San Luis Valley Health Regional Medical Center — Pricing
765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765
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 765 procedures
Procedures with negotiated rates only
These 765 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,670 – $14,322 · median $6,891 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,670 – $15,597 · median $7,504 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,670 – $13,370 · median $6,433 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,670 – $12,792 · median $6,155 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,670 – $14,424 · median $6,940 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,849 – $10,077 · median $4,849 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,335 – $9,011 · median $4,335 | 7 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $180,207 – $374,539 · median $180,207 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $72,869 – $151,450 · median $72,869 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $136,488 – $283,675 · median $136,488 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,071 – $185,124 · median $89,071 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $66,301 – $137,800 · median $66,301 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,818 – $61,974 · median $29,818 | 6 plans |
| 007 | Lung transplant | $83,276 – $173,079 · median $83,276 | 6 plans |
| 008 | Simultaneous pancreas/kidney transplant | $36,040 – $74,905 · median $36,040 | 6 plans |
| 010 | Pancreas transplant | $46,143 – $95,903 · median $46,143 | 6 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $35,072 – $72,894 · median $35,072 | 6 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $27,111 – $56,347 · median $27,111 | 6 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $18,531 – $38,515 · median $18,531 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $77,281 – $160,619 · median $77,281 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,131 – $79,250 · median $38,131 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $34,932 – $72,603 · median $34,932 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $277,686 – $577,138 · median $277,686 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $45,879 – $95,354 · median $45,879 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,600 – $105,167 · median $50,600 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,042 – $70,752 · median $34,042 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $20,432 – $42,466 · median $20,432 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,849 – $76,585 · median $36,849 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $25,155 – $52,283 · median $25,155 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $29,237 – $60,767 · median $29,237 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,994 – $41,554 · median $19,994 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,223 – $33,719 · median $16,223 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,636 – $80,301 · median $38,636 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,938 – $45,596 · median $21,938 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,116 – $29,339 · median $14,116 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,812 – $59,882 · median $28,812 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,703 – $28,481 · median $13,703 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,693 – $22,225 · median $10,693 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,890 – $51,732 · median $24,890 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $15,372 – $31,949 · median $15,372 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,493 – $25,966 · median $12,493 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,170 – $43,999 · median $21,170 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,434 – $21,686 · median $10,434 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,559 – $15,711 · median $7,559 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,829 – $51,605 · median $24,829 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,139 – $29,386 · median $14,139 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,110 – $23,091 · median $11,110 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,648 – $24,208 · median $11,648 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,297 – $13,087 · median $6,297 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,819 – $20,407 · median $9,819 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,557 – $13,627 · median $6,557 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,939 – $31,048 · median $14,939 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,331 – $17,316 · median $8,331 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,993 – $22,847 · median $10,993 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,980 – $16,585 · median $7,980 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,915 – $12,293 · median $5,915 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,729 – $36,849 · median $17,729 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,300 – $23,485 · median $11,300 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,027 – $18,762 · median $9,027 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,932 – $26,877 · median $12,932 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,497 – $13,503 · median $6,497 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,401 – $9,147 · median $4,401 | 6 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,444 – $19,629 · median $9,444 | 6 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,559 – $11,553 · median $5,559 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,137 – $10,676 · median $5,137 | 6 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,705 – $22,250 · median $10,705 | 6 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,598 – $13,712 · median $6,598 | 6 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,863 – $10,107 · median $4,863 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,316 – $21,441 · median $10,316 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,629 – $13,777 · median $6,629 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,330 – $25,627 · median $12,330 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,306 – $11,029 · median $5,306 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,639 – $24,191 · median $11,639 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,759 – $11,970 · median $5,759 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,697 – $30,547 · median $14,697 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,976 – $18,655 · median $8,976 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,146 – $12,774 · median $6,146 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,609 – $30,364 · median $14,609 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,377 – $17,411 · median $8,377 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,882 – $12,225 · median $5,882 | 6 plans |
| 088 | CONCUSSION WITH MCC | $8,693 – $18,067 · median $8,693 | 6 plans |
| 089 | CONCUSSION WITH CC | $7,065 – $14,683 · median $7,065 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,294 – $11,002 · median $5,294 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,293 – $23,472 · median $11,293 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,578 – $13,672 · median $6,578 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,121 – $10,643 · median $5,121 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,631 – $47,037 · median $22,631 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,585 – $34,471 · median $16,585 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,585 – $34,471 · median $16,585 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,226 – $48,272 · median $23,226 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,757 – $30,671 · median $14,757 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,761 – $18,208 · median $8,761 | 6 plans |
| 100 | SEIZURES WITH MCC | $12,455 – $25,885 · median $12,455 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $5,804 – $12,063 · median $5,804 | 6 plans |
