Gulf Breeze Hospital — 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.
Procedures published 771
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 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 |
|---|---|---|---|
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $12,350 – $44,874 · median $18,085 | 28 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $8,345 – $31,037 · median $12,220 | 28 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $11,784 – $42,947 · median $17,166 | 28 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $5,819 – $21,145 · median $8,521 | 28 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $18,115 – $65,818 · median $26,526 | 27 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $12,031 – $43,713 · median $17,617 | 27 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,638 – $42,103 · median $14,113 | 27 plans |
| 245 | AICD GENERATOR PROCEDURES | $23,874 – $94,823 · median $38,215 | 27 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $14,982 – $54,438 · median $21,939 | 27 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $9,387 – $42,103 · median $13,745 | 27 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $18,190 – $66,094 · median $26,637 | 27 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $10,134 – $42,103 · median $14,839 | 27 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,106 – $42,103 · median $11,869 | 27 plans |
| 265 | AICD LEAD PROCEDURES | $19,050 – $69,218 · median $27,896 | 27 plans |
| 215 | Other heart assist system implant | $56,580 – $205,582 · median $79,030 | 26 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $51,541 – $187,270 · median $71,991 | 26 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $34,488 – $125,309 · median $50,501 | 26 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,772 – $115,440 · median $46,524 | 26 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,321 – $150,138 · median $60,507 | 26 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $24,526 – $89,115 · median $35,914 | 26 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $26,613 – $96,696 · median $38,970 | 26 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,589 – $64,805 · median $24,291 | 26 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $45,254 – $164,428 · median $65,536 | 26 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $32,623 – $118,533 · median $47,770 | 26 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $41,743 – $151,669 · median $61,124 | 26 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $28,412 – $103,233 · median $41,604 | 26 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $31,424 – $114,177 · median $46,015 | 26 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $21,960 – $79,791 · median $32,157 | 26 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,320 – $66,563 · median $25,589 | 26 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $13,634 – $49,538 · median $19,965 | 26 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,342 – $33,945 · median $13,680 | 26 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $13,973 – $50,771 · median $20,461 | 26 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $9,045 – $32,865 · median $13,245 | 26 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,763 – $23,874 · median $6,975 | 26 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,552 – $21,273 · median $7,782 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,021 – $35,744 · median $13,076 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,784 – $21,015 · median $8,245 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,665 – $16,949 · median $6,831 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,021 – $31,355 · median $11,471 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,670 – $20,603 · median $8,162 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,831 – $17,555 · median $7,075 | 26 plans |
| 100 | SEIZURES WITH MCC | $10,602 – $38,523 · median $15,525 | 25 plans |
| 101 | SEIZURES WITHOUT MCC | $4,922 – $17,885 · median $7,208 | 25 plans |
| 102 | HEADACHES WITH MCC | $6,192 – $22,499 · median $9,067 | 25 plans |
| 103 | HEADACHES WITHOUT MCC | $4,540 – $16,497 · median $6,649 | 25 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,051 – $43,787 · median $17,647 | 25 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,313 – $22,937 · median $9,244 | 25 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,176 – $29,708 · median $11,972 | 25 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $8,911 – $32,378 · median $13,049 | 25 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,760 – $20,929 · median $8,435 | 25 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,212 – $22,571 · median $9,096 | 25 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,622 – $13,162 · median $5,304 | 25 plans |
| 123 | Neurological eye disorders | $4,289 – $15,585 · median $6,281 | 25 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,963 – $25,301 · median $10,197 | 25 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,410 – $16,022 · median $6,457 | 25 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $12,876 – $46,785 · median $18,855 | 25 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,224 – $18,981 · median $7,650 | 25 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,469 – $27,138 · median $10,937 | 25 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,344 – $15,785 · median $6,362 | 25 plans |
| 139 | Salivary gland procedures | $7,332 – $26,642 · median $10,737 | 25 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,251 – $44,515 · median $17,940 | 25 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,648 – $24,154 · median $9,734 | 25 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,276 – $15,537 · median $6,262 | 25 plans |
| 149 | DYSEQUILIBRIUM | $3,992 – $14,504 · median $5,845 | 25 plans |
