Callahan Eye Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 770
Lowest published price —
Average published price —
Highest published price —
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.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 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 | $21,547 – $1,098,149 · median $166,822 | 66 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $21,547 – $1,098,149 · median $150,140 | 66 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $9,601 – $646,407 · median $176,673 | 55 plans |
| 007 | LUNG TRANSPLANT | $12,928 – $501,875 · median $125,910 | 51 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $12,928 – $306,516 · median $149,822 | 34 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $12,928 – $306,516 · median $149,822 | 34 plans |
| 010 | PANCREAS TRANSPLANT | $9,601 – $91,000 · median $66,380 | 31 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $9,601 – $75,000 · median $55,000 | 31 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $9,601 – $75,000 · median $55,000 | 31 plans |
| 652 | KIDNEY TRANSPLANT | $9,601 – $75,000 · median $55,000 | 31 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $9,601 – $105,000 · median $83,099 | 30 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $9,601 – $105,000 · median $83,099 | 30 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $7,719 – $172,486 · median $117,020 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $9,601 – $172,486 · median $117,020 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $2,392 – $61,388 · median $12,847 | 26 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,392 – $228,530 · median $12,928 | 25 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $2,392 – $79,850 · median $9,601 | 25 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $2,392 – $38,407 · median $7,950 | 25 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $2,392 – $45,469 · median $21,547 | 25 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,392 – $27,813 · median $7,950 | 25 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,228 – $15,869 · median $11,137 | 22 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,228 – $16,869 · median $11,839 | 22 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,228 – $15,122 · median $10,613 | 22 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,228 – $14,668 · median $10,294 | 22 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,228 – $15,948 · median $11,193 | 22 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,228 – $12,538 · median $8,799 | 22 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,228 – $11,701 · median $8,212 | 22 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,143 – $30,377 · median $22,092 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,143 – $15,748 · median $11,453 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,143 – $14,675 · median $10,673 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,143 – $21,929 · median $15,948 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,143 – $16,342 · median $11,885 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,143 – $14,686 · median $10,680 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,500 – $45,502 · median $15,013 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,500 – $30,384 · median $11,144 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $2,500 – $63,099 · median $19,517 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $2,500 – $37,891 · median $13,065 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,500 – $23,754 · median $9,447 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,500 – $52,627 · median $16,837 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,500 – $31,916 · median $11,536 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,500 – $22,171 · median $9,117 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $4,000 – $38,257 · median $13,159 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,000 – $25,300 · median $9,843 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,000 – $16,867 · median $7,685 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,500 – $63,733 · median $19,679 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,500 – $36,046 · median $12,593 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,500 – $27,544 · median $10,417 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,500 – $54,734 · median $17,376 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,500 – $33,707 · median $11,995 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,500 – $25,428 · median $9,876 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $2,500 – $49,680 · median $16,082 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $2,500 – $33,713 · median $11,996 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,500 – $21,849 · median $9,236 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,500 – $53,750 · median $17,124 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,500 – $31,224 · median $11,359 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,500 – $23,551 · median $9,395 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $2,500 – $53,929 · median $17,170 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,500 – $34,052 · median $12,083 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,500 – $18,229 · median $8,369 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,500 – $54,883 · median $17,414 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,500 – $32,416 · median $11,664 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,500 – $28,623 · median $10,693 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $2,500 – $163,599 · median $45,238 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $2,500 – $62,157 · median $19,276 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $2,500 – $36,341 · median $12,669 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,500 – $143,168 · median $40,009 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,500 – $62,205 · median $19,288 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,500 – $43,028 · median $14,380 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,500 – $96,400 · median $28,040 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,500 – $48,616 · median $15,810 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,500 – $30,110 · median $11,074 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,500 – $59,445 · median $18,582 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,500 – $36,279 · median $12,653 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,500 – $25,378 · median $9,863 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,500 – $77,257 · median $23,140 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,500 – $38,984 · median $13,345 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,500 – $25,312 · median $9,846 | 15 plans |
| 849 | RADIOTHERAPY | $2,500 – $80,743 · median $24,033 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,310 – $46,148 · median $15,179 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,310 – $34,175 · median $12,114 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,310 – $37,828 · median $13,049 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,310 – $23,855 · median $9,473 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,310 – $35,453 · median $12,441 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,310 – $18,705 · median $8,155 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,310 – $16,569 · median $7,608 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $12,928 – $632,511 · median $165,248 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $7,719 – $412,772 · median $109,010 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $7,719 – $162,532 · median $44,965 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $7,719 – $125,637 · median $35,522 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $5,748 – $85,878 · median $25,347 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $12,928 – $234,490 · median $63,382 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $12,928 – $157,755 · median $43,743 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $12,928 – $91,638 · median $27,601 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $9,601 – $170,763 · median $47,072 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $7,719 – $116,575 · median $33,203 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $9,601 – $135,492 · median $38,045 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $12,928 – $92,654 · median $27,081 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,027 – $75,182 · median $22,610 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $21,547 – $179,047 · median $49,192 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,547 – $101,666 · median $29,387 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,702 – $65,417 · median $20,110 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $21,547 – $133,519 · median $37,540 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,247 – $63,504 · median $19,621 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,927 – $49,554 · median $16,050 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $21,547 – $115,347 · median $32,889 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $20,088 – $71,237 · median $21,600 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,912 – $57,895 · median $18,185 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $12,928 – $98,105 · median $28,476 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,928 – $48,353 · median $15,743 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,470 – $35,030 · median $12,333 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $9,601 – $115,064 · median $32,816 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $7,719 – $65,521 · median $20,137 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,928 – $51,485 · median $16,545 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $7,719 – $53,068 · median $17,182 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,748 – $29,180 · median $10,836 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $5,748 – $69,228 · median $21,086 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $5,748 – $38,609 · median $13,249 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $5,748 – $50,943 · median $16,406 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $4,325 – $36,979 · median $12,832 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,325 – $27,410 · median $10,383 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $9,601 – $82,162 · median $24,396 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,601 – $52,365 · median $16,770 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,601 – $41,833 · median $14,074 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $7,719 – $59,928 · median $18,705 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,748 – $30,107 · median $11,073 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,325 – $20,395 · median $8,588 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $5,748 – $43,767 · median $14,569 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,325 – $25,759 · median $9,960 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,748 – $23,804 · median $9,460 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $4,325 – $49,611 · median $16,065 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,748 – $30,575 · median $11,193 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,748 – $22,535 · median $9,135 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $5,748 – $47,808 · median $15,604 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,748 – $30,718 · median $11,230 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $5,748 – $57,142 · median $17,992 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,748 – $22,314 · median $9,662 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $5,748 – $53,938 · median $17,172 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,748 – $26,689 · median $10,198 | 14 plans |
| 088 | CONCUSSION WITH MCC | $7,719 – $40,284 · median $13,678 | 14 plans |
| 089 | CONCUSSION WITH CC | $5,748 – $32,738 · median $11,747 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,971 – $24,531 · median $9,646 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $5,748 – $52,335 · median $16,762 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,325 – $30,485 · median $11,170 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,325 – $23,730 · median $9,441 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $7,719 – $104,878 · median $30,210 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $7,719 – $76,860 · median $23,039 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,719 – $76,860 · median $23,039 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $9,601 – $107,632 · median $30,914 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $4,325 – $68,388 · median $20,871 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $5,748 – $40,600 · median $13,759 | 14 plans |
| 100 | SEIZURES WITH MCC | $9,601 – $57,717 · median $18,139 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $7,719 – $26,897 · median $10,252 | 14 plans |
| 102 | HEADACHES WITH MCC | $5,748 – $33,403 · median $11,917 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $5,748 – $24,922 · median $9,746 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,601 – $70,063 · median $21,299 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,601 – $40,319 · median $13,687 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $7,719 – $45,740 · median $15,074 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,719 – $53,881 · median $17,158 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,601 – $32,330 · median $11,642 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $5,748 – $34,666 · median $12,240 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,325 – $23,417 · median $9,361 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,325 – $23,798 · median $9,459 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,748 – $39,428 · median $13,459 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,748 – $22,880 · median $9,224 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,524 – $63,033 · median $19,918 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,334 – $30,256 · median $11,111 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,719 – $44,497 · median $14,756 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,719 – $26,409 · median $10,127 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,897 – $36,016 · median $12,792 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,547 – $127,106 · median $35,898 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,602 – $64,997 · median $20,003 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,455 – $47,573 · median $15,543 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,547 – $111,649 · median $31,942 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,423 – $51,640 · median $16,584 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,660 – $35,829 · median $12,538 | 14 plans |
| 149 | DYSEQUILIBRIUM | $5,748 – $22,398 · median $9,100 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $5,748 – $39,679 · median $13,523 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,748 – $21,873 · median $8,966 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,748 – $35,230 · median $12,384 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,748 – $21,998 · median $8,998 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,748 – $46,592 · median $15,292 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,719 – $27,312 · median $10,358 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,325 – $20,595 · median $8,639 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,748 – $51,161 · median $16,462 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,325 – $27,112 · median $10,307 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,748 – $21,113 · median $8,771 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $9,601 – $133,558 · median $37,550 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $9,601 – $75,215 · median $22,618 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,719 – $57,043 · median $17,967 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $7,719 – $111,383 · median $31,875 