Valleywise Health Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,524 – $41,352 · median $26,190 | 29 plans |
| 881 | Depressive neuroses | $1,496 – $40,603 · median $25,715 | 29 plans |
| 882 | Neuroses except depressive | $1,439 – $41,410 · median $26,226 | 29 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,651 – $60,869 · median $35,739 | 29 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,524 – $54,838 · median $33,779 | 29 plans |
| 885 | Psychoses | $1,411 – $48,947 · median $31,000 | 29 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,510 – $58,984 · median $35,127 | 29 plans |
| 887 | Other mental disorder diagnoses | $1,411 – $45,239 · median $28,651 | 29 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $56,425 – $177,164 · median $77,385 | 28 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $42,912 – $134,737 · median $62,878 | 28 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $27,711 – $87,007 · median $46,557 | 28 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $84,295 – $264,670 · median $107,995 | 28 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,799 – $181,478 · median $78,860 | 28 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $36,917 – $130,323 · median $56,442 | 28 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $59,658 – $187,316 · median $80,857 | 28 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $39,754 – $124,821 · median $59,487 | 28 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $63,573 – $199,608 · median $85,060 | 28 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,101 – $110,211 · median $54,491 | 28 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,271 – $73,067 · median $41,790 | 28 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $43,821 – $137,590 · median $63,854 | 28 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,332 – $70,118 · median $40,782 | 28 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,684 – $52,385 · median $34,719 | 28 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $40,664 – $127,678 · median $60,464 | 28 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,788 – $74,689 · median $42,345 | 28 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,169 – $60,186 · median $37,386 | 28 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $34,727 – $109,035 · median $54,090 | 28 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,849 – $52,904 · median $34,896 | 28 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,902 – $44,377 · median $29,585 | 28 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,445 – $123,849 · median $59,155 | 28 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,614 – $74,143 · median $42,159 | 28 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,379 – $57,707 · median $36,539 | 28 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,045 – $66,076 · median $39,400 | 28 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,635 – $40,726 · median $27,151 | 28 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,676 – $50,455 · median $33,636 | 28 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,409 – $43,582 · median $29,055 | 28 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,580 – $82,217 · median $43,796 | 28 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,566 – $47,681 · median $30,993 | 28 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,303 – $60,606 · median $37,530 | 28 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,795 – $45,815 · median $30,543 | 28 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,332 – $40,238 · median $26,825 | 28 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $28,269 – $88,761 · median $47,157 | 28 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,623 – $58,472 · median $36,800 | 28 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,690 – $48,867 · median $32,578 | 28 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,801 – $65,311 · median $39,139 | 28 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,634 – $42,334 · median $28,223 | 28 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,198 – $36,801 · median $24,534 | 28 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,213 – $49,710 · median $33,140 | 28 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,218 – $40,054 · median $26,703 | 28 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,367 – $38,683 · median $25,789 | 28 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $18,183 – $57,090 · median $36,327 | 28 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $11,021 – $42,957 · median $28,638 | 28 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,845 – $37,843 · median $25,229 | 28 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,162 – $51,238 · median $34,158 | 28 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,900 – $42,764 · median $28,509 | 28 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,176 – $56,552 · median $36,143 | 28 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,588 – $40,650 · median $27,100 | 28 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,170 – $51,249 · median $34,166 | 28 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,435 – $42,014 · median $28,010 | 28 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,972 – $36,437 · median $24,291 | 28 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,744 – $65,265 · median $39,123 | 28 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,461 – $40,446 · median $26,964 | 28 plans |
| 088 | CONCUSSION WITH MCC | $14,752 – $48,966 · median $32,644 | 28 plans |
| 089 | CONCUSSION WITH CC | $11,211 – $43,264 · median $28,843 | 28 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,965 – $39,647 · median $26,431 | 28 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,308 – $59,851 · median $37,272 | 28 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,071 – $43,038 · median $28,692 | 28 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,254 – $38,501 · median $25,668 | 28 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $38,154 – $119,798 · median $57,770 | 28 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,068 – $78,707 · median $43,719 | 28 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,068 – $78,707 · median $43,719 | 28 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $31,583 – $117,693 · median $57,050 | 28 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,684 – $71,225 · median $41,161 | 28 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,570 – $48,673 · median $32,449 | 28 plans |
| 100 | SEIZURES WITH MCC | $16,455 – $65,183 · median $39,095 | 28 plans |
| 101 | SEIZURES WITHOUT MCC | $9,638 – $40,731 · median $27,154 | 28 plans |
| 102 | HEADACHES WITH MCC | $11,721 – $44,736 · median $29,824 | 28 plans |
| 103 | HEADACHES WITHOUT MCC | $8,891 – $39,527 · median $26,351 | 28 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,266 – $74,091 · median $42,141 | 28 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,361 – $45,116 · median $30,078 | 28 plans |
| 115 | Extraocular procedures except orbit | $12,910 – $50,992 · median $33,995 | 28 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,979 – $54,785 · median $35,539 | 28 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,356 – $43,373 · median $28,916 | 28 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,991 – $44,798 · median $29,865 | 28 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,093 – $36,632 · median $24,421 | 28 plans |
| 123 | Neurological eye disorders | $8,399 – $38,735 · median $25,824 | 28 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,358 – $47,167 · median $31,445 | 28 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,557 – $39,114 · median $26,076 | 28 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,586 – $79,164 · median $43,875 | 28 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,229 – $41,683 · median $27,788 | 28 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,625 – $48,762 · median $32,508 | 28 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,507 – $38,909 · median $25,939 | 28 plans |
| 139 | Salivary gland procedures | $11,529 – $48,331 · median $32,221 | 28 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,225 – $138,857 · median $64,287 | 28 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,467 – $70,542 · median $40,927 | 28 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,443 – $51,689 · median $34,459 | 28 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,528 – $108,411 · median $53,876 | 28 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,370 – $57,678 · median $36,528 | 28 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,389 – $45,162 · median $30,108 | 28 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,183 – $75,322 · median $42,562 | 28 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,017 – $46,172 · median $30,781 | 28 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,373 – $38,693 · median $25,796 | 28 plans |
