Fayette Medical Center — 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 |
|---|---|---|---|
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $850 – $55,591 · median $31,676 | 18 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $810 – $18,072 · median $8,144 | 18 plans |
| 881 | DEPRESSIVE NEUROSES | $763 – $17,823 · median $7,981 | 18 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $786 – $19,540 · median $9,108 | 18 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $786 – $31,068 · median $16,678 | 18 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $794 – $26,451 · median $13,647 | 18 plans |
| 885 | Psychoses | $771 – $23,712 · median $11,848 | 18 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $763 – $32,475 · median $17,603 | 18 plans |
| 887 | Other mental disorder diagnoses | $709 – $19,502 · median $9,083 | 18 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $748 – $13,638 · median $5,670 | 18 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $786 – $23,954 · median $12,007 | 18 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $678 – $28,210 · median $14,802 | 18 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $678 – $17,073 · median $7,488 | 18 plans |
| 100 | SEIZURES WITH MCC | $3,356 – $30,687 · median $17,429 | 16 plans |
| 101 | SEIZURES WITHOUT MCC | $3,356 – $17,328 · median $8,995 | 16 plans |
| 102 | HEADACHES WITH MCC | $3,313 – $20,148 · median $10,775 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $3,356 – $36,038 · median $20,807 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $3,356 – $23,146 · median $12,668 | 16 plans |
| 115 | Extraocular procedures except orbit | $3,356 – $25,495 · median $14,151 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,356 – $29,024 · median $16,379 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,356 – $19,683 · median $10,482 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,313 – $20,696 · median $11,121 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,493 – $15,820 · median $8,042 | 16 plans |
| 123 | Neurological eye disorders | $2,493 – $15,985 · median $8,147 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $3,313 – $22,760 · median $12,424 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,313 – $15,587 · median $7,896 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $3,356 – $33,699 · median $19,331 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,356 – $18,784 · median $9,914 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $3,356 – $24,957 · median $13,811 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,356 – $17,117 · median $8,861 | 16 plans |
| 139 | Salivary gland procedures | $3,356 – $21,631 · median $11,711 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $3,356 – $60,762 · median $35,385 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,356 – $33,842 · median $19,421 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,356 – $26,290 · median $14,653 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $3,356 – $54,063 · median $31,484 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,356 – $28,053 · median $15,766 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $21,199 · median $11,439 | 16 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,313 – $33,019 · median $18,902 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,313 – $22,093 · median $12,003 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,356 – $15,966 · median $8,135 | 16 plans |
| 149 | DYSEQUILIBRIUM | $3,313 – $15,378 · median $7,764 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $3,313 – $22,868 · median $12,493 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,313 – $15,151 · median $7,620 | 16 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,313 – $20,940 · median $11,275 | 16 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,313 – $15,205 · median $7,654 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $3,313 – $25,865 · median $14,385 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,356 – $17,508 · median $9,108 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,493 – $14,597 · median $7,270 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $3,313 – $27,845 · median $15,635 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $2,493 – $17,421 · median $9,054 | 16 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,313 – $14,821 · median $7,412 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $3,356 – $63,559 · median $37,014 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $3,356 – $38,271 · median $22,217 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $3,356 – $30,395 · median $17,245 | 16 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $3,356 – $53,948 · median $31,417 | 16 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,356 – $28,963 · median $16,341 | 16 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $23,319 · median $12,777 | 16 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $3,356 – $44,114 · median $25,690 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,313 – $23,412 · median $12,836 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,313 – $16,068 · median $8,199 | 16 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $2,493 – $25,854 · median $14,378 | 16 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,493 – $18,276 · median $9,594 | 16 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,493 – $15,422 · median $7,791 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $2,493 – $28,480 · median $16,036 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $3,313 – $19,503 · median $10,368 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,493 – $15,406 · median $7,782 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,356 – $25,431 · median $14,111 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $3,313 – $19,414 · median $10,312 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,313 – $15,829 · median $8,048 | 16 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $3,313 – $25,800 · median $14,344 | 16 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,313 – $18,446 · median $9,700 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,493 – $14,934 · median $7,483 | 16 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,493 – $21,627 · median $11,709 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,493 – $19,977 · median $10,668 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,493 – $16,559 · median $8,509 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,493 – $13,962 · median $6,961 | 16 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,493 – $22,647 · median $12,353 | 16 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,493 – $16,079 · median $8,206 | 16 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,493 – $13,788 · median $6,910 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $3,313 – $30,046 · median $17,024 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $2,493 – $17,929 · median $9,374 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,493 – $14,921 · median $7,475 | 16 plans |
| 199 | PNEUMOTHORAX WITH MCC | $3,313 – $28,456 · median $16,020 | 16 plans |
