $11,177 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,998 – $36,282 · median $7,068 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,473 – $88,895 · median $18,658 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,095 – $35,252 · median $9,819 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,183 – $28,685 · median $6,245 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,356 – $62,056 · median $11,469 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,829 – $36,602 · median $6,898 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,881 – $86,125 · median $26,581 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $13,105 – $56,944 · median $14,795 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,400 – $52,896 · median $10,384 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $9,196 – $31,560 · median $9,369 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $5,338 – $18,070 · median $5,541 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,798 – $13,455 · median $3,836 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,411 – $54,565 · median $11,525 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,629 – $28,543 · median $6,695 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,000 – $21,940 · median $5,050 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,042 – $32,377 · median $7,341 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,476 – $17,715 · median $5,121 | 9 plans |
| 693 | URINARY STONES WITH MCC | $8,506 – $50,092 · median $8,591 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,242 – $16,792 · median $4,945 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,236 – $41,217 · median $7,309 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,359 – $17,573 · median $4,402 | 9 plans |
| 697 | URETHRAL STRICTURE | $6,819 – $36,921 · median $6,887 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,014 – $43,027 · median $10,466 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,421 – $25,206 · median $6,486 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,173 – $22,224 · median $4,365 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,655 – $51,831 · median $12,781 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,706 – $47,891 · median $9,803 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,722 – $80,232 · median $14,869 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,865 – $50,802 · median $8,953 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,627 – $73,026 · median $13,183 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,957 – $40,613 · median $7,027 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,511 – $42,353 · median $9,606 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,690 – $29,608 · median $6,756 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,154 – $77,996 · median $14,296 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,306 – $49,027 · median $9,399 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,960 – $40,720 · median $12,080 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,532 – $27,336 · median $8,497 | 9 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $11,449 – $63,050 · median $11,563 | 9 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $7,229 – $39,761 · median $7,301 | 9 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,148 – $26,697 · median $4,190 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,403 – $44,589 · median $7,477 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,568 – $26,448 · median $4,613 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,381 – $53,642 · median $9,475 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,983 – $19,171 · median $5,132 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,698 – $37,134 · median $6,765 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,251 – $21,940 · median $4,294 | 9 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,475 – $52,399 · median $13,610 | 9 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,512 – $42,211 · median $8,597 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,685 – $143,105 · median $22,614 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,036 – $53,784 · median $13,167 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,290 – $39,158 · median $9,383 | 9 plans |
| 739 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $22,666 – $134,620 · median $22,893 | 9 plans |
| 740 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $11,448 – $52,577 · median $11,563 | 9 plans |
| 741 | UTERINE- ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $9,022 – $36,850 · median $9,112 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $10,190 – $44,305 · median $11,608 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,169 – $30,992 · median $7,849 | 9 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $9,689 – $36,176 · median $12,963 | 9 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,880 – $24,141 · median $7,196 | 9 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,476 – $36,744 · median $10,990 | 9 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,439 – $26,200 · median $5,493 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,777 – $47,855 · median $8,864 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,244 – $58,541 · median $16,251 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,337 – $48,423 · median $9,430 | 9 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,651 – $45,583 · median $11,768 | 9 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,882 – $27,371 · median $6,951 | 9 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,412 – $24,105 · median $6,077 | 9 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,042 – $51,583 · median $9,059 | 9 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,092 – $22,117 · median $6,194 | 9 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,830 – $17,395 · median $4,198 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,342 – $21,230 · median $6,374 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,609 – $15,833 · median $3,645 | 9 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,280 – $18,674 · median $6,779 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,601 – $37,880 · median $10,690 | 9 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,293 – $19,810 · median $6,343 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,107 – $12,212 · median $4,142 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $2,468 – $13,029 · median $5,322 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,389 – $29,501 · median $15,532 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,272 – $25,809 · median $6,707 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,856 – $21,549 · median $6,059 | 9 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,463 – $28,969 · median $10,435 | 9 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,183 – $25,632 · median $7,065 | 9 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,669 – $21,514 · median $6,066 | 9 plans |