| 149 | DYSEQUILIBRIUM | $7,817 – $37,797 · median $25,198 | 28 plans |
| 150 | EPISTAXIS WITH MCC | $12,308 – $48,486 · median $32,324 | 28 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,728 – $37,974 · median $25,316 | 28 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,588 – $44,320 · median $29,546 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,773 – $37,195 · median $24,796 | 28 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,268 – $53,396 · median $35,064 | 28 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,763 – $40,931 · median $27,288 | 28 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,031 – $36,533 · median $24,355 | 28 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,559 – $53,764 · median $35,190 | 28 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,836 – $41,049 · median $27,366 | 28 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,897 – $36,317 · median $24,211 | 28 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $48,198 – $151,334 · median $68,553 | 28 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $26,320 – $82,641 · median $45,064 | 28 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,492 – $61,201 · median $37,733 | 28 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $40,263 – $126,417 · median $60,033 | 28 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,107 – $59,992 · median $37,320 | 28 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,158 – $48,009 · median $32,006 | 28 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $32,088 – $100,751 · median $51,257 | 28 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,735 – $48,939 · median $32,626 | 28 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,517 – $38,926 · median $25,951 | 28 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,904 – $53,075 · median $34,954 | 28 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,374 – $41,917 · median $27,944 | 28 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,049 – $38,171 · median $25,448 | 28 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,277 – $57,386 · median $36,429 | 28 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,610 – $43,907 · median $29,271 | 28 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,758 – $39,313 · median $26,209 | 28 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,522 – $51,876 · median $34,545 | 28 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,499 – $42,117 · median $28,078 | 28 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,678 – $37,573 · median $25,049 | 28 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,939 – $46,048 · median $30,698 | 28 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,743 – $44,121 · median $29,414 | 28 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,984 – $39,677 · median $26,451 | 28 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,768 – $36,108 · median $24,072 | 28 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,779 – $47,400 · median $31,600 | 28 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,575 – $39,018 · median $26,012 | 28 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,512 – $35,696 · median $23,797 | 28 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,766 – $61,861 · median $37,959 | 28 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,352 – $41,881 · median $27,921 | 28 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,324 – $37,004 · median $24,670 | 28 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,460 – $57,960 · median $36,625 | 28 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,581 – $43,860 · median $29,240 | 28 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,080 – $36,612 · median $24,408 | 28 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,756 – $41,489 · median $27,659 | 28 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,879 – $36,940 · median $24,627 | 28 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,481 – $38,867 · median $25,911 | 28 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,903 – $61,982 · median $38,000 | 28 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,472 – $40,463 · median $26,976 | 28 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $67,628 – $212,338 · median $89,413 | 28 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,065 – $88,117 · median $46,937 | 28 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $99,162 – $357,679 · median $139,111 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $110,790 – $347,859 · median $140,193 | 28 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $100,922 – $316,875 · median $128,469 | 28 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $67,530 – $212,032 · median $89,308 | 28 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $62,212 – $195,333 · median $83,598 | 28 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $80,911 – $254,045 · median $103,674 | 28 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $55,388 – $173,907 · median $76,272 | 28 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,025 – $150,789 · median $68,367 | 28 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $52,110 – $163,617 · median $72,753 | 28 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,483 – $101,989 · median $51,680 | 28 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $88,612 – $278,224 · median $113,525 | 28 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $63,879 – $200,567 · median $85,388 | 28 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $81,736 – $256,636 · median $104,716 | 28 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,633 – $174,678 · median $76,535 | 28 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,531 – $193,196 · median $82,867 | 28 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $43,000 – $135,013 · median $62,972 | 28 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $50,603 – $165,377 · median $73,355 | 28 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,453 – $95,616 · median $49,501 | 28 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,789 – $50,637 · median $33,758 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $35,470 – $111,370 · median $54,888 | 28 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $23,558 – $73,966 · median $42,098 | 28 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,872 – $59,254 · median $37,067 | 28 plans |
| 245 | AICD generator procedures | $51,101 – $160,448 · median $71,670 | 28 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $24,183 – $75,930 · median $42,769 | 28 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,340 – $51,524 · median $34,349 | 28 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $35,872 – $112,630 · median $55,319 | 28 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,697 – $83,823 · median $45,468 | 28 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,293 – $57,438 · median $36,447 | 28 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $27,361 – $85,908 · median $46,181 | 28 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,711 – $55,609 · median $35,821 | 28 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,327 – $40,229 · median $26,819 | 28 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,337 – $92,113 · median $48,303 | 28 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,380 – $57,711 · median $36,540 | 28 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $28,742 – $111,836 · median $55,047 | 28 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,559 – $62,304 · median $38,110 | 28 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,946 – $50,770 · median $33,846 | 28 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,038 – $88,061 · median $46,918 | 28 plans |
| 264 | Other circulatory system O.R. procedures | $31,647 – $114,755 · median $56,045 | 28 plans |