| 200 | PNEUMOTHORAX WITH CC | $2,493 – $19,869 · median $10,599 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,493 – $14,907 · median $7,466 | 16 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,493 – $18,214 · median $9,554 | 16 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,313 – $14,324 · median $7,098 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,313 – $16,099 · median $8,219 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,493 – $29,320 · median $16,566 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,313 – $17,826 · median $9,309 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $3,356 – $88,783 · median $52,173 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $3,356 – $41,173 · median $23,977 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $3,356 – $146,124 · median $85,956 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,356 – $134,279 · median $78,987 | 16 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,356 – $132,029 · median $77,664 | 16 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,356 – $90,599 · median $53,277 | 16 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,356 – $90,599 · median $53,277 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,356 – $104,846 · median $61,674 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,356 – $74,551 · median $43,525 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,356 – $70,771 · median $41,228 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,356 – $69,573 · median $40,516 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,356 – $46,350 · median $26,992 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $3,356 – $114,554 · median $67,385 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $3,356 – $83,977 · median $49,253 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,356 – $104,419 · median $61,423 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,356 – $76,228 · median $44,544 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,356 – $81,471 · median $47,730 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $3,356 – $59,774 · median $34,810 | 16 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $3,356 – $69,241 · median $40,323 | 16 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $3,356 – $42,488 · median $24,743 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,313 – $23,551 · median $12,924 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,356 – $46,910 · median $27,318 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,356 – $33,194 · median $19,012 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,356 – $29,016 · median $16,374 | 16 plans |
| 245 | AICD generator procedures | $3,356 – $64,600 · median $37,620 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $3,356 – $33,860 · median $19,433 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $3,356 – $24,974 · median $13,822 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $3,356 – $50,726 · median $29,541 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $3,356 – $39,196 · median $22,801 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,356 – $28,683 · median $16,164 | 16 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $3,356 – $40,511 · median $23,592 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,313 – $27,601 · median $15,481 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,313 – $19,777 · median $10,541 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,356 – $46,255 · median $26,937 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,356 – $31,788 · median $18,124 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,356 – $47,684 · median $27,769 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,356 – $30,088 · median $17,051 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,356 – $26,722 · median $14,926 | 16 plans |
| 263 | VEIN LIGATION AND STRIPPING | $3,356 – $45,161 · median $26,299 | 16 plans |
| 264 | Other circulatory system O.R. procedures | $3,356 – $48,819 · median $28,430 | 16 plans |
| 265 | AICD lead procedures | $3,356 – $52,404 · median $30,518 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $3,356 – $84,827 · median $49,769 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,356 – $67,162 · median $39,112 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,356 – $94,508 · median $55,593 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,356 – $60,219 · median $35,068 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,356 – $73,821 · median $43,081 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,356 – $51,605 · median $30,052 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,356 – $38,646 · median $22,454 | 16 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $3,356 – $58,957 · median $34,334 | 16 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $3,356 – $48,187 · median $28,062 | 16 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,356 – $97,769 · median $57,511 | 16 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $3,356 – $83,254 · median $48,813 | 16 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $3,356 – $65,324 · median $38,042 | 16 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $3,356 – $77,565 · median $45,356 | 16 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $3,356 – $52,252 · median $30,429 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,313 – $26,389 · median $14,716 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,356 – $17,541 · median $9,130 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,356 – $15,010 · median $7,531 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $3,356 – $31,255 · median $17,788 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,356 – $14,611 · median $7,279 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,356 – $13,406 · median $6,800 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $3,356 – $34,251 · median $19,680 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $3,356 – $19,492 · median $10,361 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $3,313 – $40,624 · median $23,658 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $3,313 – $27,717 · median $15,554 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $3,313 – $17,678 · median $9,216 | 16 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $3,313 – $22,252 · median $12,104 | 16 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $2,493 – $16,636 · median $8,558 | 16 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,493 – $12,981 · median $6,678 | 16 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $3,313 – $25,844 · median $14,372 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,356 – $13,859 · median $6,931 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,356 – $11,548 · median $6,265 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $3,313 – $26,759 · median $14,949 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $3,313 – $19,458 · median $10,340 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,493 – $14,966 · median $7,503 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,493 – $14,365 · median $7,124 | 16 plans |
| 304 | HYPERTENSION WITH MCC | $3,313 – $21,041 · median $11,339 | 16 plans |
| 305 | HYPERTENSION WITHOUT MCC | $2,493 – $15,423 · median $7,792 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,493 – $26,024 · median $14,485 | 16 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,493 – $17,465 · median $9,081 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $3,313 – $21,221 · median $11,453 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,313 – $15,173 · median $7,634 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,313 – $12,982 · median $6,678 | 16 plans |
| 311 | Angina pectoris | $3,313 – $14,736 · median $7,358 | 16 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,313 – $16,928 · median $8,742 | 16 plans |
| 313 | CHEST PAIN | $3,356 – $14,970 · median $7,506 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $3,313 – $32,603 · median $18,639 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,493 – $18,112 · median $9,490 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,493 – $14,480 · median $7,197 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $3,356 – $63,315 · median $36,871 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,356 – $36,738 · median $21,249 | 16 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $3,356 – $40,813 · median $23,768 | 16 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,356 – $28,442 · median $16,011 | 16 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $3,356 – $61,564 · median $35,852 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,356 – $46,370 · median $27,003 | 16 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,356 – $47,137 · median $27,450 | 16 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,356 – $70,089 · median $40,817 | 16 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $3,356 – $37,240 · median $21,567 | 16 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,356 – $26,366 · median $14,701 | 16 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,356 – $65,040 · median $37,876 | 16 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,356 – $36,633 · median $21,183 | 16 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,356 – $27,407 · median $15,358 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $3,356 – $52,436 · median $30,537 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $3,356 – $35,923 · median $20,735 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $3,356 – $26,826 · median $14,991 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $3,356 – $51,793 · median $30,162 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $3,356 – $32,907 · median $18,831 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $3,356 – $25,497 · median $14,152 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,356 – $39,030 · median $22,697 | 16 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,356 – $25,105 · median $13,905 | 16 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,313 – $20,991 · median $11,308 | 16 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $3,356 – $35,321 · median $20,355 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $3,356 – $22,575 · median $12,308 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,313 – $16,915 · median $8,734 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,356 – $37,856 · median $21,956 | 16 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,356 – $25,361 · median $14,067 | 16 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,356 – $20,754 · median $11,158 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $3,356 – $43,153 · median $25,131 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,356 – $27,401 · median $15,354 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $3,356 – $23,043 · median $12,603 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,356 – $62,409 · median $36,344 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,356 – $35,707 · median $20,599 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $23,726 · median $13,034 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $3,313 – $26,232 · median $14,616 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,493 – $18,589 · median $9,791 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,493 – $14,722 · median $7,349 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $3,313 – $28,572 · median $16,094 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,493 – $18,858 · median $9,961 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,493 – $15,065 · median $7,566 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,493 – $33,294 · median $19,075 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $3,313 – $21,294 · median $11,499 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,493 – $17,609 · median $9,172 | 16 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $3,356 – $29,281 · median $16,542 | 16 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $3,313 – $18,337 · median $9,632 | 16 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,313 – $13,812 · median $6,918 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,493 – $31,015 · median $17,636 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,313 – $19,665 · median $10,470 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,313 – $16,011 · median $8,163 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $3,313 – $23,504 · median $12,894 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,313 – $16,711 · median $8,605 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $3,313 – $26,108 · median $14,538 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,493 – $18,280 · median $9,596 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,493 – $14,470 · median $7,190 | 16 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,493 – $24,745 · median $13,678 | 16 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,493 – $15,871 · median $8,075 | 16 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,493 – $12,697 · median $6,596 | 16 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,493 – $22,052 · median $11,977 | 16 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,313 – $15,740 · median $7,992 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,493 – $26,327 · median $14,677 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,313 – $17,756 · median $9,265 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,493 – $14,053 · median $6,987 | 16 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $3,356 – $36,604 · median $21,165 | 16 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $3,356 – $25,220 · median $13,978 | 16 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,356 – $20,455 · median $10,969 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $3,356 – $76,329 · median $44,605 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,356 – $43,130 · median $25,117 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,356 – $34,339 · median $19,735 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,356 – $51,725 · median $30,122 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,313 – $33,793 · median $19,390 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,313 – $26,177 · median $14,582 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,356 – $48,337 · median $28,149 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,356 – $32,827 · median $18,780 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,356 – $27,118 · median $15,176 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,356 – $51,686 · median $30,099 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,313 – $32,364 · median $18,488 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,356 – $23,279 · median $12,752 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,356 – $36,494 · median $21,095 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,356 – $27,519 · median $15,429 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,356 – $23,311 · median $12,772 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,356 – $49,678 · median $28,930 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,356 – $28,112 · median $15,804 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,356 – $23,747 · median $13,047 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,356 – $59,312 · median $34,540 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,356 – $33,930 · median $19,477 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $25,048 · median $13,869 | 16 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $3,313 – $31,092 · median $17,685 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,493 – $19,312 · median $10,248 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,313 – $14,873 · median $7,445 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $3,356 – $29,394 · median $16,613 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $3,313 – $20,280 · median $10,858 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,313 – $16,692 · median $8,593 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,493 – $26,726 · median $14,929 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,493 – $16,535 · median $8,494 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,493 – $13,696 · median $6,884 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $3,356 – $28,851 · median $16,270 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,493 – $18,138 · median $9,506 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,493 – $14,708 · median $7,340 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $3,356 – $27,252 · median $15,260 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $3,313 – $19,806 · median $10,559 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,313 – $16,356 · median $8,381 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,356 – $114,212 · median $67,183 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,356 – $82,692 · median $48,472 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,356 – $59,565 · median $34,688 | 16 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $3,356 – $77,007 · median $45,017 | 16 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $3,356 – $40,028 · median $23,310 | 16 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,356 – $79,287 · median $46,403 | 16 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,356 – $45,901 · median $26,730 | 16 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,356 – $29,226 · median $16,507 