| 150 | EPISTAXIS WITH MCC | $7,381 – $26,820 · median $10,809 | 25 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,048 – $14,708 · median $5,928 | 25 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,060 – $22,020 · median $8,874 | 25 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,801 – $13,810 · median $5,566 | 25 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,685 – $31,557 · median $12,718 | 25 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $4,986 – $18,116 · median $7,301 | 25 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $3,591 – $13,047 · median $5,258 | 25 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,745 – $31,774 · median $12,805 | 25 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,023 – $18,251 · median $7,356 | 25 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,523 – $12,799 · median $5,158 | 25 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $24,615 – $89,437 · median $36,044 | 25 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,442 – $48,840 · median $19,683 | 25 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $9,954 – $36,169 · median $14,577 | 25 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $20,562 – $74,711 · median $30,109 | 25 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,758 – $35,455 · median $14,289 | 25 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,230 – $26,271 · median $10,588 | 25 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,525 – $27,342 · median $11,019 | 25 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,350 – $15,805 · median $6,369 | 25 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,633 – $31,367 · median $12,641 | 25 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,298 – $19,251 · median $7,758 | 25 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,110 – $14,935 · median $6,019 | 25 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,334 – $33,914 · median $13,668 | 25 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,929 – $21,544 · median $8,683 | 25 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,473 – $16,251 · median $6,549 | 25 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,477 – $30,800 · median $12,413 | 25 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,704 – $20,725 · median $8,353 | 25 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,153 – $15,090 · median $6,082 | 25 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,438 – $30,658 · median $12,356 | 25 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,362 – $19,482 · median $7,851 | 25 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,921 – $14,246 · median $5,741 | 25 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,608 – $24,011 · median $9,677 | 25 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,997 – $21,791 · median $8,782 | 25 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,588 – $16,670 · median $6,718 | 25 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $3,456 – $12,558 · median $5,061 | 25 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $7,037 – $25,569 · median $10,304 | 25 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,379 – $15,911 · median $6,412 | 25 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,325 – $12,083 · median $4,870 | 25 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $10,062 – $36,559 · median $14,734 | 25 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,287 – $19,210 · median $7,742 | 25 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,740 – $13,591 · median $5,477 | 25 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,427 – $34,254 · median $13,805 | 25 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,914 – $21,490 · median $8,661 | 25 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,616 – $13,138 · median $5,295 | 25 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,163 – $18,758 · median $7,560 | 25 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,720 – $13,517 · median $5,447 | 25 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,331 – $15,737 · median $6,342 | 25 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $10,082 – $36,631 · median $14,763 | 25 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,837 – $17,576 · median $7,083 | 25 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $34,537 – $125,490 · median $50,574 | 25 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $14,333 – $52,076 · median $20,987 | 25 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $28,286 – $102,777 · median $41,420 | 25 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $26,899 – $97,736 · median $39,389 | 25 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $15,552 – $56,508 · median $22,773 | 25 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,063 – $29,298 · median $11,807 | 25 plans |
| 263 | VEIN LIGATION AND STRIPPING | $14,323 – $52,043 · median $20,974 | 25 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,665 – $67,819 · median $27,332 | 25 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $31,993 – $116,245 · median $46,848 | 25 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $25,125 – $91,290 · median $36,791 | 25 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $35,608 – $129,378 · median $52,141 | 25 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $22,220 – $80,734 · median $32,537 | 25 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,412 – $99,601 · median $40,140 | 25 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,394 – $66,835 · median $26,935 | 25 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $13,363 – $48,553 · median $19,567 | 25 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $20,882 – $75,875 · median $30,579 | 25 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $16,667 – $60,560 · median $24,406 | 25 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $8,766 – $31,850 · median $12,836 | 25 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,923 – $17,887 · median $7,209 | 25 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,872 – $14,070 · median $5,670 | 25 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,443 – $37,943 · median $15,291 | 25 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,957 – $14,378 · median $5,795 | 25 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,998 – $10,893 · median $4,390 | 25 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,587 – $53,002 · median $21,360 | 25 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $8,420 – $30,594 · median $12,330 | 25 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,228 – $18,997 · median $7,656 | 25 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,968 – $25,318 · median $10,204 | 25 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,599 – $16,711 · median $6,735 | 25 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,930 – $10,647 · median $4,291 | 25 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,558 – $23,828 · median $9,603 | 25 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,218 – $15,325 · median $6,176 | 25 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,750 – $31,792 · median $12,812 | 25 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,762 – $13,668 · median $5,508 | 25 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,359 – $8,571 · median $3,454 | 25 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,639 – $31,388 · median $12,650 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,717 – $20,774 · median $8,372 | 25 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,810 – $13,843 · median $5,579 | 25 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,212 – $22,573 · median $9,097 | 25 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,591 – $13,047 · median $5,258 | 25 plans |
| 304 | HYPERTENSION WITH MCC | $6,274 – $22,796 · median $9,187 | 25 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,009 – $14,567 · median $5,871 | 25 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $7,997 – $29,056 · median $11,710 | 25 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,947 – $17,976 · median $7,244 | 25 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $6,440 – $23,399 · median $9,430 | 25 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,948 – $14,345 · median $5,781 | 25 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,988 – $10,857 · median $4,375 | 25 plans |
| 311 | Angina pectoris | $3,729 – $13,550 · median $5,461 | 25 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,653 – $16,907 · median $6,814 | 25 plans |
| 313 | Chest pain | $3,810 – $13,843 · median $5,579 | 25 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,501 – $41,787 · median $16,840 | 25 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,139 – $18,672 · median $7,525 | 25 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,646 – $13,247 · median $5,339 | 25 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $23,459 – $85,238 · median $34,352 | 25 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $12,362 – $44,916 · median $18,102 | 25 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $27,124 – $98,553 · median $39,718 | 25 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $12,967 – $47,115 · median $18,988 | 25 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $8,510 – $30,920 · median $12,461 | 25 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,522 – $89,101 · median $35,909 | 25 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,623 – $45,865 · median $18,484 | 25 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,817 – $32,036 · median $12,911 | 25 plans |
| 332 | RECTAL RESECTION WITH MCC | $18,524 – $67,307 · median $27,125 | 25 plans |
| 333 | RECTAL RESECTION WITH CC | $11,350 – $41,239 · median $16,620 | 25 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,858 – $32,183 · median $12,970 | 25 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $19,350 – $70,308 · median $28,335 | 25 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,280 – $40,987 · median $16,518 | 25 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,198 – $29,787 · median $12,005 | 25 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $14,390 – $52,284 · median $21,071 | 25 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,950 – $28,887 · median $11,642 | 25 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,650 – $24,164 · median $9,738 | 25 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,640 – $45,925 · median $18,508 | 25 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,723 – $24,428 · median $9,845 | 25 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,704 – $17,093 · median $6,889 | 25 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $12,917 – $46,932 · median $18,914 | 25 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,035 – $29,193 · median $11,765 | 25 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $5,888 – $21,395 · median $8,622 | 25 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $15,663 – $56,912 · median $22,936 | 25 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $9,085 – $33,008 · median $13,303 | 25 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,120 – $25,869 · median $10,426 | 25 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $22,780 – $82,772 · median $33,358 | 25 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $12,027 – $43,698 · median $17,611 | 25 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,237 – $26,294 · median $10,597 | 25 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,918 – $32,405 · median $13,059 | 25 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,434 – $19,746 · median $7,958 | 25 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,728 – $13,544 · median $5,458 | 25 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $9,335 – $33,918 · median $13,669 | 25 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,497 – $19,973 · median $8,049 | 25 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,874 – $14,076 · median $5,673 | 25 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,276 – $40,970 · median $16,511 | 25 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,562 – $23,842 · median $9,608 | 25 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,716 – $17,134 · median $6,905 | 25 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,710 – $35,280 · median $14,218 | 25 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,265 – $19,130 · median $7,710 | 25 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,400 – $12,355 · median $4,979 | 25 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,276 – $37,339 · median $15,048 | 25 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,816 – $21,133 · median $8,517 | 25 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,002 – $14,539 · median $5,860 | 25 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $6,751 – $24,531 · median $9,886 | 25 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,644 – $16,874 · median $6,800 | 25 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,677 – $31,528 · median $12,706 | 25 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,300 – $19,258 · median $7,761 | 25 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,580 – $13,007 · median $5,242 | 25 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,850 – $28,522 · median $11,495 | 25 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,281 – $15,554 · median $6,269 | 25 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,922 – $10,618 · median $4,279 | 25 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $6,860 – $24,924 · median $10,045 | 25 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,167 – $15,141 · median $6,102 | 25 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,844 – $32,133 · median $12,950 | 25 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,027 – $18,265 · median $7,361 | 25 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,399 – $12,349 · median $4,977 | 25 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $28,991 – $105,338 · median $42,453 | 25 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $14,998 – $54,494 · median $21,962 | 25 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $11,406 – $41,443 · median $16,702 | 25 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $18,698 – $67,939 · median $27,380 | 25 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $11,196 – $40,680 · median $16,395 | 25 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $8,283 – $30,098 · median $12,130 | 25 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $14,613 – $53,097 · median $21,399 | 25 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,384 – $41,362 · median $16,669 | 25 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,878 – $32,259 · median $13,001 | 25 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $18,712 – $67,988 · median $27,400 | 25 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $10,564 – $38,383 · median $15,469 | 25 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $7,317 – $26,587 · median $10,715 | 25 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $12,691 – $46,114 · median $18,584 | 25 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $8,856 – $32,180 · median $12,969 | 25 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $7,036 – $25,567 · median $10,304 | 25 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,849 – $68,486 · median $27,601 | 25 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $8,745 – $31,776 · median $12,806 | 25 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,847 – $28,512 · median $11,491 | 25 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $21,721 – $78,924 · median $31,807 | 25 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $12,194 – $44,305 · median $17,855 | 25 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $8,255 – $29,995 · median $12,088 | 25 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,462 – $38,014 · median $15,320 | 25 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,713 – $20,758 · median $8,366 | 25 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,720 – $13,515 · median $5,447 | 25 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $9,744 – $35,405 · median $14,268 | 25 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,022 – $21,882 · median $8,819 | 25 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,193 – $15,236 · median $6,140 | 25 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,885 – $32,282 · median $13,010 | 25 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,594 – $16,691 · median $6,727 | 25 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,285 – $11,935 · median $4,810 | 25 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $10,095 – $36,681 · median $14,783 | 25 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $5,160 – $18,748 · median $7,556 | 25 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,753 – $13,635 · median $5,495 | 25 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,995 – $32,684 · median $13,172 | 25 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,792 – $21,044 · median $8,481 | 25 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,258 – $15,471 · median $6,235 | 25 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $45,229 – $164,336 · median $66,229 | 25 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $30,651 – $111,367 · median $44,882 | 25 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,060 – $83,786 · median $33,767 | 25 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $32,772 – $119,077 · median $47,989 | 25 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $15,294 – $55,569 · median $22,395 | 25 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,843 – $104,801 · median $42,236 | 25 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,747 – $57,215 · median $23,058 | 25 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,271 – $33,687 · median $13,576 | 25 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $27,207 – $98,856 · median $39,840 | 25 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,292 – $66,463 · median $26,785 | 25 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $14,009 – $50,903 · median $20,514 | 25 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $17,456 – $63,426 · median $25,561 | 25 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $10,069 – $36,586 · median $14,745 | 25 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,940 – $94,251 · median $37,984 | 25 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,472 – $56,217 · median $22,656 | 25 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,643 – $45,937 · median $18,513 | 25 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,950 – $87,021 · median $35,070 | 25 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $11,521 – $41,860 · median $16,870 | 25 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,211 – $22,569 · median $9,095 | 25 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,366 – $66,730 · median $26,893 | 25 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,489 – $45,378 · median $18,288 | 25 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,483 – $34,458 · median $13,887 | 25 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $15,706 – $57,067 · median $22,999 | 25 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $11,081 – $40,261 · median $16,226 | 25 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $8,472 – $30,783 · median $12,406 | 25 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $13,608 – $49,445 · median $19,927 | 25 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $17,192 – $62,467 · median $25,175 | 25 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $11,326 – $41,154 · median $16,586 | 25 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,439 – $30,662 · median $12,357 | 25 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $10,496 – $38,137 · median $15,369 | 25 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,614 – $24,030 · median $9,684 | 25 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $18,965 – $68,907 · median $27,770 | 25 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $12,822 – $46,589 · median $18,776 | 25 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $10,069 – $36,584 · median $14,744 | 25 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,801 – $68,314 · median $27,531 | 25 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,537 – $38,284 · median $15,429 | 25 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,170 – $26,052 · median $10,499 | 25 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $13,484 – $48,993 · median $19,745 | 25 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,199 – $22,524 · median $9,077 | 25 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,922 – $61,485 · median $24,779 | 25 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,531 – $34,630 · median $13,956 | 25 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,462 – $27,111 · median $10,926 | 25 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,134 – $51,355 · median $20,696 | 25 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,372 – $34,054 · median $13,724 | 25 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,372 – $34,054 · median $13,724 | 25 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,006 – $29,089 · median $11,723 | 25 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,351 – $37,609 · median $15,157 | 25 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,892 – $25,043 · median $10,093 | 25 plans |
| 509 | ARTHROSCOPY | $9,381 – $34,087 · median $13,737 | 25 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $15,263 – $55,459 · median $22,350 | 25 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $10,474 – $38,055 · median $15,337 | 25 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $8,586 – $31,198 · median $12,573 | 25 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $8,040 – $29,215 · median $11,774 | 25 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $5,445 – $19,784 · median $7,973 | 25 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $16,515 – $60,005 · median $24,183 | 25 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $10,743 – $39,035 · median $15,732 | 25 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $7,972 – $28,964 · median $11,673 | 25 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $19,140 – $69,544 · median $28,027 | 25 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $10,531 – $38,263 · median $15,420 | 25 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $7,654 – $27,810 · median $11,208 | 25 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,144 – $29,589 · median $11,925 | 25 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,347 – $15,795 · median $6,366 | 25 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,102 – $25,805 · median $10,400 | 25 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,331 – $15,735 · median $6,341 | 25 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,908 – $17,832 · median $7,187 | 25 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $3,586 – $13,030 · median $5,251 | 25 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,800 – $39,243 · median $15,815 | 25 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,911 – $25,111 · median $10,120 | 25 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,672 – $16,977 · median $6,842 | 25 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,960 – $36,190 · median $14,585 | 25 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $5,666 – $20,586 · median $8,296 | 25 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,036 – $14,664 · median $5,910 | 25 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,495 – $49,032 · median $19,760 | 25 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,183 – $22,464 · median $9,053 | 25 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,985 – $14,479 · median $5,835 | 25 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,759 – $39,091 · median $15,754 | 25 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,436 – $23,384 · median $9,424 | 25 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,604 – $16,728 · median $6,742 | 25 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $9,113 – $33,111 · median $13,344 | 25 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,147 – $18,702 · median $7,537 | 25 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,975 – $25,342 · median $10,213 | 25 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,457 – $16,195 · median $6,527 | 25 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,191 – $26,129 · median $10,530 | 25 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,360 – $15,843 · median $6,385 | 25 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,276 – $30,070 · median $12,119 | 25 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,613 – $16,761 · median $6,755 | 25 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,913 – $36,020 · median $14,516 | 25 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $6,081 – $22,095 · median $8,905 | 25 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,366 – $15,865 · median $6,394 | 25 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $7,816 – $28,398 · median $11,445 | 25 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $4,773 – $17,343 · median $6,990 | 25 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,380 – $30,449 · median $12,271 | 25 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $5,446 – $19,786 · median $7,974 | 25 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,995 – $14,516 · median $5,850 | 25 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,076 – $58,410 · median $23,540 | 25 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,941 – $32,488 · median $13,093 | 25 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,101 – $22,167 · median $8,934 | 25 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $32,887 – $119,494 · median $48,157 | 25 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,504 – $67,233 · median $27,096 | 25 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,663 – $38,744 · median $15,614 | 25 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $28,813 – $104,690 · median $42,191 | 25 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,220 – $51,669 · median $20,823 | 25 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,027 – $32,801 · median $13,219 | 25 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $17,406 – $63,245 · median $25,489 | 25 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $9,468 – $34,403 · median $13,865 | 25 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,686 – $27,926 · median $11,255 | 25 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $9,352 – $33,980 · median $13,694 | 25 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $8,773 – $31,875 · median $12,846 | 25 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $10,934 – $39,728 · median $16,011 | 25 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,601 – $38,519 · median $15,524 | 25 plans |
| 592 | SKIN ULCERS WITH MCC | $10,981 – $39,900 · median $16,080 | 25 plans |
| 593 | SKIN ULCERS WITH CC | $6,530 – $23,725 · median $9,562 | 25 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,532 – $16,468 · median $6,637 | 25 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,295 – $41,041 · median $16,540 | 25 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,773 – $20,978 · median $8,454 | 25 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,381 – $34,087 · median $13,737 | 25 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,762 – $20,935 · median $8,437 | 25 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,565 – $16,588 · median $6,685 | 25 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,109 – $18,562 · median $7,481 | 25 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,202 – $11,633 · median $4,688 | 25 plans |
| 602 | CELLULITIS WITH MCC | $7,846 – $28,508 · median $11,489 | 25 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,704 – $17,091 · median $6,888 | 25 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $7,934 – $28,829 · median $11,618 | 25 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $4,933 – $17,923 · median $7,223 | 25 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,600 – $31,246 · median $12,593 | 25 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,615 – $16,769 · median $6,758 | 25 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,171 – $44,222 · median $17,822 | 25 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,653 – $27,806 · median $11,206 | 25 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $20,641 – $74,996 · median $30,224 | 25 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,315 – $37,481 · median $15,105 | 25 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,649 – $24,160 · median $9,737 | 25 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $14,561 – $52,905 · median $21,321 | 25 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,529 – $30,988 · median $12,489 | 25 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,807 – $28,365 · median $11,431 | 25 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,984 – $72,610 · median $29,263 | 25 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $10,215 – $37,116 · median $14,958 | 25 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,357 – $19,464 · median $7,844 | 25 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $15,311 – $55,633 · median $22,421 | 25 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,060 – $29,286 · median $11,803 | 25 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $6,766 – $24,583 · median $9,907 | 25 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $21,072 – $76,562 · median $30,855 | 25 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $12,011 – $43,642 · median $17,588 | 25 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $7,483 – $27,191 · median $10,958 | 25 plans |
| 637 | DIABETES WITH MCC | $7,777 – $28,258 · median $11,388 | 25 plans |
| 638 | DIABETES WITH CC | $4,898 – $17,797 · median $7,173 | 25 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,346 – $12,159 · median $4,900 | 25 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $7,092 – $25,769 · median $10,385 | 25 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $4,173 – $15,162 · median $6,111 | 25 plans |
| 642 | Inborn errors of metabolism | $6,628 – $24,082 · median $9,705 | 25 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,851 – $32,158 · median $12,960 | 25 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,519 – $20,052 · median $8,081 | 25 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,159 – $15,110 · median $6,089 | 25 plans |