| 265 | AICD lead procedures | $37,302 – $117,122 · median $56,855 | 28 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $62,646 – $196,696 · median $84,064 | 28 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $49,197 – $154,469 · median $69,625 | 28 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $69,723 – $218,917 · median $91,662 | 28 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $43,508 – $136,608 · median $63,518 | 28 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,676 – $168,532 · median $74,434 | 28 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $36,018 – $113,090 · median $55,476 | 28 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $26,166 – $82,155 · median $44,898 | 28 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $40,890 – $128,387 · median $60,707 | 28 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $32,636 – $102,472 · median $51,845 | 28 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $73,900 – $232,031 · median $96,146 | 28 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $64,775 – $203,381 · median $86,350 | 28 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $48,645 – $152,736 · median $69,032 | 28 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $39,467 – $164,273 · median $72,978 | 28 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $28,396 – $105,210 · median $52,782 | 28 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,164 – $53,892 · median $35,234 | 28 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,639 – $40,733 · median $27,155 | 28 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,582 – $37,420 · median $24,947 | 28 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,448 – $64,202 · median $38,759 | 28 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,749 – $37,688 · median $25,125 | 28 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,871 – $34,663 · median $23,109 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,144 – $72,669 · median $41,655 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,395 – $43,560 · median $29,040 | 28 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,563 – $89,683 · median $47,472 | 28 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,488 – $51,768 · median $34,508 | 28 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,237 – $41,696 · median $27,797 | 28 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,644 – $47,183 · median $31,455 | 28 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,006 – $39,712 · median $26,475 | 28 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,738 – $34,450 · median $22,966 | 28 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,311 – $45,889 · median $30,593 | 28 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,259 – $38,510 · median $25,673 | 28 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,133 – $53,794 · median $35,200 | 28 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,366 – $37,072 · median $24,714 | 28 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,619 – $32,648 · median $21,765 | 28 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,441 – $53,111 · median $34,967 | 28 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,195 – $43,239 · median $28,826 | 28 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,460 – $37,223 · median $24,815 | 28 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,962 – $44,800 · median $29,866 | 28 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,031 – $36,533 · median $24,355 | 28 plans |
| 304 | HYPERTENSION WITH MCC | $12,285 – $44,993 · median $29,996 | 28 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,850 – $37,851 · median $25,234 | 28 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,658 – $50,426 · median $33,617 | 28 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,687 – $40,810 · median $27,207 | 28 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,610 – $45,517 · median $30,345 | 28 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,731 – $37,659 · median $25,106 | 28 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,851 – $34,631 · median $23,088 | 28 plans |
| 311 | Angina pectoris | $7,302 – $36,969 · median $24,646 | 28 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,111 – $39,882 · median $26,588 | 28 plans |
| 313 | Chest pain | $7,460 – $37,223 · median $24,815 | 28 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,635 – $70,706 · median $40,983 | 28 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,063 – $41,415 · median $27,610 | 28 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,139 – $36,706 · median $24,471 | 28 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $45,936 – $144,229 · median $66,124 | 28 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,206 – $76,002 · median $42,794 | 28 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $29,769 – $93,469 · median $48,767 | 28 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $18,919 – $59,401 · median $37,118 | 28 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $44,541 – $139,849 · median $64,626 | 28 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $33,411 – $104,905 · median $52,677 | 28 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $29,929 – $93,971 · median $48,939 | 28 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $53,111 – $166,759 · median $73,827 | 28 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,391 – $79,722 · median $44,066 | 28 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,663 – $52,319 · median $34,696 | 28 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $48,018 – $150,766 · median $68,359 | 28 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,717 – $77,607 · median $43,343 | 28 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,265 – $54,207 · median $35,342 | 28 plans |
| 332 | RECTAL RESECTION WITH MCC | $36,272 – $113,888 · median $55,749 | 28 plans |
| 333 | RECTAL RESECTION WITH CC | $22,224 – $69,780 · median $40,667 | 28 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,344 – $54,457 · median $35,427 | 28 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $37,890 – $118,967 · median $57,486 | 28 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,088 – $69,353 · median $40,521 | 28 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,053 – $51,061 · median $34,041 | 28 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,176 – $88,469 · median $47,057 | 28 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,567 – $50,279 · median $33,520 | 28 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,022 – $46,181 · median $30,787 | 28 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,206 – $77,709 · median $43,378 | 28 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,164 – $46,410 · median $30,940 | 28 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,212 – $40,044 · median $26,696 | 28 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $25,292 – $79,413 · median $43,961 | 28 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,733 – $50,546 · median $33,697 | 28 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,530 – $43,777 · median $29,185 | 28 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,670 – $96,299 · median $49,735 | 28 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,788 – $55,852 · median $35,904 | 28 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,941 – $47,661 · median $31,774 | 28 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $44,606 – $140,056 · median $64,697 | 28 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,549 – $73,940 · median $42,089 | 28 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,170 – $48,030 · median $32,020 | 28 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,463 – $54,831 · median $35,555 | 28 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,641 – $42,346 · median $28,231 | 28 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,299 – $36,964 · median $24,643 | 28 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,279 – $57,392 · median $36,431 | 28 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,763 – $42,543 · median $28,362 | 28 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,586 – $37,425 · median $24,950 | 28 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,079 – $69,324 · median $40,511 | 28 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,849 – $45,901 · median $30,601 | 28 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,234 – $40,079 · median $26,720 | 28 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,538 – $59,697 · median $37,219 | 28 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,310 – $41,812 · median $27,875 | 28 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,658 – $35,932 · median $23,954 | 28 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,709 – $63,181 · median $38,410 | 28 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,389 – $43,550 · median $29,033 | 28 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,835 – $37,828 · median $25,219 | 28 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,220 – $46,499 · median $30,999 | 28 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,093 – $39,854 · median $26,569 | 28 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,991 – $53,347 · median $35,048 | 28 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,379 – $41,923 · median $27,949 | 28 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,009 – $36,497 · median $24,332 | 28 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,371 – $49,963 · median $33,309 | 28 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,382 – $38,709 · median $25,806 | 28 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,722 – $34,424 · median $22,950 | 28 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,550 – $46,841 · median $31,227 | 28 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,160 – $38,350 · median $25,567 | 28 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,317 – $54,371 · median $35,398 | 28 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,843 – $41,061 · median $27,374 | 28 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,655 – $35,927 · median $23,951 | 28 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,910 – $81,354 · median $44,624 | 28 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,824 – $50,692 · median $33,795 | 28 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,752 – $44,134 · median $29,423 | 28 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $56,768 – $178,241 · median $77,754 | 28 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,367 – $92,208 · median $48,336 | 28 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,334 – $70,125 · median $40,785 | 28 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,613 – $114,958 · median $56,115 | 28 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,923 – $68,834 · median $40,343 | 28 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,220 – $51,330 · median $34,220 | 28 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,615 – $89,844 · median $47,527 | 28 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,290 – $69,987 · median $40,737 | 28 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,385 – $54,585 · median $35,471 | 28 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $36,639 – $115,040 · median $56,143 | 28 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,685 – $64,947 · median $39,014 | 28 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,328 – $48,284 · median $32,189 | 28 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $24,851 – $78,028 · median $43,487 | 28 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,342 – $54,450 · median $35,425 | 28 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,778 – $47,398 · median $31,599 | 28 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $36,908 – $115,884 · median $56,431 | 28 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,124 – $53,767 · median $35,191 | 28 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,366 – $49,954 · median $33,303 | 28 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,533 – $133,545 · median $62,470 | 28 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,876 – $74,968 · median $42,441 | 28 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,164 – $51,241 · median $34,161 | 28 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,486 – $64,323 · median $38,801 | 28 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,187 – $43,225 · median $28,817 | 28 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,283 – $36,939 · median $24,626 | 28 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,080 – $59,907 · median $37,291 | 28 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,792 – $44,200 · median $29,467 | 28 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,211 – $38,432 · median $25,622 | 28 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,397 – $54,624 · median $35,484 | 28 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,995 – $39,695 · median $26,464 | 28 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,432 – $35,568 · median $23,712 | 28 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,768 – $62,068 · median $38,029 | 28 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,104 – $41,480 · median $27,654 | 28 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,348 – $37,043 · median $24,695 | 28 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,434 – $55,304 · median $35,717 | 28 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,341 – $43,473 · median $28,982 | 28 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,337 – $38,636 · median $25,757 | 28 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $88,562 – $278,069 · median $111,889 | 28 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,017 – $188,442 · median $81,242 | 28 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $45,153 – $141,773 · median $65,284 | 28 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $64,171 – $201,486 · median $85,702 | 28 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $29,947 – $94,027 · median $48,958 | 28 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,676 – $177,331 · median $77,443 | 28 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,834 – $96,811 · median $49,910 | 28 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,154 – $57,001 · median $36,297 | 28 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,274 – $167,271 · median $74,003 | 28 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $35,817 – $112,460 · median $55,260 | 28 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,432 – $86,131 · median $46,258 | 28 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $34,181 – $107,321 · median $53,503 | 28 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $19,717 – $61,907 · median $37,974 | 28 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $50,686 – $159,480 · median $71,338 | 28 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,296 – $95,124 · median $49,333 | 28 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,756 – $77,729 · median $43,385 | 28 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,370 – $147,246 · median $67,155 | 28 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,559 – $70,831 · median $41,026 | 28 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,163 – $44,796 · median $29,864 | 28 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,962 – $112,913 · median $55,415 | 28 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,455 – $76,783 · median $43,061 | 28 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,570 – $58,305 · median $36,743 | 28 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,754 – $96,562 · median $49,824 | 28 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,697 – $68,125 · median $40,101 | 28 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,589 – $52,086 · median $34,617 | 28 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,647 – $83,665 · median $45,415 | 28 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,664 – $105,699 · median $52,949 | 28 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,178 – $69,636 · median $40,617 | 28 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,524 – $51,883 · median $34,547 | 28 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,552 – $64,530 · median $38,872 | 28 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,950 – $46,064 · median $30,710 | 28 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $37,135 – $116,597 · median $56,675 | 28 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,107 – $78,832 · median $43,762 | 28 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,716 – $61,903 · median $37,973 | 28 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $36,043 – $115,592 · median $56,332 | 28 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,632 – $64,780 · median $38,957 | 28 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,040 – $47,819 · median $31,879 | 28 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,043 – $82,900 · median $45,153 | 28 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,138 – $44,758 · median $29,838 | 28 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $33,135 – $104,038 · median $52,381 | 28 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,663 – $58,597 · median $36,843 | 28 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,611 – $48,739 · median $32,492 | 28 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,813 – $86,896 · median $46,519 | 28 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,352 – $57,622 · median $36,509 | 28 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,050 – $57,622 · median $36,509 | 28 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,676 – $50,455 · median $33,636 | 28 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,131 – $63,637 · median $38,566 | 28 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,496 – $46,943 · median $31,296 | 28 plans |