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,719 – $53,741 · median $17,122 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,601 – $40,719 · median $13,789 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $9,601 – $88,697 · median $26,068 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,748 – $40,933 · median $13,844 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,748 – $23,989 · median $9,507 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $4,325 – $46,568 · median $15,286 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,325 – $29,085 · median $10,812 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,325 – $22,499 · median $9,126 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,748 – $46,443 · median $15,254 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,748 – $29,475 · median $10,912 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,325 – $21,373 · median $8,838 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,325 – $36,815 · median $12,790 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,325 – $33,009 · median $11,816 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,325 – $25,121 · median $9,797 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,325 – $19,132 · median $8,264 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,325 – $39,169 · median $13,393 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,325 – $24,016 · median $9,514 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,325 – $18,729 · median $8,161 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,748 – $56,239 · median $17,761 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,325 – $28,283 · median $10,606 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,325 – $21,343 · median $8,830 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $5,748 – $52,570 · median $16,822 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,325 – $32,759 · median $11,752 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,325 – $21,310 · median $8,822 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,325 – $28,942 · median $10,775 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,748 – $19,966 · median $8,478 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,748 – $24,061 · median $9,526 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $4,325 – $54,564 · median $17,333 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,748 – $28,045 · median $10,545 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $7,719 – $191,754 · median $52,444 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $12,928 – $81,911 · median $24,332 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $21,547 – $337,300 · median $89,694 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $21,547 – $324,048 · median $86,302 | 14 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $21,547 – $170,066 · median $46,893 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $21,547 – $296,719 · median $79,308 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $12,928 – $291,527 · median $77,979 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $12,928 – $195,944 · median $53,516 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $21,547 – $195,944 · median $53,516 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $21,547 – $228,813 · median $61,929 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $21,547 – $158,917 · median $44,040 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $21,547 – $150,198 · median $41,808 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $21,547 – $147,433 · median $41,101 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $21,547 – $93,855 · median $27,388 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $21,547 – $251,211 · median $67,661 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $12,928 – $180,665 · median $49,606 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $12,928 – $227,827 · median $61,676 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $12,928 – $162,788 · median $45,031 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $12,928 – $174,884 · median $48,127 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $12,928 – $124,826 · median $35,315 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $12,928 – $146,667 · median $40,905 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $7,719 – $84,945 · median $25,108 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,748 – $41,255 · median $13,926 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,547 – $95,145 · median $27,719 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,246 – $63,501 · median $19,620 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,953 – $53,864 · median $17,153 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $21,547 – $135,960 · median $38,164 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,928 – $65,039 · median $20,013 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,732 – $44,536 · median $14,766 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $9,601 – $103,951 · median $29,972 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $12,928 – $77,349 · median $23,164 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,928 – $53,095 · median $16,957 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $7,719 – $80,383 · median $23,940 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $5,748 – $50,597 · median $16,317 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,748 – $32,548 · median $11,698 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $9,601 – $93,635 · median $27,332 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,928 – $60,259 · median $18,790 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $9,601 – $96,933 · median $28,176 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,601 – $56,337 · median $17,786 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,928 – $48,571 · median $15,799 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $9,601 – $91,111 · median $26,686 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $12,928 – $99,550 · median $28,846 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $21,547 – $107,822 · median $30,963 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $21,547 – $182,626 · median $50,108 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $21,547 – $141,872 · median $39,678 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $21,547 – $204,961 · median $55,824 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $21,547 – $125,851 · median $35,577 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $12,928 – $157,234 · median $43,609 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $12,928 – $105,978 · median $30,491 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,240 – $76,079 · median $22,839 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $12,928 – $122,940 · median $34,832 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $21,547 – $98,093 · median $28,473 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $21,547 – $212,486 · median $57,750 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $21,547 – $178,997 · median $49,179 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $21,547 – $137,631 · median $38,592 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $12,928 – $165,873 · median $45,820 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,928 – $107,471 · median $30,873 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,748 – $47,802 · median $15,602 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,719 – $27,389 · median $10,378 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,719 – $21,548 · median $8,883 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $9,601 – $59,028 · median $18,475 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,719 – $20,628 · median $8,647 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,380 – $17,847 · median $7,936 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $7,719 – $65,941 · median $20,244 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,601 – $31,889 · median $11,529 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $5,748 – $80,645 · median $24,008 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $5,748 – $50,866 · median $16,386 