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,356 – $72,905 · median $42,525 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,356 – $51,221 · median $29,829 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $3,356 – $41,164 · median $23,972 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,356 – $44,848 · median $26,117 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,356 – $30,584 · median $17,364 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $3,356 – $68,039 · median $39,623 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,356 – $43,723 · median $25,462 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,356 – $37,203 · median $21,543 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,356 – $61,119 · median $35,593 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,313 – $35,064 · median $20,193 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,313 – $20,914 · median $11,259 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,356 – $50,291 · median $29,287 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,356 – $37,434 · median $21,689 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,356 – $29,680 · median $16,794 | 16 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $3,356 – $26,737 · median $14,935 | 16 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $3,356 – $41,473 · median $24,152 | 16 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $3,356 – $47,353 · median $27,576 | 16 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,356 – $32,679 · median $18,687 | 16 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,356 – $25,900 · median $14,407 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,356 – $28,518 · median $16,060 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,356 – $20,095 · median $11,702 | 16 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,356 – $53,094 · median $30,919 | 16 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,356 – $38,427 · median $22,316 | 16 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,356 – $31,587 · median $17,997 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,356 – $28,970 · median $16,345 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,356 – $21,277 · median $11,488 | 16 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,356 – $44,636 · median $25,994 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,356 – $31,694 · median $18,065 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $3,356 – $46,548 · median $27,107 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,356 – $28,249 · median $15,890 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,356 – $23,054 · median $12,610 | 16 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,313 – $41,721 · median $24,296 | 16 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,356 – $29,813 · median $16,878 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,356 – $28,827 · median $16,255 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,356 – $23,097 · median $12,637 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,356 – $29,002 · median $16,365 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,356 – $25,231 · median $13,984 | 16 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $3,356 – $44,684 · median $26,022 | 16 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $3,356 – $32,528 · median $18,592 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,356 – $18,874 · median $9,971 | 16 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,356 – $46,833 · median $27,274 | 16 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,356 – $32,512 · median $18,581 | 16 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $25,519 · median $14,166 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,356 – $53,943 · median $31,414 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,356 – $31,505 · median $17,946 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,356 – $24,966 · median $13,817 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,356 – $42,743 · median $24,891 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,356 – $33,023 · median $18,904 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $3,313 – $25,919 · median $14,419 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $2,493 – $16,082 · median $8,208 | 16 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $3,313 – $22,229 · median $12,089 | 16 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,313 – $16,101 · median $8,220 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,313 – $17,996 · median $9,417 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,313 – $14,974 · median $7,508 | 16 plans |
| 539 | OSTEOMYELITIS WITH MCC | $2,493 – $31,111 · median $17,697 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $3,313 – $22,414 · median $12,206 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $2,493 – $15,840 · median $8,056 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $3,313 – $28,487 · median $16,040 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,493 – $18,948 · median $10,018 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,493 – $15,417 · median $7,788 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $3,356 – $37,725 · median $21,872 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,493 – $20,568 · median $11,040 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,313 – $16,471 · median $8,453 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $3,313 – $30,610 · median $17,381 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $2,493 – $21,263 · median $11,479 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,313 – $16,960 · median $8,763 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $3,356 – $27,319 · median $15,303 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $3,356 – $18,087 · median $9,474 | 16 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $3,313 – $22,414 · median $12,206 | 16 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,493 – $16,392 · median $8,404 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,313 – $22,743 · median $12,414 | 16 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,313 – $16,398 · median $8,408 | 16 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,493 – $24,875 · median $13,760 | 16 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,313 – $17,207 · median $8,918 | 16 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,356 – $29,758 · median $16,842 | 16 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,493 – $20,215 · median $10,818 | 16 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,313 – $16,053 · median $8,190 | 16 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $3,313 – $24,073 · median $13,253 | 16 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,356 – $17,237 · median $8,937 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $3,313 – $25,608 · median $14,222 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $3,313 – $18,256 · median $9,580 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,313 – $15,348 · median $7,745 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $3,313 – $43,658 · median $25,425 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $3,313 – $27,492 · median $15,412 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,313 – $20,476 · median $10,982 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,356 – $90,291 · median $53,089 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,356 – $50,508 · median $29,413 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,313 – $28,881 · median $16,289 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,356 – $68,976 · median $40,168 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,356 – $39,908 · median $23,240 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,356 – $26,419 · median $14,734 | 16 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $3,356 – $47,500 · median $27,662 | 16 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,356 – $27,990 · median $15,726 | 16 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,356 – $24,310 · median $13,403 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,356 – $30,555 · median $17,346 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,356 – $27,943 · median $15,697 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,356 – $33,320 · median $19,092 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,356 – $30,587 · median $17,366 | 16 plans |