| 509 | ARTHROSCOPY | $14,322 – $57,678 · median $36,528 | 28 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,685 – $93,840 · median $48,894 | 28 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,508 – $64,392 · median $38,824 | 28 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,998 – $52,789 · median $34,857 | 28 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,744 – $50,564 · median $33,709 | 28 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,662 – $42,380 · median $28,253 | 28 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,337 – $101,533 · median $51,524 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,036 – $66,050 · median $39,391 | 28 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,609 – $50,347 · median $33,565 | 28 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,413 – $117,673 · median $57,043 | 28 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,620 – $64,743 · median $38,944 | 28 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,987 – $49,345 · median $32,897 | 28 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,479 – $95,698 · median $49,529 | 28 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,044 – $69,215 · median $40,474 | 28 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,946 – $50,889 · median $33,926 | 28 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,512 – $38,917 · median $25,945 | 28 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,907 – $47,605 · median $31,737 | 28 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,480 – $38,865 · median $25,910 | 28 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,827 – $40,686 · median $27,124 | 28 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,017 – $36,518 · median $24,345 | 28 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,491 – $66,401 · median $39,511 | 28 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,532 – $47,002 · median $31,335 | 28 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,149 – $39,943 · median $26,629 | 28 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,503 – $61,237 · median $37,745 | 28 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,094 – $43,075 · median $28,717 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,902 – $37,936 · median $25,290 | 28 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,424 – $82,966 · median $45,175 | 28 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,106 – $44,705 · median $29,804 | 28 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,803 – $37,776 · median $25,184 | 28 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,358 – $66,145 · median $39,424 | 28 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,602 – $45,504 · median $30,336 | 28 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,015 – $39,727 · median $26,485 | 28 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,844 – $56,026 · median $35,964 | 28 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,078 – $41,440 · median $27,627 | 28 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,657 – $47,203 · median $31,469 | 28 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,727 – $39,264 · median $26,176 | 28 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,069 – $47,886 · median $31,924 | 28 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,363 – $38,959 · median $25,973 | 28 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,176 – $51,307 · median $34,204 | 28 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,033 – $39,756 · median $26,504 | 28 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,411 – $60,948 · median $37,647 | 28 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,907 – $44,385 · median $29,590 | 28 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,550 – $38,978 · median $25,985 | 28 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $15,304 – $49,855 · median $33,237 | 28 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $9,346 – $40,261 · median $26,841 | 28 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,538 – $51,635 · median $34,423 | 28 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,663 – $42,381 · median $28,254 | 28 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,823 – $37,808 · median $25,205 | 28 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,478 – $98,834 · median $50,601 | 28 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,508 – $54,972 · median $35,603 | 28 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,946 – $44,448 · median $29,632 | 28 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,581 – $202,192 · median $85,944 | 28 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $34,337 – $113,763 · median $55,706 | 28 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,614 – $65,558 · median $39,223 | 28 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,456 – $177,144 · median $77,379 | 28 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,055 – $87,428 · median $46,701 | 28 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,595 – $55,501 · median $35,784 | 28 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $33,422 – $107,016 · median $53,399 | 28 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,540 – $58,213 · median $36,711 | 28 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,420 – $49,446 · median $32,964 | 28 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,312 – $57,497 · median $36,467 | 28 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,178 – $53,935 · median $35,249 | 28 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,410 – $67,222 · median $39,792 | 28 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,758 – $65,177 · median $39,093 | 28 plans |
| 592 | SKIN ULCERS WITH MCC | $16,209 – $67,515 · median $39,892 | 28 plans |
| 593 | SKIN ULCERS WITH CC | $12,318 – $45,800 · median $30,533 | 28 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,875 – $39,502 · median $26,334 | 28 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,199 – $69,445 · median $40,552 | 28 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,305 – $43,415 · median $28,944 | 28 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,370 – $57,678 · median $36,528 | 28 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,282 – $43,378 · median $28,919 | 28 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,940 – $39,606 · median $26,404 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,003 – $41,319 · median $27,546 | 28 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,269 – $35,305 · median $23,537 | 28 plans |
| 602 | CELLULITIS WITH MCC | $14,567 – $49,951 · median $33,301 | 28 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,211 – $40,042 · median $26,695 | 28 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,903 – $52,871 · median $34,885 | 28 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,396 – $39,763 · median $26,508 | 28 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,832 – $74,826 · median $42,392 | 28 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,985 – $49,341 · median $32,894 | 28 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,416 – $126,900 · median $60,198 | 28 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,199 – $63,420 · median $38,492 | 28 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,020 – $46,177 · median $30,785 | 28 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $28,511 – $89,519 · median $47,416 | 28 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,700 – $52,434 · median $34,736 | 28 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,286 – $49,826 · median $33,218 | 28 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,190 – $122,861 · median $58,817 | 28 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,002 – $62,803 · median $38,281 | 28 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,489 – $42,102 · median $28,068 | 28 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $25,820 – $94,135 · median $48,995 | 28 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,783 – $50,626 · median $33,751 | 28 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,242 – $46,544 · median $31,030 | 28 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,053 – $129,549 · median $61,104 | 28 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,519 – $73,845 · median $42,057 | 28 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,653 – $48,808 · median $32,538 | 28 plans |