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,748 – $27,705 · median $10,459 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $5,748 – $46,545 · median $15,280 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,629 – $18,580 · median $8,203 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,360 – $13,562 · median $6,839 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $5,748 – $48,654 · median $15,820 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,748 – $31,812 · median $11,509 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,325 – $21,447 · median $8,857 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,748 – $35,659 · median $12,494 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,325 – $20,061 · median $8,502 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $5,748 – $35,462 · median $12,444 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,325 – $22,502 · median $9,127 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $4,325 – $46,959 · median $15,386 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,325 – $27,213 · median $10,333 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,748 – $35,879 · median $12,551 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,748 – $21,924 · median $8,979 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,748 – $16,870 · median $7,685 | 14 plans |
| 311 | ANGINA PECTORIS | $5,748 – $20,917 · median $8,721 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,748 – $25,974 · median $10,015 | 14 plans |
| 313 | CHEST PAIN | $7,719 – $21,456 · median $8,859 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $5,748 – $62,139 · median $19,271 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,325 – $28,706 · median $10,715 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,325 – $20,327 · median $8,570 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $21,547 – $199,258 · median $54,364 | 14 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $20,313 – $72,182 · median $21,842 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $12,928 – $132,994 · median $37,406 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $20,193 – $71,678 · median $21,713 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,547 – $81,080 · median $24,119 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,637 – $52,537 · median $16,814 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $21,547 – $128,957 · median $36,372 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,547 – $93,900 · median $27,400 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $21,547 – $95,670 · median $27,853 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $12,928 – $148,625 · median $41,406 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,928 – $72,837 · median $22,009 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,928 – $47,749 · median $15,588 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,601 – $136,976 · median $38,424 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,601 – $71,437 · median $21,651 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,719 – $50,150 · median $16,203 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $7,719 – $107,897 · median $30,982 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $9,601 – $69,798 · median $21,231 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,601 – $48,809 · median $15,860 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $7,719 – $106,413 · median $30,602 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $9,601 – $62,839 · median $19,451 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $7,719 – $45,743 · median $15,075 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,719 – $76,967 · median $23,066 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,601 – $44,840 · median $14,844 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,748 – $35,349 · median $12,415 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $7,719 – $68,409 · median $20,876 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,719 – $39,002 · median $13,350 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,748 – $25,944 · median $10,008 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $7,719 – $74,259 · median $22,373 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $7,719 – $45,430 · median $14,995 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,601 – $34,800 · median $12,274 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $7,719 – $86,480 · median $25,501 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,928 – $50,136 · median $16,199 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,672 – $40,081 · median $13,626 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $12,928 – $130,905 · median $36,871 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $7,719 – $69,300 · median $21,104 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,601 – $41,657 · median $14,029 | 14 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,547 – $102,470 · median $29,593 | 14 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,257 – $71,946 · median $21,781 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $5,748 – $47,439 · median $15,509 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,325 – $29,806 · median $10,996 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,325 – $20,884 · median $8,713 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $5,748 – $52,838 · median $16,891 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,325 – $30,426 · median $11,155 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,325 – $21,677 · median $8,916 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,601 – $54,474 · median $17,310 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,748 – $29,225 · median $10,847 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,748 – $18,786 · median $8,176 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $4,325 – $58,474 · median $18,333 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,748 – $32,288 · median $11,631 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,748 – $23,858 · median $9,474 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,748 – $41,145 · median $13,898 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,748 – $25,473 · median $9,887 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $5,748 – $47,153 · median $15,436 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,325 – $29,094 · median $10,814 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,325 – $20,303 · median $8,564 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $4,325 – $44,009 · median $14,631 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,325 – $23,536 · median $9,392 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,325 – $16,211 · median $7,517 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,325 – $37,795 · median $13,041 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,748 – $23,232 · median $9,314 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $4,325 – $47,659 · median $15,565 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,748 – $27,884 · median $10,504 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,325 – $19,340 · median $8,318 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,928 – $71,368 · median $21,633 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,601 – $45,105 · median $14,912 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,601 – $34,112 · median $12,098 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $21,547 – $119,811 · median $34,031 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $9,601 – $163,021 · median $45,090 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $9,601 – $86,426 · median $25,487 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,601 – $66,144 · median $20,296 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $7,719 – $106,255 · median $30,562 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $5,748 – $64,884 · median $19,974 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,748 – $47,313 · median $15,477 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $7,719 – $98,438 · median $28,561 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $7,719 – $62,655 · median $19,403 