| 102 | HEADACHES WITH MCC | $7,208 – $14,981 · median $7,208 | 6 plans |
| 103 | HEADACHES WITHOUT MCC | $5,378 – $11,177 · median $5,378 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,119 – $31,422 · median $15,119 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,700 – $18,083 · median $8,700 | 6 plans |
| 115 | Extraocular procedures except orbit | $9,870 – $20,514 · median $9,870 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,627 – $24,165 · median $11,627 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,976 – $14,500 · median $6,976 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,481 – $15,548 · median $7,481 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,053 – $10,502 · median $5,053 | 6 plans |
| 123 | Neurological eye disorders | $5,135 – $10,673 · median $5,135 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,508 – $17,683 · median $8,508 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,937 – $10,262 · median $4,937 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,954 – $29,002 · median $13,954 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,529 – $13,569 · median $6,529 | 6 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,602 – $19,957 · median $9,602 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,699 – $11,844 · median $5,699 | 6 plans |
| 139 | Salivary gland procedures | $7,946 – $16,515 · median $7,946 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,428 – $57,006 · median $27,428 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $14,026 – $29,150 · median $14,026 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,266 – $21,336 · median $10,266 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,092 – $50,073 · median $24,092 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,143 – $23,160 · median $11,143 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,731 – $16,069 · median $7,731 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,616 – $28,299 · median $13,616 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,176 – $16,994 · median $8,176 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,126 – $10,653 · median $5,126 | 6 plans |
| 149 | Dysequilibrium | $4,833 – $10,045 · median $4,833 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $8,562 – $17,796 · median $8,562 | 6 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,720 – $9,810 · median $4,720 | 6 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,602 – $15,800 · median $7,602 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,747 – $9,866 · median $4,747 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,054 – $20,896 · median $10,054 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,894 – $12,249 · median $5,894 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,444 – $9,237 · median $4,444 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,040 – $22,945 · median $11,040 | 6 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,850 – $12,159 · median $5,850 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,556 – $9,469 · median $4,556 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,820 – $59,899 · median $28,820 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,231 – $33,733 · median $16,231 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $12,309 – $25,583 · median $12,309 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,035 – $49,954 · median $24,035 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,597 – $24,102 · median $11,597 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,787 – $18,262 · median $8,787 | 6 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $19,140 – $39,780 · median $19,140 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,833 – $18,358 · median $8,833 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,177 – $10,759 · median $5,177 | 6 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,049 – $20,885 · median $10,049 | 6 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,276 – $13,044 · median $6,276 | 6 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,855 – $10,091 · median $4,855 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,356 – $23,603 · median $11,356 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,887 – $14,314 · median $6,887 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,847 – $10,075 · median $4,847 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,838 – $20,447 · median $9,838 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,843 – $14,222 · median $6,843 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,058 – $10,512 · median $5,058 | 6 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,022 – $20,829 · median $10,022 | 6 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,360 – $13,219 · median $6,360 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,612 – $9,585 · median $4,612 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,944 – $16,511 · median $7,944 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,123 – $14,804 · median $7,123 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,421 – $11,267 · median $5,421 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,128 – $8,580 · median $4,128 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,452 – $17,567 · median $8,452 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,182 – $10,771 · median $5,182 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,042 – $8,400 · median $4,042 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,136 – $25,222 · median $12,136 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,103 – $12,685 · median $6,103 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,606 – $9,572 · median $4,606 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,344 – $23,577 · median $11,344 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,069 – $14,692 · median $7,069 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,598 – $9,557 · median $4,598 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,245 – $12,980 · median $6,245 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,308 – $8,955 · median $4,308 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,192 – $10,791 · median $5,192 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,774 – $24,471 · median $11,774 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,052 – $12,578 · median $6,052 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,378 – $86,000 · median $41,378 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,675 – $36,736 · median $17,675 | 6 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $69,926 – $145,332 · median $69,926 | 6 plans |
| 215 | Other heart assist system implant | $64,028 – $133,075 · median $64,028 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $62,908 – $130,747 · median $62,908 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $42,282 – $87,879 · median $42,282 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,282 – $87,879 · median $42,282 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $49,375 – $102,620 · median $49,375 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $34,292 – $71,273 · median $34,292 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $32,411 – $67,362 · median $32,411 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,814 – $66,122 · median $31,814 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $20,253 – $42,093 · median $20,253 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $54,208 – $112,666 · median $54,208 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,985 – $81,027 · median $38,985 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $49,162 – $102,178 · median $49,162 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $35,128 – $73,009 · median $35,128 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,738 – $78,434 · median $37,738 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,936 – $55,983 · median $26,936 | 6 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,649 – $65,779 · median $31,649 | 6 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,330 – $38,097 · median $18,330 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,902 – $18,503 · median $8,902 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $20,531 – $42,672 · median $20,531 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,703 – $28,479 · median $13,703 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,623 – $24,157 · median $11,623 | 6 plans |