| 592 | SKIN ULCERS WITH MCC | $3,313 – $30,667 · median $17,417 | 16 plans |
| 593 | SKIN ULCERS WITH CC | $2,493 – $20,993 · median $11,309 | 16 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $2,493 – $16,866 · median $8,703 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $3,313 – $33,062 · median $18,929 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,493 – $19,652 · median $10,462 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $3,313 – $27,203 · median $15,229 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $3,313 – $20,282 · median $10,860 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,313 – $15,608 · median $7,909 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $2,493 – $19,124 · median $10,129 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,493 – $13,484 · median $6,823 | 16 plans |
| 602 | CELLULITIS WITH MCC | $3,313 – $24,028 · median $13,225 | 16 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,313 – $16,919 · median $8,736 | 16 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $3,313 – $24,684 · median $13,639 | 16 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,356 – $17,501 · median $9,104 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $3,313 – $25,215 · median $13,974 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,313 – $17,377 · median $9,026 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $3,356 – $33,980 · median $19,508 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $3,356 – $23,744 · median $13,046 | 16 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,356 – $50,715 · median $29,534 | 16 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,313 – $29,828 · median $16,887 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,313 – $23,989 · median $13,200 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,356 – $42,965 · median $25,021 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $3,356 – $26,340 · median $14,685 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,356 – $25,153 · median $13,935 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,356 – $51,642 · median $30,074 | 16 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,313 – $28,841 · median $16,263 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,313 – $21,840 · median $11,843 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $3,356 – $44,679 · median $26,019 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,356 – $25,037 · median $13,862 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,356 – $22,827 · median $12,467 | 16 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,356 – $53,807 · median $31,335 | 16 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,356 – $33,812 · median $19,402 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $24,521 · median $13,536 | 16 plans |
| 637 | DIABETES WITH MCC | $3,313 – $24,227 · median $13,351 | 16 plans |
| 638 | DIABETES WITH CC | $3,313 – $17,246 · median $8,943 | 16 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,313 – $13,694 · median $6,883 | 16 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,493 – $22,921 · median $12,526 | 16 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $2,493 – $15,722 · median $7,980 | 16 plans |
| 642 | Inborn errors of metabolism | $3,313 – $24,038 · median $13,231 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,356 – $26,932 · median $15,058 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $2,493 – $18,909 · median $9,993 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,313 – $15,594 · median $7,900 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $3,356 – $66,395 · median $38,665 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $3,356 – $53,536 · median $31,177 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $3,356 – $72,789 · median $42,454 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $3,356 – $41,827 · median $24,358 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,356 – $33,009 · median $18,895 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $3,356 – $46,793 · median $27,250 | 16 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,356 – $29,307 · median $16,558 | 16 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,356 – $25,714 · median $14,289 | 16 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $3,356 – $38,489 · median $22,355 | 16 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,356 – $22,742 · median $12,413 | 16 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,356 – $19,044 · median $10,078 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $3,356 – $45,214 · median $26,330 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $3,356 – $25,306 · median $14,031 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,356 – $19,192 · median $10,172 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $3,313 – $45,985 · median $26,779 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $3,356 – $28,265 · median $15,900 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $3,356 – $19,958 · median $10,655 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $3,356 – $43,386 · median $25,266 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $3,356 – $25,716 · median $14,291 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,356 – $18,293 · median $9,604 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $3,356 – $28,855 · median $16,272 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,356 – $19,613 · median $10,438 | 16 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $3,356 – $59,940 · median $34,906 | 16 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,313 – $35,876 · median $20,705 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,356 – $26,871 · median $15,020 | 16 plans |
| 682 | RENAL FAILURE WITH MCC | $3,313 – $24,799 · median $13,712 | 16 plans |
| 683 | RENAL FAILURE WITH CC | $2,493 – $16,982 · median $8,776 | 16 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,493 – $13,424 · median $6,805 | 16 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $3,313 – $28,967 · median $16,343 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $3,313 – $19,204 · median $10,179 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,313 – $15,878 · median $8,079 | 16 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,493 – $20,657 · median $11,096 | 16 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,313 – $16,126 · median $8,236 | 16 plans |
| 693 | URINARY STONES WITH MCC | $3,313 – $23,036 · median $12,599 | 16 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,356 – $15,767 · median $8,009 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $3,313 – $20,444 · median $10,962 | 16 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,313 – $14,569 · median $7,253 | 16 plans |
| 697 | Urethral stricture | $3,313 – $19,591 · median $10,424 | 16 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $3,313 – $27,039 · median $15,126 | 16 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $3,313 – $18,780 · median $9,912 | 16 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,493 – $14,581 · median $7,260 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $3,356 – $31,507 · median $17,947 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $3,356 – $25,486 · median $14,146 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $3,356 – $35,728 · median $20,612 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $3,356 – $23,768 · median $13,061 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $3,356 – $32,585 · median $18,628 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $3,356 – $19,874 · median $10,602 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $3,356 – $25,089 · median $13,894 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,356 – $19,328 · median $10,257 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,356 – $34,568 · median $19,879 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,356 – $24,670 · median $13,630 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,356 – $30,088 · median $17,051 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,356 – $23,018 · median $12,587 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,313 – $29,045 · median $16,392 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,313 – $20,430 · median $10,953 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,313 – $14,139 · median $7,012 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $3,313 – $20,785 · median $11,177 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,313 – $14,996 · median $7,522 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $3,313 – $24,824 · median $13,727 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,313 – $16,148 · median $8,250 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,313 – $19,345 · median $10,268 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,313 – $14,350 · median $7,114 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $3,356 – $33,182 · median $19,004 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,356 – $23,049 · median $12,854 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,356 – $51,840 · median $30,189 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,356 – $32,286 · median $18,438 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,356 – $24,638 · median $13,610 | 16 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $3,356 – $51,947 · median $30,251 | 16 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $3,356 – $29,044 · median $16,392 | 16 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $3,356 – $24,090 · median $13,264 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,356 – $29,369 · median $16,597 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,356 – $21,695 · median $11,752 | 16 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,313 – $32,137 · median $18,345 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,356 – $20,362 · median $10,911 | 16 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,356 – $28,107 · median $15,800 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,356 – $16,774 · median $8,645 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,356 – $23,589 · median $13,009 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $3,356 – $38,834 · median $22,573 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $24,732 · median $13,669 | 16 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,313 – $29,458 · median $16,653 | 16 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,493 – $19,720 · median $10,505 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,313 – $18,076 · median $9,467 | 16 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,313 – $24,165 · median $13,311 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,356 – $18,315 · median $9,618 | 16 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,313 – $14,241 · median $7,046 | 16 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,493 – $18,683 · median $9,850 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,493 – $13,039 · median $6,695 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,493 – $19,511 · median $9,964 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,356 – $27,496 · median $15,415 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,356 – $18,621 · median $9,811 | 16 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,313 – $14,126 · median $7,008 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $3,356 – $16,537 · median $8,495 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,313 – $37,381 · median $20,718 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,313 – $19,363 · median $9,874 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,493 – $18,041 · median $9,079 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,313 – $26,976 · median $14,456 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,313 – $20,095 · median $10,315 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,493 – $18,054 · median $9,087 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,356 – $28,948 · median $16,331 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,313 – $82,439 · median $48,318 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,313 – $58,098 · median $33,833 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $3,313 – $37,305 · median $21,607 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,356 – $59,526 · median $34,665 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,356 – $24,733 · median $13,670 | 16 plans |
| 795 | NORMAL NEWBORN | $1,499 – $8,251 · median $4,805 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,313 – $20,743 · median $10,705 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,313 – $18,592 · median $9,410 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,313 – $18,032 · median $9,074 | 16 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $3,356 – $64,167 · median $37,368 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $3,356 – $41,957 · median $24,434 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $3,356 – $30,326 · median $17,201 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $3,356 – $57,130 · median $33,270 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,356 – $29,680 · median $16,794 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,356 – $23,185 · median $12,692 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,313 – $19,609 · median $10,023 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,313 – $15,409 · median $7,495 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,493 – $14,378 · median $7,081 | 16 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $3,313 – $34,188 · median $19,640 | 16 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $3,313 – $22,021 · median $11,958 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,313 – $19,188 · median $10,169 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,493 – $23,809 · median $13,086 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,313 – $17,530 · median $9,122 | 16 plans |
| 813 | COAGULATION DISORDERS | $3,356 – $25,371 · median $14,073 | 16 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $3,313 – $33,139 · median $18,977 | 16 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,493 – $18,767 · median $9,903 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,493 – $13,833 · median $6,923 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,356 – $35,140 · median $20,241 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,356 – $20,643 · median $11,088 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $16,777 · median $8,647 | 16 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $3,356 – $81,422 · median $47,700 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $3,356 – $34,585 · median $19,890 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $21,221 · median $11,453 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $3,356 – $64,889 · median $37,788 | 16 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $3,356 – $34,933 · median $20,110 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,356 – $23,099 · median $12,639 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $3,356 – $66,090 · median $38,488 | 16 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $3,356 – $35,522 · median $20,482 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $27,677 · median $15,529 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $3,356 – $46,486 · median $27,071 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,356 – $25,109 · median $13,908 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,493 – $21,202 · median $11,441 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,493 – $14,990 · median $7,519 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,493 – $12,424 · median $6,517 | 16 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $3,356 – $76,580 · median $44,758 | 16 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $3,313 – $32,611 · median $18,644 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $2,493 – $21,422 · median $11,579 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $3,356 – $67,724 · median $39,439 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,493 – $32,632 · median $18,657 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,493 – $24,320 · median $13,409 | 16 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $3,356 – $47,453 · median $27,635 | 16 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $3,313 – $26,742 · median $14,938 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,313 – $18,721 · median $9,874 | 16 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $3,313 – $31,436 · median $17,902 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,313 – $21,394 · median $11,562 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,313 – $16,670 · median $8,579 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $3,356 – $39,156 · median $22,776 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,356 – $22,567 · median $12,303 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,313 – $16,641 · median $8,561 | 16 plans |