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,719 – $49,483 · median $16,032 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $12,928 – $106,165 · median $30,539 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $5,748 – $61,588 · median $19,130 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,719 – $40,626 · median $13,765 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,928 – $71,115 · median $21,568 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $9,601 – $50,410 · median $16,269 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,820 – $40,701 · median $13,785 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $7,719 – $101,532 · median $29,353 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,719 – $51,778 · median $16,619 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,719 – $41,705 · median $14,042 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $7,719 – $123,759 · median $35,042 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,719 – $65,199 · median $20,055 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $7,719 – $44,709 · median $14,810 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $21,547 – $328,432 · median $87,424 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $21,547 – $215,114 · median $58,423 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $21,547 – $167,536 · median $46,246 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $21,547 – $268,486 · median $72,082 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $21,547 – $171,860 · median $47,352 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $5,748 – $58,652 · median $18,379 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,325 – $31,475 · median $11,423 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,748 – $21,233 · median $8,802 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,325 – $48,580 · median $15,801 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,325 – $25,068 · median $9,784 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,325 – $18,518 · median $8,107 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,719 – $53,482 · median $17,056 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,325 – $28,766 · median $10,730 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,325 – $20,851 · median $8,704 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,719 – $49,793 · median $16,111 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,748 – $32,613 · median $11,715 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,748 – $24,654 · median $9,678 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $21,547 – $199,112 · median $54,327 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,547 – $126,376 · median $35,712 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $21,547 – $158,822 · median $44,016 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,547 – $96,266 · median $28,005 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $21,547 – $250,421 · median $67,459 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $21,547 – $177,700 · median $48,847 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $21,547 – $124,343 · median $35,191 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $12,928 – $159,746 · median $45,491 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,547 – $79,268 · median $23,655 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $9,601 – $169,845 · median $46,837 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,928 – $92,818 · median $27,123 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,928 – $54,346 · median $17,277 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,547 – $155,121 · median $43,068 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,547 – $105,093 · median $30,265 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,547 – $81,890 · median $24,326 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,547 – $90,389 · median $26,501 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,814 – $57,481 · median $18,079 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $21,547 – $143,895 · median $40,195 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,547 – $87,794 · median $25,837 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,448 – $72,751 · median $21,987 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $7,719 – $127,928 · median $36,109 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $5,748 – $67,816 · median $20,724 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,748 – $35,170 · median $12,369 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,719 – $102,947 · median $29,715 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,719 – $73,284 · median $22,124 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,601 – $55,395 · median $17,545 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $12,928 – $86,787 · median $25,579 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $12,928 – $62,416 · median $19,342 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,928 – $48,604 · median $15,807 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,547 – $82,603 · median $24,509 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $7,719 – $96,168 · median $27,980 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $7,719 – $62,315 · median $19,316 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,719 – $46,673 · median $15,313 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,928 – $45,403 · median $16,859 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,053 – $33,281 · median $11,885 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $12,928 – $109,414 · median $31,370 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,928 – $75,576 · median $22,710 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,364 – $59,794 · median $18,671 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $7,719 – $108,046 · median $31,020 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $9,601 – $53,756 · median $17,126 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,702 – $34,321 · median $12,583 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $7,719 – $89,901 · median $26,376 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,601 – $60,041 · median $18,734 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,601 – $94,311 · median $27,505 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,601 – $52,093 · median $16,700 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,678 – $40,108 · median $13,633 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $5,748 – $83,175 · median $24,655 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,719 – $55,702 · median $17,624 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,928 – $53,425 · median $17,041 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,719 – $35,748 · median $13,658 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $7,719 – $53,831 · median $17,145 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,928 – $45,129 · median $14,918 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $9,601 – $90,011 · median $26,405 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,601 – $61,966 · median $19,227 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,874 – $49,331 · median $15,993 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $7,719 – $46,914 · median $15,375 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,719 – $30,465 · median $11,165 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $7,719 – $94,970 · median $27,674 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $9,601 – $61,927 · median $19,217 | 14 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,032 – $45,794 · median $15,088 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $12,928 – $111,372 · median $31,872 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $9,601 – $59,606 · median $18,623 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,928 – $44,518 · median $14,762 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,547 – $85,532 · median $25,258 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,153 – $63,107 · median $19,519 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $5,748 – $46,717 · median $15,324 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,325 – $24,022 · median $9,516 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,748 – $38,204 · median $13,145 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,748 – $24,066 · median $9,527 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,748 – $28,438 · median $10,646 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,748 – $21,465 · median $8,861 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $4,325 – $58,697 · median $18,390 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,748 – $38,630 · median $13,254 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,325 – $22,991 · median $9,373 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $5,748 – $52,642 · median $16,841 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,325 – $30,634 · median $11,208 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,325 – $22,487 · median $9,123 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $7,719 – $73,955 · median $22,295 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,325 – $34,371 · median $12,165 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,748 – $24,919 · median $9,745 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,748 – $57,541 · median $18,094 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $4,325 – $35,975 · median $12,575 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,748 – $26,048 · median $10,034 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,928 – $49,948 · median $16,151 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,719 – $28,647 · median $10,700 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,748 – $38,630 · median $13,254 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,325 – $24,737 · median $9,699 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,748 – $39,390 · median $13,449 | 14 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,748 – $24,752 · median $9,703 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $4,325 – $44,310 · median $14,708 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,748 – $26,617 · median $10,180 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,719 – $55,574 · median $17,591 | 14 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,325 – $33,558 · median $11,956 | 14 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,748 – $23,956 · median $9,499 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $5,748 – $42,459 · median $14,235 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,719 – $26,686 · median $10,198 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $5,748 – $45,999 · median $15,141 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,748 – $29,037 · median $10,799 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,748 – $22,329 · median $9,083 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $5,748 – $87,645 · median $25,799 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $5,748 – $50,347 · median $16,253 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $5,748 – $34,160 · median $12,110 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $7,719 – $195,232 · median $53,334 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $7,719 – $103,448 · median $29,844 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,748 – $48,681 · median $17,073 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $9,601 – $146,056 · median $40,748 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,601 – $78,991 · median $23,584 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,928 – $47,871 · median $15,620 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $9,601 – $96,507 · median $28,067 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,601 – $51,494 · median $16,547 | 14 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $12,928 – $43,004 · median $14,374 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,928 – $57,413 · median $18,062 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,363 – $51,387 · median $16,520 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,601 – $63,793 · median $19,695 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,928 – $57,487 · median $18,081 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $5,748 – $57,672 · median $18,128 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $4,325 – $35,352 · median $12,416 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,325 – $25,831 · median $9,979 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $5,748 – $63,197 · median $19,542 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,325 – $32,259 · median $11,624 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,325 – $31,040 · median $11,312 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,325 – $18,029 · median $7,982 | 14 plans |
| 602 | CELLULITIS WITH MCC | $5,748 – $42,355 · median $14,208 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,748 – $25,953 · median $10,010 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $5,748 – $45,093 · median $14,909 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,748 – $27,011 · median $10,281 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,678 – $65,316 · median $20,084 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,928 – $41,699 · median $14,040 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,719 – $103,925 · median $29,966 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,748 – $55,735 · median $17,632 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,748 – $42,265 · median $14,185 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $12,928 – $86,045 · median $25,389 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,483 – $47,689 · median $15,573 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,831 – $44,950 · median $14,872 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $7,719 – $106,064 · median $30,513 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,748 – $53,458 · median $17,050 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,748 – $37,307 · median $12,916 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $9,601 – $89,999 · median $26,402 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,767 – $44,682 · median $14,803 | 14 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,554 – $39,583 · median $13,499 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $9,601 – $111,059 · median $31,791 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $7,719 – $64,928 · median $19,985 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,484 – $43,493 · median $14,499 | 14 plans |
| 637 | DIABETES WITH MCC | $5,748 – $42,814 · median $14,325 | 14 plans |
| 638 | DIABETES WITH CC | $5,748 – $26,707 · median $10,203 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,748 – $18,512 · median $8,106 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,325 – $39,801 · median $13,554 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,325 – $23,190 · median $9,303 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,748 – $42,379 · median $14,214 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,719 – $49,054 · median $15,922 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,325 – $30,545 · median $11,185 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,748 – $22,895 · median $9,228 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $9,601 – $154,853 · median $43,000 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $12,928 – $83,419 · median $24,718 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,601 – $63,075 · median $19,511 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $9,601 – $94,877 · median $27,650 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,601 – $54,534 · median $17,325 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,928 – $46,244 · median $15,203 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $7,719 – $75,719 · median $22,747 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,507 – $39,387 · median $13,448 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,476 – $30,855 · median $11,265 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $7,719 – $91,233 · median $26,717 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $7,719 – $45,302 · median $14,962 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,558 – $31,198 · median $11,352 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $5,748 – $93,012 · median $27,173 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $7,719 – $52,129 · median $16,709 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,601 – $32,965 · median $11,805 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $7,719 – $87,016 · median $25,638 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,928 – $46,250 · median $15,205 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,064 – $29,124 · median $10,822 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,719 – $53,491 · median $17,058 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,601 – $32,169 · median $11,601 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,547 – $125,208 · median $35,413 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $5,748 – $69,690 · median $21,204 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,928 – $48,914 · median $15,886 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $5,748 – $44,134 · median $14,663 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $4,325 – $26,099 · median $10,047 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,325 – $17,889 · median $7,946 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,325 – $34,577 · median $12,217 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,748 – $24,123 · median $9,542 | 14 plans |
| 693 | URINARY STONES WITH MCC | $5,748 – $40,066 · median $13,622 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,719 – $23,295 · median $9,330 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,748 – $34,085 · median $12,091 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,748 – $20,532 · median $8,623 | 14 plans |
| 697 | URETHRAL STRICTURE | $5,748 – $32,118 · median $11,588 | 14 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $5,748 – $49,301 · median $15,986 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,748 – $30,247 · median $11,109 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,325 – $20,559 · median $8,630 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $17,320 – $59,609 · median $18,624 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,014 – $45,719 · median $15,069 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,601 – $69,348 · median $21,116 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,071 – $41,756 · median $14,055 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,719 – $62,097 · median $19,261 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,719 – $32,771 · median $11,755 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,719 – $44,801 · median $14,834 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,632 – $31,511 · median $11,432 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $7,719 – $66,672 · median $20,431 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,928 – $43,836 · median $14,587 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,719 – $56,337 · median $17,786 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,719 – $40,024 · median $13,611 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,748 – $34,872 · median $12,293 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,748 – $21,516 · median $8,874 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,748 – $44,190 · median $14,678 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,748 – $24,174 · median $9,555 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,748 – $31,549 · median $11,442 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,748 – $20,026 · median $8,493 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $12,928 – $63,474 · median $19,613 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,676 – $40,096 · median $13,630 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $7,719 – $106,520 · median $30,630 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,719 – $61,406 · median $19,084 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,719 – $43,761 · median $14,568 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $9,601 – $105,084 · median $30,693 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $12,928 – $53,926 · median $17,169 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,247 – $42,498 · median $14,244 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $12,928 – $54,677 · median $17,362 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,932 – $36,973 · median $12,830 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $5,748 – $61,063 · median $18,996 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,601 – $33,898 · median $12,043 | 14 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,719 – $51,766 · median $16,616 | 14 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,230 – $25,017 · median $9,925 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,972 – $41,342 · median $13,949 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $12,928 – $76,514 · median $22,950 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,601 – $43,979 · median $14,623 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,748 – $42,671 · median $14,289 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,719 – $29,174 · median $10,834 | 14 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,748 – $19,775 · median $8,429 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,325 – $30,024 · median $11,052 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,325 – $16,974 · median $7,719 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,719 – $50,356 · median $16,256 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $9,601 – $29,880 · median $11,015 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,748 – $19,510 · median $8,361 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $7,719 – $21,250 · median $9,784 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,928 – $53,706 · median $17,113 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,748 – $177,116 · median $48,698 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,748 – $120,958 · median $34,325 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,748 – $72,986 · median $22,047 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $12,928 – $124,254 · median $35,169 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,719 – $43,982 · median $14,624 | 14 plans |
| 795 | NORMAL NEWBORN | $4,325 – $6,726 · median $4,892 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $9,601 – $134,961 · median $37,909 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $9,601 – $83,720 · median $24,795 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,928 – $56,885 · median $17,927 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $7,719 – $118,726 · median $33,754 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,719 – $55,395 · median $17,545 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,601 – $40,409 · median $13,710 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $5,748 – $65,795 · median $20,207 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,748 – $37,724 · median $13,023 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,748 – $31,189 · median $11,350 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $4,325 – $41,848 · median $14,078 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,748 – $27,362 · median $10,371 | 14 plans |