| 637 | DIABETES WITH MCC | $14,988 – $49,734 · median $33,156 | 28 plans |
| 638 | DIABETES WITH CC | $9,591 – $40,655 · median $27,104 | 28 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,552 – $35,761 · median $23,841 | 28 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,853 – $47,573 · median $31,716 | 28 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $8,171 – $38,368 · median $25,579 | 28 plans |
| 642 | Inborn errors of metabolism | $11,803 – $46,110 · median $30,740 | 28 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,330 – $54,414 · median $35,413 | 28 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,806 – $42,612 · median $28,408 | 28 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,143 – $38,323 · median $25,549 | 28 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $58,294 – $183,031 · median $79,392 | 28 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,511 – $92,658 · median $48,490 | 28 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,722 – $68,204 · median $40,128 | 28 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $34,069 – $106,970 · median $53,383 | 28 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,116 – $60,022 · median $37,330 | 28 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,727 – $50,537 · median $33,691 | 28 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,024 – $84,850 · median $45,820 | 28 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,012 – $47,775 · median $31,850 | 28 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,735 – $42,498 · median $28,332 | 28 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $29,723 – $102,426 · median $51,830 | 28 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,972 – $50,931 · median $33,954 | 28 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,291 – $43,393 · median $28,929 | 28 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,941 – $112,735 · median $55,355 | 28 plans |
| 666 | PROSTATECTOMY WITH CC | $17,226 – $54,086 · median $35,300 | 28 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,748 – $42,518 · median $28,345 | 28 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $25,204 – $95,751 · median $49,547 | 28 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,182 – $51,270 · median $34,180 | 28 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,994 – $41,304 · median $27,536 | 28 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,025 – $56,594 · median $36,158 | 28 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,444 – $43,639 · median $29,093 | 28 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,960 – $137,557 · median $63,842 | 28 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,742 – $75,792 · median $42,722 | 28 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,368 – $51,569 · median $34,380 | 28 plans |
| 682 | RENAL FAILURE WITH MCC | $15,705 – $50,502 · median $33,668 | 28 plans |
| 683 | RENAL FAILURE WITH CC | $9,295 – $40,179 · median $26,786 | 28 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,352 – $35,438 · median $23,625 | 28 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,270 – $61,913 · median $37,977 | 28 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,008 – $42,937 · median $28,625 | 28 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,573 – $37,405 · median $24,937 | 28 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,238 – $44,918 · median $29,945 | 28 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,393 – $38,725 · median $25,817 | 28 plans |
| 693 | URINARY STONES WITH MCC | $14,254 – $49,971 · median $33,314 | 28 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,171 – $38,368 · median $25,579 | 28 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,793 – $44,202 · median $29,468 | 28 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,234 – $36,859 · median $24,573 | 28 plans |
| 697 | Urethral stricture | $10,476 – $42,080 · median $28,053 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,577 – $55,189 · median $35,677 | 28 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,665 – $42,385 · median $28,257 | 28 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,259 – $36,900 · median $24,600 | 28 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,293 – $63,716 · median $38,593 | 28 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,503 – $50,175 · median $33,450 | 28 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $22,799 – $73,779 · median $42,034 | 28 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,700 – $50,493 · median $33,662 | 28 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,979 – $62,731 · median $38,256 | 28 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,185 – $43,222 · median $28,814 | 28 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,000 – $49,560 · median $33,040 | 28 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,826 – $41,034 · median $27,356 | 28 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,254 – $74,147 · median $42,160 | 28 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,842 – $49,111 · median $32,741 | 28 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,403 – $60,922 · median $37,638 | 28 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,882 – $45,955 · median $30,637 | 28 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,969 – $56,765 · median $36,216 | 28 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,742 – $44,119 · median $29,413 | 28 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,619 – $37,479 · median $24,986 | 28 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,967 – $46,472 · median $30,981 | 28 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,784 – $37,745 · median $25,164 | 28 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,366 – $49,954 · median $33,303 | 28 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,544 – $38,970 · median $25,980 | 28 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,512 – $43,749 · median $29,166 | 28 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,346 – $35,430 · median $23,620 | 28 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,989 – $69,041 · median $40,414 | 28 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,694 – $45,652 · median $30,435 | 28 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $41,175 – $129,283 · median $61,013 | 28 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,897 – $65,613 · median $39,242 | 28 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,862 – $50,754 · median $33,836 | 28 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,285 – $130,705 · median $61,499 | 28 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $19,014 – $59,700 · median $37,220 | 28 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $14,364 – $48,341 · median $32,227 | 28 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,102 – $59,976 · median $37,314 | 28 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,535 – $45,396 · median $30,264 | 28 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,785 – $64,156 · median $38,744 | 28 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,716 – $42,467 · median $28,312 | 28 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,474 – $54,982 · median $35,607 | 28 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,989 – $41,295 · median $27,530 | 28 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,891 – $48,151 · median $32,101 | 28 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,792 – $84,992 · median $45,868 | 28 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,484 – $46,925 · median $31,283 | 28 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,920 – $59,405 · median $37,119 | 28 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,608 – $43,904 · median $29,269 | 28 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,986 – $41,292 · median $27,528 | 28 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,654 – $49,043 · median $32,696 | 28 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,623 – $42,375 · median $28,250 | 28 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,692 – $35,987 · median $23,991 | 28 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,306 – $41,807 · median $27,871 | 28 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,629 – $35,884 · median $23,923 | 28 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,300 – $43,671 · median $28,386 | 28 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,530 – $48,609 · median $32,406 | 28 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,787 – $43,330 · median $28,886 | 28 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,461 – $37,225 · median $24,817 | 28 plans |