| 795 | NORMAL NEWBORN | $1,060 – $5,538 · median $1,264 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,383 – $41,536 · median $7,457 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,806 – $27,371 · median $6,329 | 9 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,164 – $23,289 · median $6,055 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,269 – $107,249 · median $28,652 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $16,489 – $78,848 · median $17,773 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,828 – $57,086 · median $12,076 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,205 – $126,739 · median $25,457 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,760 – $55,062 · median $11,878 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,579 – $37,418 · median $8,664 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,478 – $18,212 · median $6,827 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,113 – $16,579 · median $4,770 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,543 – $14,129 · median $4,265 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,968 – $57,476 · median $14,108 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,009 – $30,850 · median $8,089 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,904 – $25,525 · median $6,621 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,671 – $36,566 · median $8,884 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,256 – $25,348 · median $5,809 | 9 plans |
| 813 | COAGULATION DISORDERS | $8,748 – $48,601 · median $9,650 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $10,577 – $48,459 · median $13,454 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,971 – $26,555 · median $6,415 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,824 – $19,952 · median $3,998 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $11,322 – $42,211 · median $14,434 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,543 – $28,330 · median $7,334 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,920 – $18,993 · median $5,440 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,103 – $168,985 · median $37,474 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,162 – $73,878 · median $14,304 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,617 – $42,140 · median $7,693 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,005 – $127,236 · median $29,295 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $12,524 – $71,144 · median $14,333 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,537 – $43,276 · median $8,622 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,594 – $171,505 · median $29,890 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,622 – $74,410 · median $14,768 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,779 – $49,595 · median $10,887 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,024 – $57,086 · median $19,991 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,521 – $48,459 · median $9,616 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,840 – $22,046 · median $7,608 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,684 – $14,378 · median $4,565 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,091 – $10,224 · median $3,308 | 9 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $33,160 – $241,726 · median $34,731 | 9 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,196 – $92,445 · median $13,328 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,715 – $57,015 · median $7,792 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $10,945 – $111,970 · median $30,394 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $7,082 – $37,205 · median $13,206 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,079 – $30,069 · median $9,135 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,465 – $111,154 · median $20,670 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,768 – $55,843 · median $10,321 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,392 – $38,057 · median $6,456 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,620 – $62,908 · median $12,746 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,702 – $35,643 · median $7,779 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,388 – $30,282 · median $5,441 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $9,548 – $54,033 · median $16,401 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,376 – $26,377 · median $8,276 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,590 – $16,898 · median $5,374 | 9 plans |
| 849 | RADIOTHERAPY | $17,141 – $90,883 · median $17,313 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $54,784 – $327,000 · median $55,331 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,244 – $120,419 · median $31,556 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,641 – $49,382 · median $12,767 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,225 – $39,051 · median $9,472 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $21,089 – $97,450 · median $28,777 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $12,820 – $45,725 · median $13,548 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,812 – $32,483 · median $8,900 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,275 – $35,430 · median $11,537 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,447 – $22,579 · median $6,313 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,581 – $22,401 · median $5,616 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,427 – $33,797 · median $9,479 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,591 – $19,029 · median $5,501 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,242 – $58,648 · median $13,375 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,084 – $26,910 · median $6,523 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,727 – $21,691 · median $4,616 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $39,150 – $184,605 · median $43,727 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $11,548 – $49,772 · median $12,289 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,239 – $25,419 · median $6,474 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,549 – $113,852 · median $26,815 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,112 – $42,353 · median $12,233 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,377 – $28,294 · median $7,399 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,238 – $103,734 · median $23,470 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,385 – $57,050 · median $9,478 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,421 – $45,903 · median $12,427 