| 245 | AICD generator procedures | $29,338 – $60,976 · median $29,338 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,035 – $29,169 · median $14,035 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,610 – $19,974 · median $9,610 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $22,431 – $46,621 · median $22,431 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,691 – $34,690 · median $16,691 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,457 – $23,812 · median $11,457 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $17,346 – $36,051 · median $17,346 | 6 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,918 – $22,692 · median $10,918 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,023 – $14,597 · median $7,023 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,205 – $41,994 · median $20,205 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,003 – $27,025 · median $13,003 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,917 – $43,474 · median $20,917 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $12,157 – $25,267 · median $12,157 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,481 – $21,784 · median $10,481 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,661 – $40,862 · median $19,661 | 6 plans |
| 264 | Other circulatory system O.R. procedures | $21,482 – $44,647 · median $21,482 | 6 plans |
| 265 | AICD lead procedures | $23,267 – $48,357 · median $23,267 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $39,408 – $81,906 · median $39,408 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $30,614 – $63,628 · median $30,614 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $44,228 – $91,923 · median $44,228 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $27,157 – $56,443 · median $27,157 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $33,929 – $70,518 · median $33,929 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,869 – $47,530 · median $22,869 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,417 – $34,121 · median $16,417 | 6 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $26,529 – $55,137 · median $26,529 | 6 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $21,167 – $43,994 · median $21,167 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,852 – $95,298 · median $45,852 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $38,625 – $80,278 · median $38,625 | 6 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $29,699 – $61,726 · median $29,699 | 6 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $35,793 – $74,392 · median $35,793 | 6 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $23,191 – $48,200 · median $23,191 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,315 – $21,439 · median $10,315 | 6 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,910 – $12,284 · median $5,910 | 6 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,650 – $9,664 · median $4,650 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,737 – $26,473 · median $12,737 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,451 – $9,251 · median $4,451 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,851 – $8,004 · median $3,851 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,229 – $29,574 · median $14,229 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,881 – $14,302 · median $6,881 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,402 – $36,168 · median $17,402 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,976 – $22,813 · median $10,976 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,978 – $12,425 · median $5,978 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,255 – $17,158 · median $8,255 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,459 – $11,347 · median $5,459 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,640 – $7,565 · median $3,640 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,044 – $20,875 · median $10,044 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,077 – $8,473 · median $4,077 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,927 – $6,082 · median $2,927 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,499 – $21,821 · median $10,499 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,865 – $14,267 · median $6,865 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,628 – $9,619 · median $4,628 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,695 – $15,993 · median $7,695 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,329 – $8,997 · median $4,329 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $7,652 – $15,904 · median $7,652 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,856 – $10,092 · median $4,856 | 6 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $10,133 – $21,061 · median $10,133 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,872 – $12,205 · median $5,872 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,742 – $16,091 · median $7,742 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,731 – $9,833 · median $4,731 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,640 – $7,566 · median $3,640 | 6 plans |
| 311 | Angina pectoris | $4,514 – $9,381 · median $4,514 | 6 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,605 – $11,649 · median $5,605 | 6 plans |
| 313 | Chest pain | $4,630 – $9,623 · median $4,630 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,409 – $27,869 · median $13,409 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,194 – $12,875 · median $6,194 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,386 – $9,116 · median $4,386 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,699 – $59,647 · median $28,699 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,467 – $32,147 · median $15,467 | 6 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $17,496 – $36,363 · median $17,496 | 6 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $11,337 – $23,563 · median $11,337 | 6 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $27,827 – $57,836 · median $27,827 | 6 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $20,262 – $42,113 · median $20,262 | 6 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $20,644 – $42,907 · median $20,644 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,071 – $66,657 · median $32,071 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,717 – $32,667 · median $15,717 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,304 – $21,415 · median $10,304 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,558 – $61,432 · median $29,558 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,415 – $32,039 · median $15,415 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,822 – $22,492 · median $10,822 | 6 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,283 – $48,391 · median $23,283 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $15,061 – $31,304 · median $15,061 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,532 – $21,891 · median $10,532 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,963 – $47,725 · median $22,963 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,560 – $28,183 · median $13,560 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,871 – $20,515 · median $9,871 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,609 – $34,519 · median $16,609 | 6 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,676 – $20,110 · median $9,676 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,628 – $15,854 · median $7,628 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,762 – $30,681 · median $14,762 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,416 – $17,492 · median $8,416 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,598 – $11,636 · median $5,598 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,024 – $33,304 · median $16,024 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,803 – $20,375 · median $9,803 | 6 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,510 – $15,608 · median $7,510 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,661 – $38,785 · median $18,661 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,819 – $22,485 · median $10,819 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,649 – $17,976 · median $8,649 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $28,248 – $58,710 · median $28,248 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,954 – $31,080 · median $14,954 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,989 – $18,683 · median $8,989 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,237 – $21,276 · median $10,237 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,432 – $13,368 · median $6,432 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,506 – $9,366 · median $4,506 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,402 – $23,697 · median $11,402 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,566 – $13,646 · median $6,566 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,678 – $9,722 · median $4,678 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,753 – $28,584 · median $13,753 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,778 – $16,166 · median $7,778 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,944 – $12,353 · median $5,944 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,755 – $24,431 · median $11,755 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,306 – $13,107 · median $6,306 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,054 – $8,425 · median $4,054 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,618 – $26,225 · median $12,618 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,967 – $14,481 · median $6,967 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,148 – $10,700 · median $5,148 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,879 – $18,453 · median $8,879 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,497 – $11,424 · median $5,497 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,175 – $21,147 · median $10,175 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,278 – $13,048 · median $6,278 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,381 – $9,106 · median $4,381 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,497 – $19,737 · median $9,497 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,079 – $10,556 · median $5,079 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,498 – $7,271 · median $3,498 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,156 – $16,951 · median $8,156 | 6 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,013 – $10,419 · median $5,013 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,284 – $21,375 · median $10,284 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,017 – $12,506 · median $6,017 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,173 – $8,674 · median $4,173 | 6 plans |
| 397 | Appendix Procedures with MCC | $15,400 – $32,008 · median $15,400 | 6 plans |
| 398 | Appendix Procedures without MCC/CC | $9,733 – $20,229 · median $9,733 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,361 – $15,299 · median $7,361 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $35,178 – $73,113 · median $35,178 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,650 – $38,761 · median $18,650 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $14,273 – $29,665 · median $14,273 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,928 – $47,654 · median $22,928 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,001 – $29,100 · median $14,001 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $10,210 – $21,220 · median $10,210 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,242 – $44,149 · median $21,242 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,520 – $28,100 · median $13,520 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,678 – $22,193 · median $10,678 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,909 – $47,614 · median $22,909 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $13,290 – $27,621 · median $13,290 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,767 – $18,221 · median $8,767 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,346 – $31,894 · median $15,346 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,878 – $22,608 · median $10,878 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,783 – $18,254 · median $8,783 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,909 – $45,536 · median $21,909 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $11,173 – $23,222 · median $11,173 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,999 – $18,704 · median $8,999 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,706 – $55,505 · median $26,706 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,069 – $29,241 · median $14,069 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,648 – $20,052 · median $9,648 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,656 – $26,305 · median $12,656 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,792 – $14,116 · median $6,792 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,582 – $9,523 · median $4,582 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,811 – $24,548 · median $11,811 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,274 – $15,117 · median $7,274 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,487 – $11,404 · median $5,487 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,483 – $21,788 · median $10,483 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,409 – $11,243 · median $5,409 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,996 – $8,305 · median $3,996 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,541 – $23,986 · median $11,541 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,207 – $12,901 · median $6,207 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,499 – $9,351 · median $4,499 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,745 – $22,332 · median $10,745 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,038 – $14,627 · median $7,038 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,320 – $11,057 · median $5,320 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $54,038 – $112,311 · median $54,038 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $38,346 – $79,697 · median $38,346 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,832 – $55,767 · median $26,832 | 6 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $35,515 – $73,815 · median $35,515 | 6 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $17,105 – $35,551 · median $17,105 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $36,650 – $76,174 · median $36,650 | 6 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,029 – $41,628 · median $20,029 | 6 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,727 – $24,374 · median $11,727 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $33,473 – $69,570 · median $33,473 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,678 – $47,133 · median $22,678 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,671 – $36,727 · median $17,671 | 6 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $19,505 – $40,539 · median $19,505 | 6 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $12,404 – $25,780 · median $12,404 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,051 – $64,536 · median $31,051 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,945 – $39,375 · median $18,945 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,699 – $32,628 · median $15,699 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,605 – $57,375 · median $27,605 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,634 – $30,415 · median $14,634 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,589 – $15,773 · median $7,589 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,215 – $46,171 · median $22,215 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,814 – $32,867 · median $15,814 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,954 – $24,844 · median $11,954 | 6 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,727 – $38,923 · median $18,727 | 6 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,469 – $27,993 · median $13,469 | 6 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,488 – $21,798 · median $10,488 | 6 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $17,825 – $37,046 · median $17,825 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,752 – $43,130 · median $20,752 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,447 – $27,948 · median $13,447 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,071 – $20,932 · median $10,071 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,375 – $23,641 · median $11,375 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,182 – $14,926 · median $7,182 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,610 – $49,071 · median $23,610 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $16,308 – $33,895 · median $16,308 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,903 – $26,817 · median $12,903 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,315 – $48,457 · median $23,315 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,600 – $24,109 · median $11,600 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,770 – $16,149 · median $7,770 | 6 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,399 – $40,320 · median $19,399 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,956 – $26,928 · median $12,956 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,351 – $42,298 · median $20,351 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,241 – $23,363 · median $11,241 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,655 – $17,988 · median $8,655 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,948 – $37,303 · median $17,948 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,020 – $24,982 · median $12,020 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,529 – $23,961 · median $11,529 | 6 plans |
| 506 | Major thumb or joint procedures | $8,676 – $18,032 · median $8,676 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,616 – $24,143 · median $11,616 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,738 – $20,240 · median $9,738 | 6 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $19,423 – $40,369 · median $19,423 | 6 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $13,372 – $27,791 · median $13,372 | 6 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $10,645 – $22,124 · median $10,645 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $10,123 – $21,041 · median $10,123 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,574 – $13,663 · median $6,574 | 6 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $20,493 – $42,593 · median $20,493 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,363 – $27,774 · median $13,363 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,882 – $20,538 · median $9,882 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $24,033 – $49,949 · median $24,033 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,862 – $26,733 · median $12,862 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,606 – $19,966 · median $9,606 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,457 – $38,360 · median $18,457 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,618 – $28,303 · median $13,618 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,081 – $20,952 · median $10,081 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,184 – $10,774 · median $5,184 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,244 – $17,134 · median $8,244 | 6 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,193 – $10,794 · median $5,193 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,137 – $12,754 · median $6,137 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,632 – $9,627 · median $4,632 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,666 – $26,325 · median $12,666 | 6 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,336 – $17,325 · median $8,336 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,063 – $10,524 · median $5,063 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,359 – $23,609 · median $11,359 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,611 – $13,739 · median $6,611 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,852 – $10,085 · median $4,852 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,959 – $33,168 · median $15,959 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,417 – $15,415 · median $7,417 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,377 – $11,176 · median $5,377 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,417 – $25,806 · median $12,417 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,763 – $16,134 · median $7,763 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,621 – $11,682 · median $5,621 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,778 – $22,401 · median $10,778 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,182 – $12,848 · median $6,182 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,336 – $17,325 · median $8,336 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,338 – $11,094 · median $5,338 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,500 – $17,666 · median $8,500 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,341 – $11,101 · median $5,341 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,561 – $19,872 · median $9,561 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,744 – $11,938 · median $5,744 | 6 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,992 – $24,924 · median $11,992 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,241 – $15,050 · median $7,241 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,169 – $10,744 · median $5,169 | 6 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $9,162 – $19,042 · median $9,162 | 6 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $5,758 – $11,968 · median $5,758 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,926 – $20,630 · median $9,926 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,266 – $13,023 · median $6,266 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,818 – $10,014 · median $4,818 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,913 – $39,308 · median $18,913 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,864 – $22,580 · median $10,864 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,371 – $15,320 · median $7,371 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,129 – $87,559 · median $42,129 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,323 – $46,395 · median $22,323 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,556 – $24,017 · median $11,556 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $31,517 – $65,505 · median $31,517 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,045 – $35,427 · median $17,045 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,330 – $21,470 · median $10,330 | 6 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,825 – $43,283 · median $20,825 | 6 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,112 – $23,095 · median $11,112 | 6 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,280 – $19,287 · median $9,280 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,389 – $25,749 · median $12,389 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,089 – $23,047 · median $11,089 | 6 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,766 – $28,610 · median $13,766 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,405 – $25,782 · median $12,405 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $12,445 – $25,865 · median $12,445 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $7,628 – $15,855 · median $7,628 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,574 – $11,585 · median $5,574 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,637 – $28,343 · median $13,637 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,961 – $14,468 · median $6,961 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,720 – $22,281 · median $10,720 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,275 – $15,120 · median $7,275 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,948 – $10,283 · median $4,948 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,698 – $13,921 · median $6,698 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,890 – $8,086 · median $3,890 | 6 plans |