| 779 | ABORTION WITHOUT D&C | $7,078 – $40,952 · median $27,301 | 28 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,900 – $56,231 · median $36,550 | 28 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,900 – $43,447 · median $28,241 | 28 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,900 – $39,919 · median $25,948 | 28 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,900 – $52,422 · median $34,074 | 28 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,900 – $43,090 · median $28,009 | 28 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,900 – $40,445 · median $26,289 | 28 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,000 – $55,566 · median $37,044 | 28 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,000 – $93,579 · median $62,386 | 28 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,000 – $66,463 · median $44,309 | 28 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,000 – $95,442 · median $63,628 | 28 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,000 – $50,069 · median $33,379 | 28 plans |
| 795 | NORMAL NEWBORN | $540 – $28,574 · median $19,049 | 28 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,300 – $46,708 · median $30,360 | 28 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,300 – $41,514 · median $26,984 | 28 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,300 – $41,514 · median $26,984 | 28 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $48,510 – $156,114 · median $70,188 | 28 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $30,470 – $95,669 · median $49,519 | 28 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,167 – $53,902 · median $35,237 | 28 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,486 – $117,700 · median $57,052 | 28 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,613 – $58,443 · median $36,790 | 28 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,561 – $43,828 · median $29,219 | 28 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,300 – $42,016 · median $27,310 | 28 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,300 – $37,395 · median $24,307 | 28 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,300 – $35,942 · median $23,362 | 28 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,950 – $75,197 · median $42,519 | 28 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,951 – $46,066 · median $30,711 | 28 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,953 – $41,238 · median $27,492 | 28 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,712 – $48,902 · median $32,601 | 28 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,651 – $40,751 · median $27,167 | 28 plans |
| 813 | COAGULATION DISORDERS | $16,187 – $51,278 · median $34,185 | 28 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,512 – $68,637 · median $40,276 | 28 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,625 – $42,321 · median $28,214 | 28 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,895 – $36,314 · median $24,209 | 28 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,510 – $83,235 · median $45,267 | 28 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,469 – $46,900 · median $31,266 | 28 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,538 – $38,959 · median $25,973 | 28 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $60,884 – $191,164 · median $82,172 | 28 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,344 – $73,296 · median $41,869 | 28 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,960 – $44,470 · median $29,646 | 28 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $48,934 – $153,642 · median $69,342 | 28 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,999 – $72,213 · median $41,499 | 28 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,870 – $45,936 · median $30,624 | 28 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $49,937 – $156,794 · median $70,420 | 28 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,677 – $77,483 · median $43,301 | 28 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,762 – $52,628 · median $34,802 | 28 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,247 – $101,250 · median $51,428 | 28 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,293 – $49,838 · median $33,226 | 28 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,036 – $44,593 · median $29,728 | 28 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,816 – $37,796 · median $25,197 | 28 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,111 – $33,963 · median $22,642 | 28 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $57,799 – $181,478 · median $78,860 | 28 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $22,335 – $70,128 · median $40,786 | 28 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,288 – $47,897 · median $31,072 | 28 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,360 – $164,401 · median $73,021 | 28 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,209 – $66,592 · median $39,577 | 28 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,330 – $48,287 · median $32,192 | 28 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,347 – $104,704 · median $52,609 | 28 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,397 – $51,615 · median $34,410 | 28 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,000 – $42,924 · median $28,616 | 28 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,798 – $62,163 · median $38,062 | 28 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,498 – $45,337 · median $30,225 | 28 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,750 – $39,301 · median $26,201 | 28 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,560 – $83,849 · median $45,477 | 28 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,288 – $46,608 · median $31,072 | 28 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,563 – $39,000 · median $26,000 | 28 plans |
| 849 | RADIOTHERAPY | $17,424 – $87,700 · median $46,794 | 28 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $52,299 – $164,208 · median $72,955 | 28 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,894 – $65,604 · median $39,239 | 28 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,999 – $53,373 · median $35,057 | 28 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,390 – $40,332 · median $26,888 | 28 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,472 – $50,064 · median $33,376 | 28 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,398 – $40,110 · median $26,740 | 28 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,423 – $70,404 · median $40,880 | 28 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,981 – $42,893 · median $28,596 | 28 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,525 – $37,328 · median $24,885 | 28 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $72,744 – $228,403 · median $94,906 | 28 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,518 – $64,422 · median $38,834 | 28 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,781 – $42,572 · median $28,381 | 28 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,820 – $129,021 · median $59,470 | 28 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $1,213 – $35,719 · median $21,557 | 28 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $1,297 – $49,592 · median $32,235 | 28 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $1,411 – $58,469 · median $35,879 | 28 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $1,340 – $40,066 · median $26,043 | 28 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,884 – $145,467 · median $66,547 | 28 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,843 – $62,304 · median $38,110 | 28 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,748 – $45,739 · median $30,493 | 28 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $32,813 – $126,772 · median $60,154 | 28 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,235 – $54,115 · median $35,310 | 28 plans |