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $18,047 – $97,521 · median $24,289 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,622 – $49,985 · median $12,749 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $7,633 – $34,010 · median $8,305 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,341 – $54,920 · median $10,445 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,377 – $21,265 · median $5,602 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,196 – $37,134 · median $10,638 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,400 – $16,224 · median $4,215 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,761 – $35,217 · median $9,922 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,934 – $17,502 · median $5,422 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,165 – $39,371 · median $11,582 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,843 – $24,212 · median $6,341 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,300 – $17,360 · median $4,355 | 9 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,707 – $52,790 · median $11,067 | 9 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,530 – $19,703 · median $6,438 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $135,072 – $770,230 · median $136,423 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,333 – $83,605 · median $45,377 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,376 – $49,761 · median $20,580 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,636 – $115,378 · median $24,883 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,985 – $71,677 · median $14,125 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $10,257 – $31,028 · median $13,032 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,955 – $114,278 · median $23,185 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,784 – $60,849 · median $14,932 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,168 – $40,755 · median $12,828 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,031 – $31,667 · median $8,111 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,064 – $21,514 · median $5,115 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,527 – $44,394 · median $7,602 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,971 – $23,182 · median $4,011 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,517 – $11,928 · median $3,553 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,584 – $212,367 · median $43,010 | 9 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,806 – $168,914 · median $24,044 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,265 – $203,669 · median $48,207 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,004 – $117,686 · median $26,659 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,500 – $92,196 · median $18,626 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,295 – $85,451 · median $17,468 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,139 – $39,051 · median $9,696 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,950 – $26,839 · median $6,009 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,726 – $234,555 · median $39,113 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,685 – $100,574 · median $16,852 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,258 – $91,202 · median $18,441 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,490 – $47,855 · median $8,193 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,371 – $32,341 · median $5,711 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,117 – $48,920 · median $8,210 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,682 – $139,164 · median $29,979 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,212 – $70,043 · median $15,553 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,053 – $43,524 · median $10,843 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $17,856 – $91,699 · median $21,689 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,398 – $42,779 · median $10,502 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,587 – $32,945 · median $7,663 | 9 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $71,607 – $174,876 · median $71,965 | 8 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $36,104 – $88,171 · median $36,285 | 8 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,324 – $37,422 · median $15,400 | 8 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,754 – $48,316 · median $21,863 | 8 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,274 – $34,464 · median $15,350 | 8 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,401 – $54,145 · median $11,458 | 8 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $27,794 – $50,659 · median $37,601 | 8 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $11,543 – $25,936 · median $25,679 | 8 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,722 – $15,650 · median $15,495 | 8 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,075 – $26,642 · median $26,379 | 8 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,493 – $9,431 · median $9,337 | 8 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,451 – $59,713 · median $24,573 | 8 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,496 – $8,195 · median $6,075 | 8 plans |
| 881 | DEPRESSIVE NEUROSES | $2,457 – $6,012 · median $5,953 | 8 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,731 – $6,861 · median $6,793 | 8 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $3,459 – $12,564 · median $12,440 | 8 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $3,449 – $10,280 · median $10,179 | 8 plans |
| 885 | PSYCHOSES | $3,590 – $8,925 · median $8,837 | 8 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,905 – $13,261 · median $13,129 | 8 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,775 – $13,193 · median $6,809 | 8 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $3,254 – $5,931 · median $3,903 | 8 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $8,956 – $21,871 · median $9,000 | 8 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $8,768 – $15,981 · median $11,040 | 8 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $4,312 – $7,859 · median $5,585 | 8 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,797 – $9,895 · median $9,797 | 5 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,255 – $7,328 · median $7,255 | 5 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,959 – $54,494 · median $12,959 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,362 – $35,395 · median $8,362 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,588 – $25,561 · median $5,588 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $10,291 – $41,572 · median $10,291 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,397 – $29,430 · median $6,397 | 3 plans |
| 509 | ARTHROSCOPY | $14,227 – $54,885 · median $14,227 | 3 plans |
No procedures match that keyword.