| 602 | CELLULITIS WITH MCC | $9,140 – $18,996 · median $9,140 | 6 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,600 – $11,640 · median $5,600 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,466 – $19,675 · median $9,466 | 6 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,890 – $12,242 · median $5,890 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,731 – $20,224 · median $9,731 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,829 – $12,114 · median $5,829 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,094 – $29,293 · median $14,094 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,998 – $18,702 · median $8,998 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,426 – $46,609 · median $22,426 | 6 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,027 – $24,997 · median $12,027 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,120 – $18,956 · median $9,120 | 6 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,567 – $38,590 · median $18,567 | 6 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,291 – $21,388 · median $10,291 | 6 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,700 – $20,160 · median $9,700 | 6 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,887 – $47,569 · median $22,887 | 6 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,536 – $23,975 · median $11,536 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,050 – $16,732 · median $8,050 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,421 – $40,364 · median $19,421 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,642 – $20,039 · median $9,642 | 6 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,542 – $17,753 · median $8,542 | 6 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,965 – $49,809 · median $23,965 | 6 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,011 – $29,120 · median $14,011 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,385 – $19,506 · median $9,385 | 6 plans |
| 637 | DIABETES WITH MCC | $9,239 – $19,202 · median $9,239 | 6 plans |
| 638 | DIABETES WITH CC | $5,763 – $11,978 · median $5,763 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,995 – $8,302 · median $3,995 | 6 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $8,589 – $17,850 · median $8,589 | 6 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $5,004 – $10,401 · median $5,004 | 6 plans |
| 642 | Inborn errors of metabolism | $9,145 – $19,006 · median $9,145 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,585 – $22,000 · median $10,585 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,591 – $13,699 · median $6,591 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,941 – $10,268 · median $4,941 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $30,232 – $62,834 · median $30,232 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,830 – $49,528 · median $23,830 | 6 plans |
| 652 | Kidney transplant | $20,767 – $43,162 · median $20,767 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,415 – $69,450 · median $33,415 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $18,001 – $37,413 · median $18,001 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,611 – $28,288 · median $13,611 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,473 – $42,551 · median $20,473 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,768 – $24,458 · median $11,768 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,979 – $20,740 · median $9,979 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,339 – $33,959 · median $16,339 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,499 – $17,665 · median $8,499 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,658 – $13,838 · median $6,658 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,687 – $40,917 · median $19,687 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,776 – $20,317 · median $9,776 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,732 – $13,992 · median $6,732 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $20,071 – $41,715 · median $20,071 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $11,249 – $23,379 · median $11,249 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,113 – $14,784 · median $7,113 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,777 – $39,026 · median $18,777 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,980 – $20,742 · median $9,980 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,285 – $13,062 · median $6,285 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,543 – $23,990 · median $11,543 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,942 – $14,428 · median $6,942 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $27,018 – $56,154 · median $27,018 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $15,038 – $31,255 · median $15,038 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,555 – $21,937 · median $10,555 | 6 plans |
| 682 | RENAL FAILURE WITH MCC | $9,524 – $19,794 · median $9,524 | 6 plans |
| 683 | RENAL FAILURE WITH CC | $5,632 – $11,705 · median $5,632 | 6 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,860 – $8,023 · median $3,860 | 6 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,599 – $24,106 · median $11,599 | 6 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,738 – $14,004 · median $6,738 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,082 – $10,562 · median $5,082 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,461 – $15,507 · median $7,461 | 6 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,205 – $10,819 · median $5,205 | 6 plans |
| 693 | URINARY STONES WITH MCC | $8,646 – $17,969 · median $8,646 | 6 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,027 – $10,447 · median $5,027 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,355 – $15,287 · median $7,355 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,431 – $9,208 · median $4,431 | 6 plans |
| 697 | Urethral stricture | $6,931 – $14,405 · median $6,931 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,639 – $22,111 · median $10,639 | 6 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,527 – $13,565 · median $6,527 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,436 – $9,221 · median $4,436 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,863 – $26,734 · median $12,863 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,866 – $20,505 · median $9,866 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,964 – $31,102 · median $14,964 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,010 – $18,727 · median $9,010 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,400 – $27,850 · median $13,400 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,072 – $14,697 · median $7,072 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,668 – $20,093 · median $9,668 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,800 – $14,132 · median $6,800 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,387 – $29,902 · median $14,387 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,459 – $19,660 · median $9,459 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $12,157 – $25,267 · median $12,157 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,637 – $17,951 · median $8,637 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,637 – $24,187 · median $11,637 | 6 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,348 – $15,272 · median $7,348 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,216 – $8,763 · median $4,216 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,525 – $15,640 · median $7,525 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,643 – $9,650 · median $4,643 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,536 – $19,819 · median $9,536 