| 813 | COAGULATION DISORDERS | $12,928 – $45,454 · median $15,001 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $5,748 – $63,376 · median $19,588 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,325 – $30,217 · median $11,101 | 14 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,325 – $18,834 · median $8,188 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $12,928 – $50,302 · median $20,769 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,354 – $31,415 · median $12,209 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,231 – $25,625 · median $9,926 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $9,601 – $174,771 · median $48,098 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $7,719 – $66,710 · median $20,441 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,672 – $35,879 · median $12,551 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $7,719 – $136,627 · median $38,335 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $7,719 – $67,515 · median $20,647 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,601 – $40,212 · median $13,659 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $9,601 – $139,398 · median $39,045 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $7,719 – $68,874 · median $20,995 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,601 – $50,773 · median $16,362 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $9,601 – $94,168 · median $27,469 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,807 – $44,849 · median $14,846 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,325 – $35,835 · median $12,539 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,325 – $21,504 · median $8,871 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,325 – $15,582 · median $7,356 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $12,928 – $258,053 · median $69,412 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $9,601 – $147,170 · median $41,034 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $7,719 – $59,543 · median $18,607 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,719 – $44,617 · median $14,787 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,748 – $26,453 · median $10,138 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $5,748 – $44,649 · median $14,795 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,748 – $25,914 · median $10,000 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,719 – $62,377 · median $19,332 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,325 – $30,727 · median $11,232 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,325 – $21,745 · median $8,933 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $7,719 – $205,972 · median $56,083 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $5,748 – $57,887 · median $18,183 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,325 – $30,494 · median $11,172 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,000 – $115,174 · median $32,845 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,000 – $28,614 · median $10,691 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $1,000 – $28,039 · median $10,544 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,000 – $31,999 · median $11,558 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,000 – $58,596 · median $18,364 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,000 – $47,945 · median $15,639 | 14 plans |
| 885 | PSYCHOSES | $1,000 – $41,625 · median $14,021 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,000 – $61,844 · median $19,196 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,000 – $31,913 · median $11,535 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,000 – $18,384 · median $8,073 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,000 – $42,185 · median $14,164 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,000 – $52,004 · median $16,677 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,000 – $26,307 · median $10,101 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $7,719 – $125,059 · median $35,374 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $5,748 – $57,052 · median $17,969 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,719 – $34,854 · median $12,288 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $9,601 – $109,458 · median $31,382 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,719 – $42,668 · median $14,681 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,601 – $52,520 · median $18,349 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $12,928 – $114,411 · median $32,649 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,928 – $59,457 · median $18,585 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,443 – $39,118 · median $13,380 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,719 – $50,112 · median $16,193 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,748 – $19,856 · median $8,450 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,601 – $46,738 · median $15,330 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,719 – $25,542 · median $9,905 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,601 – $54,558 · median $17,331 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,748 – $29,869 · median $11,012 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,748 – $20,514 · median $8,618 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $5,748 – $52,132 · median $16,710 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,748 – $30,327 · median $11,130 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $7,719 – $108,129 · median $31,042 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $9,601 – $69,640 · median $21,191 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,601 – $60,425 · median $18,833 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $9,601 – $182,415 · median $50,054 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $7,719 – $78,595 · median $23,483 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $5,748 – $86,003 · median $25,379 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,325 – $38,591 · median $13,245 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,748 – $26,656 · median $10,253 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,719 – $37,774 · median $13,265 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $12,928 – $139,816 · median $39,151 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,928 – $73,263 · median $22,118 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,289 – $51,077 · median $16,440 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $5,748 – $102,166 · median $29,516 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $5,748 – $48,979 · median $15,903 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,719 – $35,736 · median $12,514 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $9,601 – $28,600 · median $20,800 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $4,325 – $19,268 · median $14,013 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,748 – $14,654 · median $10,658 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $5,748 – $28,456 · median $20,695 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $5,748 – $18,292 · median $13,303 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,748 – $14,223 · median $10,344 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $7,719 – $20,675 · median $15,036 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,748 – $15,790 · median $11,484 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,748 – $12,879 · median $9,366 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $5,748 – $20,069 · median $14,595 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,719 – $14,237 · median $10,354 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $7,719 – $52,332 · median $38,060 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $7,719 – $27,088 · median $19,701 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,748 – $19,238 · median $13,991 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,719 – $23,756 · median $17,277 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,748 – $15,096 · median $10,979 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $5,748 – $21,773 · median $15,835 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,748 – $13,917 · median $10,121 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $12,928 – $75,219 · median $54,705 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $9,601 – $44,093 · median $32,068 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $12,928 – $84,540 · median $61,483 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,928 – $48,821 · median $35,506 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,601 – $35,505 · median $25,822 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $7,719 – $33,300 · median $24,218 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $5,748 – $20,703 · median $15,057 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,719 – $14,494 · median $10,541 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $7,719 – $1,286,847 · median $332,715 | 12 plans |
No procedures match that keyword.