| 906 | Hand procedures for injuries | $15,242 – $71,658 · median $41,309 | 28 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $41,658 – $130,797 · median $61,531 | 28 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,093 – $66,227 · median $39,452 | 28 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,263 – $46,568 · median $31,045 | 28 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,372 – $57,060 · median $36,317 | 28 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,550 – $36,393 · median $24,262 | 28 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,679 – $53,836 · median $34,335 | 28 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,580 – $40,106 · median $26,069 | 28 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,069 – $59,874 · median $37,280 | 28 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,623 – $42,317 · median $28,212 | 28 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,191 – $36,790 · median $24,527 | 28 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,247 – $55,468 · median $35,773 | 28 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,884 – $42,385 · median $28,257 | 28 plans |
| 935 | NON-EXTENSIVE BURNS | $12,750 – $62,197 · median $41,465 | 28 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,191 – $104,212 · median $52,440 | 28 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,079 – $69,324 · median $40,511 | 28 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,436 – $64,166 · median $38,747 | 28 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,000 – $50,916 · median $33,944 | 28 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,000 – $44,012 · median $29,341 | 28 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,580 – $46,869 · median $30,465 | 28 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,538 – $38,589 · median $25,083 | 28 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,332 – $43,380 · median $28,920 | 28 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,142 – $35,079 · median $23,386 | 28 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,929 – $34,758 · median $23,172 | 28 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $66,133 – $207,646 · median $87,808 | 28 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,746 – $87,116 · median $46,594 | 28 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $31,227 – $98,046 · median $50,332 | 28 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,864 – $49,146 · median $32,764 | 28 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,488 – $42,100 · median $28,067 | 28 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,078 – $49,491 · median $32,994 | 28 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,712 – $156,085 · median $70,178 | 28 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,602 – $80,385 · median $44,293 | 28 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,444 – $54,772 · median $35,535 | 28 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,801 – $115,004 · median $56,131 | 28 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,944 – $56,341 · median $36,072 | 28 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,572 – $37,939 · median $12,358 | 28 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,000 – $125,322 · median $83,548 | 27 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $305,819 – $924,850 · median $339,799 | 26 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $133,497 – $361,810 · median $147,579 | 26 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $129,547 – $349,652 · median $142,670 | 26 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $61,135 – $159,214 · median $71,248 | 26 plans |
| 007 | Lung transplant | $149,666 – $429,088 · median $166,295 | 26 plans |
| 008 | Simultaneous pancreas/kidney transplant | $68,597 – $178,648 · median $77,893 | 26 plans |
| 010 | Pancreas transplant | $96,063 – $261,778 · median $106,737 | 26 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $153,192 – $430,171 · median $168,695 | 26 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $76,096 – $198,177 · median $85,157 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $75,477 – $198,177 · median $84,570 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $116,032 – $1,238,224 · median $444,605 | 26 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $99,941 – $260,277 · median $107,069 | 26 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $29,251 – $76,179 · median $42,855 | 26 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,529 – $48,624 · median $32,416 | 26 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,054 – $41,310 · median $27,540 | 26 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $25,588 – $74,400 · median $42,246 | 26 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,536 – $47,297 · median $31,531 | 26 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,145 – $40,096 · median $26,731 | 26 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $19,661 – $52,116 · median $34,627 | 26 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,466 – $43,196 · median $28,798 | 26 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,805 – $38,306 · median $25,537 | 26 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,467 – $50,229 · median $33,486 | 26 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,965 – $40,765 · median $27,176 | 26 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $58,085 – $151,271 · median $68,532 | 26 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,779 – $114,013 · median $55,792 | 26 plans |
| 652 | KIDNEY TRANSPLANT | $38,722 – $100,843 · median $51,288 | 26 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $49,771 – $148,129 · median $67,457 | 26 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $27,470 – $71,540 · median $41,268 | 26 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,243 – $46,906 · median $31,271 | 26 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $21,173 – $60,370 · median $37,449 | 26 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,606 – $42,048 · median $28,032 | 26 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,410 – $53,134 · median $34,975 | 26 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,988 – $40,642 · median $27,095 | 26 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $25,000 – $137,684 · median $92,707 | 26 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,000 – $78,768 · median $52,512 | 26 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $12,750 – $98,076 · median $65,384 | 26 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,100 – $61,345 · median $40,897 | 26 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $224,110 – $386,124 · median $268,924 | 25 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $147,757 – $263,163 · median $177,303 | 25 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $46,767 – $104,104 · median $67,016 | 25 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $31,984 – $83,547 · median $51,145 | 25 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,806 – $66,768 · median $44,512 | 25 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $268,982 – $424,708 · median $297,296 | 23 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $88,793 – $140,200 · median $95,336 | 23 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $54,299 – $89,580 · median $59,720 | 23 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $91,077 – $150,909 · median $101,197 | 23 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $58,382 – $94,420 · median $62,946 | 23 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $37,558 – $69,733 · median $46,489 | 23 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $38,592 – $70,959 · median $47,306 | 23 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,310 – $50,471 · median $33,648 | 23 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,964 – $40,578 · median $27,052 | 23 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $54,652 – $129,390 · median $86,260 | 22 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $40,910 – $91,092 · median $60,728 | 22 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $109,541 – $201,618 · median $134,412 | 22 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,273 – $144,821 · median $97,513 | 22 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,556 – $117,900 · median $78,600 | 22 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $87,218 – $165,668 · median $110,445 | 22 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,205 – $117,334 · median $78,223 | 22 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,111 – $138,118 · median $92,079 | 22 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,701 – $93,977 · median $62,651 | 22 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $78,674 – $180,340 · median $120,227 | 22 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,855 – $111,939 · median $74,626 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,270 – $77,179 · median $51,452 | 19 plans |
No procedures match that keyword.