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,216 – $10,842 · median $5,216 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,808 – $14,150 · median $6,808 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,321 – $8,981 · median $4,321 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,697 – $28,467 · median $13,697 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,652 – $17,983 · median $8,652 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,986 – $47,773 · median $22,986 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $13,251 – $27,540 · median $13,251 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,443 – $19,627 · median $9,443 | 6 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $23,039 – $47,884 · median $23,039 | 6 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $11,637 – $24,185 · median $11,637 | 6 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $9,170 – $19,060 · median $9,170 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,799 – $24,522 · median $11,799 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,978 – $16,582 · median $7,978 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,177 – $27,386 · median $13,177 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,315 – $15,203 · median $7,315 | 6 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,170 – $23,216 · median $11,170 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,528 – $11,490 · median $5,528 | 6 plans |
| 748 | Female reproductive system reconstructive procedures | $8,921 – $18,541 · median $8,921 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,511 – $34,316 · median $16,511 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,490 – $19,724 · median $9,490 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,843 – $24,614 · median $11,843 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,995 – $14,538 · median $6,995 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,176 – $12,837 · median $6,176 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,208 – $19,137 · median $9,208 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,295 – $13,084 · median $6,295 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,267 – $8,869 · median $4,267 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,479 – $13,465 · median $6,479 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,669 – $7,625 · median $3,669 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,866 – $22,584 · median $10,866 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,448 – $13,401 · median $6,448 | 6 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,210 – $8,750 · median $4,210 | 6 plans |
| 779 | ABORTION WITHOUT D&C | $5,410 – $11,244 · median $5,410 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,787 – $32,812 · median $15,787 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,817 – $14,168 · median $6,817 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,159 – $12,801 · median $6,159 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,607 – $22,046 · median $10,607 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,182 – $14,926 · median $7,182 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,166 – $12,814 · median $6,166 | 6 plans |
| 789 | Neonates, died or transferred to another acute care facility | $11,589 – $24,086 · median $11,589 | 6 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $38,220 – $79,435 · median $38,220 | 6 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $26,101 – $54,249 · median $26,101 | 6 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,750 – $32,734 · median $15,750 | 6 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,812 – $55,727 · median $26,812 | 6 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,491 – $19,725 · median $9,491 | 6 plans |
| 795 | Normal newborn | $1,285 – $2,670 · median $1,285 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $29,123 – $60,529 · median $29,123 | 6 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $18,066 – $37,548 · median $18,066 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,275 – $25,512 · median $12,275 | 6 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,620 – $53,248 · median $25,620 | 6 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,954 – $24,844 · median $11,954 | 6 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,720 – $18,123 · median $8,720 | 6 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $14,198 – $29,509 · median $14,198 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $8,140 – $16,919 · median $8,140 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,730 – $13,988 · median $6,730 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,030 – $18,768 · median $9,030 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,904 – $12,272 · median $5,904 | 6 plans |
| 813 | Coagulation disorders | $9,808 – $20,386 · median $9,808 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,676 – $28,423 · median $13,676 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,521 – $13,552 · median $6,521 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,064 – $8,447 · median $4,064 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,672 – $30,494 · median $14,672 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,454 – $15,493 · median $7,454 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,530 – $11,493 · median $5,530 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,713 – $78,383 · median $37,713 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,395 – $29,919 · median $14,395 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,742 – $16,091 · median $7,742 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $29,482 – $61,276 · median $29,482 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,569 – $30,280 · median $14,569 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,677 – $18,035 · median $8,677 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $30,080 – $62,519 · median $30,080 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,862 – $30,889 · median $14,862 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,956 – $22,771 · median $10,956 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $20,320 – $42,233 · median $20,320 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,678 – $20,114 · median $9,678 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,733 – $16,071 · median $7,733 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,640 – $9,644 · median $4,640 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,362 – $6,989 · median $3,362 | 6 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $35,303 – $73,373 · median $35,303 | 6 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,413 – $27,877 · median $13,413 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,842 – $16,299 · median $7,842 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,894 – $64,209 · median $30,894 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,423 – $27,898 · median $13,423 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,285 – $19,298 · median $9,285 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,802 – $43,234 · median $20,802 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,491 – $21,804 · median $10,491 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,497 – $13,504 · median $6,497 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,828 – $26,661 · median $12,828 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,828 – $16,271 · median $7,828 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,476 – $11,382 · median $5,476 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,671 – $34,649 · median $16,671 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,412 – $17,484 · median $8,412 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,462 – $11,352 · median $5,462 | 6 plans |