| 849 | RADIOTHERAPY | $3,313 – $40,667 · median $23,683 | 16 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $3,356 – $69,459 · median $40,450 | 16 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,356 – $31,478 · median $17,929 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,356 – $25,008 · median $13,844 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $3,356 – $64,423 · median $37,517 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,356 – $33,330 · median $19,098 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,313 – $23,661 · median $12,993 | 16 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,356 – $29,226 · median $16,507 | 16 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,313 – $18,559 · median $9,772 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,313 – $17,136 · median $8,873 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $3,313 – $25,023 · median $13,853 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,313 – $16,902 · median $8,726 | 16 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $3,356 – $32,707 · median $18,704 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,493 – $18,988 · median $10,043 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,493 – $15,095 · median $7,585 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $3,356 – $94,946 · median $55,850 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $3,313 – $30,760 · median $17,475 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,493 – $18,887 · median $9,979 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $3,356 – $59,875 · median $34,868 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,313 – $30,398 · median $17,247 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,356 – $20,777 · median $11,172 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,356 – $53,113 · median $30,931 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,356 – $24,830 · median $13,731 | 16 plans |
| 906 | Hand procedures for injuries | $3,356 – $31,042 · median $17,653 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,356 – $55,260 · median $32,181 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,356 – $31,441 · median $17,905 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,356 – $22,625 · median $12,339 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $3,313 – $26,783 · median $14,964 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,313 – $17,107 · median $8,856 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $3,356 – $27,390 · median $15,348 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,313 – $14,276 · median $7,068 | 16 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $3,356 – $25,928 · median $14,425 | 16 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,356 – $16,741 · median $8,624 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $3,356 – $29,317 · median $16,564 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $3,313 – $18,616 · median $9,808 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,313 – $14,562 · median $7,248 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $3,313 – $28,266 · median $15,901 | 16 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $3,313 – $18,815 · median $9,934 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $3,356 – $281,442 · median $165,554 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $3,356 – $98,316 · median $57,833 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,356 – $47,271 · median $27,529 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,356 – $55,969 · median $32,594 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,356 – $34,223 · median $19,662 | 16 plans |
| 935 | Non-extensive burns | $3,356 – $32,278 · median $18,434 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $3,356 – $52,537 · median $30,595 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $3,356 – $35,854 · median $20,692 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,356 – $31,861 · median $18,170 | 16 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,493 – $25,672 · median $14,263 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,493 – $20,483 · median $10,986 | 16 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $3,313 – $22,066 · median $11,986 | 16 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,493 – $16,010 · median $8,162 | 16 plans |
| 949 | AFTERCARE WITH CC/MCC | $3,313 – $21,037 · median $11,336 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,493 – $13,778 · median $6,907 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,356 – $12,852 · median $6,641 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $3,356 – $92,612 · median $54,477 | 16 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $3,356 – $54,274 · median $31,607 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,356 – $104,092 · median $61,230 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,356 – $60,098 · median $34,999 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,356 – $43,697 · median $25,447 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,356 – $40,981 · median $23,865 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,313 – $25,466 · median $14,133 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,356 – $17,818 · median $9,304 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $3,356 – $84,735 · median $49,713 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $3,356 – $39,736 · median $23,140 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,313 – $42,947 · median $25,010 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,493 – $22,397 · median $12,195 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $3,313 – $17,330 · median $8,996 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $3,356 – $22,432 · median $12,217 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,356 – $66,271 · median $38,593 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,356 – $37,425 · median $21,683 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,356 – $27,809 · median $15,612 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,313 – $49,953 · median $29,090 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,313 – $26,899 · median $15,038 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,356 – $21,159 · median $11,414 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $3,313 – $16,472 · median $9,496 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $3,313 – $21,126 · median $12,178 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $3,356 – $43,286 · median $25,463 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $3,356 – $32,723 · median $18,864 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $3,356 – $52,501 · median $30,883 | 15 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $3,356 – $27,052 · median $15,595 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,356 – $26,004 · median $14,991 | 15 plans |