| 849 | Radiotherapy | $17,423 – $36,212 · median $17,423 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,758 – $66,004 · median $31,758 | 6 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,849 – $26,705 · median $12,849 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,628 – $20,010 · median $9,628 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,250 – $60,793 · median $29,250 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,771 – $28,621 · median $13,771 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,957 – $18,616 · median $8,957 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,727 – $24,374 · median $11,727 | 6 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,417 – $13,337 · median $6,417 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,708 – $11,864 · median $5,708 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,635 – $20,025 · median $9,635 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,592 – $11,622 · median $5,592 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,460 – $27,976 · median $13,460 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,630 – $13,781 · median $6,630 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,692 – $9,752 · median $4,692 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,446 – $92,376 · median $44,446 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,491 – $25,962 · median $12,491 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,580 – $13,676 · median $6,580 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,853 – $51,654 · median $24,853 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,175 – $12,833 · median $6,175 | 6 plans |
| 881 | Depressive neuroses | $6,050 – $12,575 · median $6,050 | 6 plans |
| 882 | Neuroses except depressive | $6,905 – $14,351 · median $6,905 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,644 – $26,280 · median $12,644 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,346 – $21,503 · median $10,346 | 6 plans |
| 885 | Psychoses | $8,982 – $18,668 · median $8,982 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,345 – $27,736 · median $13,345 | 6 plans |
| 887 | Other mental disorder diagnoses | $6,886 – $14,313 · median $6,886 | 6 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,967 – $8,245 · median $3,967 | 6 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $9,103 – $18,919 · median $9,103 | 6 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $11,222 – $23,323 · median $11,222 | 6 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $5,677 – $11,799 · median $5,677 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,986 – $56,088 · median $26,986 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $12,311 – $25,587 · median $12,311 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,521 – $15,632 · median $7,521 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,620 – $49,091 · median $23,620 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,539 – $19,826 · median $9,539 | 6 plans |
| 906 | Hand procedures for injuries | $12,631 – $26,253 · median $12,631 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,689 – $51,312 · median $24,689 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,830 – $26,666 · median $12,830 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,441 – $17,544 · median $8,441 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,511 – $21,846 · median $10,511 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,694 – $11,835 · median $5,694 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,813 – $22,475 · median $10,813 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,285 – $8,905 · median $4,285 | 6 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,086 – $20,962 · median $10,086 | 6 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,512 – $11,455 · median $5,512 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,773 – $24,469 · median $11,773 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,445 – $13,396 · median $6,445 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,427 – $9,200 · median $4,427 | 6 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,249 – $23,381 · median $11,249 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,544 – $13,602 · median $6,544 | 6 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $137,294 – $285,349 · median $137,294 | 6 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,124 – $95,863 · median $46,124 | 6 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,711 – $43,046 · median $20,711 | 6 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,042 – $52,046 · median $25,042 | 6 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,215 – $29,545 · median $14,215 | 6 plans |
| 935 | Non-extensive burns | $13,247 – $27,532 · median $13,247 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,333 – $48,495 · median $23,333 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,027 – $31,233 · median $15,027 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,039 – $27,100 · median $13,039 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,958 – $20,697 · median $9,958 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,374 – $15,327 · median $7,374 | 6 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,163 – $16,966 · median $8,163 | 6 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,148 – $10,699 · median $5,148 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,650 – $15,900 · median $7,650 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,036 – $8,389 · median $4,036 | 6 plans |
| 951 | Other factors influencing health status | $3,575 – $7,431 · median $3,575 | 6 plans |
| 955 | Craniotomy for multiple significant trauma | $43,284 – $89,961 · median $43,284 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,198 – $50,293 · median $24,198 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $49,000 – $101,840 · median $49,000 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $27,097 – $56,319 · median $27,097 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,932 – $39,348 · median $18,932 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,580 – $36,537 · median $17,580 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,855 – $20,483 · median $9,855 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,048 – $12,570 · median $6,048 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,363 – $81,811 · median $39,363 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,960 – $35,249 · median $16,960 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,558 – $38,571 · median $18,558 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,327 – $17,308 · median $8,327 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,805 – $12,065 · median $5,805 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,345 – $17,344 · median $8,345 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,170 – $62,706 · median $30,170 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,809 – $32,858 · median $15,809 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,022 – $22,908 · median $11,022 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,046 – $45,821 · median $22,046 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,569 – $21,967 · median $10,569 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,711 – $16,027 · median $7,711 | 6 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $42,997 – $89,365 · median $42,997 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,854 – $53,734 · median $25,854 | 5 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,872 – $147,298 · median $70,872 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $46,419 – $96,477 · median $46,419 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $36,152 – $75,138 · median $36,152 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $57,936 – $120,413 · median $57,936 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $37,085 – $77,077 · median $37,085 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,966 – $89,300 · median $42,966 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,270 – $56,678 · median $27,270 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $34,272 – $71,230 · median $34,272 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,773 – $43,174 · median $20,773 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $55,685 – $115,734 · median $55,685 | 5 plans |
No procedures match that keyword.