| 652 | Kidney transplant | $3,356 – $47,384 · median $27,873 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $810 – $21,406 · median $11,648 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $810 – $13,443 · median $7,795 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $825 – $17,429 · median $9,724 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $825 – $10,343 · median $6,295 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $3,356 – $188,140 · median $159,189 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,356 – $122,779 · median $103,886 | 10 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $3,356 – $48,345 · median $40,906 | 10 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $3,356 – $37,371 · median $31,620 | 10 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $3,313 – $25,736 · median $21,614 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $3,356 – $382,772 · median $323,871 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $3,356 – $63,241 · median $53,510 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $3,356 – $69,749 · median $59,016 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $3,356 – $46,924 · median $39,704 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,356 – $28,164 · median $23,831 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,356 – $50,793 · median $42,977 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,356 – $34,675 · median $29,339 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $3,356 – $40,302 · median $34,100 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $3,356 – $27,560 · median $23,319 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,356 – $22,954 · median $18,922 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $3,356 – $53,258 · median $45,062 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $3,356 – $30,240 · median $25,587 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,356 – $20,414 · median $16,464 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $3,356 – $39,715 · median $33,604 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,356 – $19,917 · median $15,983 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $3,356 – $16,289 · median $12,472 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $3,356 – $34,310 · median $29,030 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $3,356 – $21,928 · median $17,929 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,356 – $18,458 · median $14,571 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $3,356 – $29,181 · median $24,691 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,356 – $15,977 · median $12,170 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,356 – $12,512 · median $8,816 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $3,356 – $34,226 · median $28,959 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,356 – $20,442 · median $16,490 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,356 – $16,791 · median $12,958 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $3,356 – $17,439 · median $13,585 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $3,313 – $10,991 · median $7,344 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,493 – $15,235 · median $11,452 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,493 – $11,304 · median $7,647 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $3,313 – $16,650 · median $12,821 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,493 – $13,019 · median $9,307 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,493 – $10,530 · median $6,899 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $3,356 – $24,769 · median $20,678 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $3,356 – $17,020 · median $13,179 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $3,356 – $14,281 · median $10,529 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $3,356 – $18,987 · median $15,083 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $3,313 – $11,232 · median $7,577 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,493 – $8,706 · median $5,338 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $3,313 – $14,784 · median $11,015 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,493 – $10,101 · median $6,483 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $3,313 – $9,593 · median $5,991 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $2,493 – $16,304 · median $12,486 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $3,313 – $11,353 · median $7,695 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,313 – $9,262 · median $5,772 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $3,313 – $15,835 · median $12,032 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $3,313 – $11,391 · median $7,731 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $3,313 – $18,262 · median $14,381 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $3,313 – $9,797 · median $6,189 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $3,356 – $21,115 · median $17,142 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,493 – $14,219 · median $10,469 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $3,313 – $10,809 · median $7,169 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $3,313 – $21,009 · median $17,039 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $3,313 – $13,498 · median $9,770 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $3,313 – $10,491 · median $6,860 | 10 plans |
| 088 | CONCUSSION WITH MCC | $3,356 – $13,878 · median $10,139 | 10 plans |
| 089 | CONCUSSION WITH CC | $3,313 – $11,916 · median $8,240 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $3,356 – $9,782 · median $6,174 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $3,313 – $17,012 · median $13,172 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,493 – $11,330 · median $7,673 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,493 – $9,573 · median $5,972 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $3,356 – $31,196 · median $26,396 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $3,356 – $23,390 · median $19,344 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $3,356 – $23,390 · median $19,344 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $3,356 – $32,015 · median $27,089 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,493 – $21,187 · median $17,212 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $3,313 – $13,960 · median $10,218 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $50,149 – $92,036 · median $54,139 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,154 – $57,600 · median $33,883 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $82,659 – $148,024 · median $87,073 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,140 – $98,908 · median $58,181 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,165 – $78,286 · median $46,051 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $67,572 – $122,042 · median $71,789 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,253 – $80,160 · median $47,153 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,112 – $91,972 · median $54,101 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,806 – $60,446 · median $35,556 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,972 – $74,509 · median $43,829 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,228 – $47,395 · median $27,880 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $64,946 – $117,520 · median $69,129 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $3,356 – $248,404 · median $210,179 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $3,356 – $100,445 · median $84,989 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $3,356 – $91,392 · median $77,329 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $3,356 – $41,102 · median $34,778 | 9 plans |
| 007 | Lung transplant | $3,356 – $114,791 · median $97,127 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $3,356 – $49,679 · median $42,035 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $3,356 – $63,605 · median $53,818 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $3,356 – $106,527 · median $90,134 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $3,356 – $52,561 · median $44,473 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $3,356 – $48,152 · median $40,742 | 9 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $87,548 – $151,868 · median $89,334 | 8 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $45,762 – $79,383 · median $46,696 | 8 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $21,304 – $36,956 · median $21,739 | 8 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $28,872 – $50,084 · median $29,461 | 8 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,245 – $36,854 · median $21,679 | 8 plans |
No procedures match that keyword.