| 652 | Kidney transplant | $16,402 – $59,597 · median $24,018 | 25 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $29,770 – $108,170 · median $43,594 | 25 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $15,071 – $54,760 · median $22,069 | 25 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,094 – $40,308 · median $16,245 | 25 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $17,399 – $63,218 · median $25,478 | 25 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,763 – $35,472 · median $14,296 | 25 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $8,032 – $29,184 · median $11,761 | 25 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $13,801 – $50,146 · median $20,209 | 25 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $7,156 – $26,001 · median $10,479 | 25 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $5,482 – $19,920 · median $8,028 | 25 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,660 – $60,533 · median $24,395 | 25 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,157 – $29,638 · median $11,944 | 25 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,767 – $20,952 · median $8,444 | 25 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,337 – $66,626 · median $26,851 | 25 plans |
| 666 | PROSTATECTOMY WITH CC | $8,797 – $31,964 · median $12,882 | 25 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,489 – $19,943 · median $8,037 | 25 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $15,574 – $56,588 · median $22,806 | 25 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,264 – $30,028 · median $12,102 | 25 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,104 – $18,544 · median $7,474 | 25 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,205 – $33,447 · median $13,479 | 25 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,845 – $21,236 · median $8,558 | 25 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,374 – $81,295 · median $32,763 | 25 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,328 – $44,792 · median $18,052 | 25 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $8,359 – $30,373 · median $12,241 | 25 plans |
| 682 | RENAL FAILURE WITH MCC | $8,021 – $29,143 · median $11,745 | 25 plans |
| 683 | RENAL FAILURE WITH CC | $4,747 – $17,248 · median $6,951 | 25 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,244 – $11,786 · median $4,750 | 25 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,070 – $36,590 · median $14,746 | 25 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,622 – $20,427 · median $8,232 | 25 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,868 – $14,052 · median $5,663 | 25 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,250 – $22,709 · median $9,152 | 25 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,286 – $15,574 · median $6,276 | 25 plans |
| 693 | URINARY STONES WITH MCC | $7,852 – $28,532 · median $11,499 | 25 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,173 – $15,162 · median $6,111 | 25 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,023 – $21,884 · median $8,819 | 25 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $3,694 – $13,424 · median $5,410 | 25 plans |
| 697 | Urethral stricture | $5,350 – $19,439 · median $7,834 | 25 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,977 – $32,616 · median $13,145 | 25 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,447 – $19,790 · median $7,976 | 25 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,707 – $13,470 · median $5,429 | 25 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,364 – $37,655 · median $15,176 | 25 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $7,917 – $28,766 · median $11,593 | 25 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,000 – $43,603 · median $17,572 | 25 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,018 – $29,133 · median $11,741 | 25 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $10,203 – $37,073 · median $14,941 | 25 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,712 – $20,755 · median $8,364 | 25 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,722 – $28,058 · median $11,308 | 25 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,018 – $18,234 · median $7,348 | 25 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $12,060 – $43,820 · median $17,660 | 25 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $7,580 – $27,540 · median $11,099 | 25 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $9,909 – $36,004 · median $14,510 | 25 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,579 – $23,904 · median $9,633 | 25 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,233 – $33,548 · median $13,520 | 25 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $5,997 – $21,789 · median $8,781 | 25 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,891 – $14,138 · median $5,698 | 25 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,743 – $24,499 · median $9,874 | 25 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,975 – $14,444 · median $5,821 | 25 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,847 – $28,512 · median $11,491 | 25 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $4,364 – $15,855 · median $6,390 | 25 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $5,879 – $21,362 · median $8,609 | 25 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,241 – $11,776 · median $4,746 | 25 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $11,230 – $40,803 · median $16,444 | 25 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,483 – $23,555 · median $9,493 | 25 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $21,028 – $76,405 · median $30,792 | 25 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $10,672 – $38,777 · median $15,628 | 25 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,101 – $29,434 · median $11,862 | 25 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $21,260 – $77,245 · median $31,131 | 25 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $9,710 – $35,282 · median $14,219 | 25 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $7,336 – $26,653 · median $10,742 | 25 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $9,755 – $35,445 · median $14,285 | 25 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $6,402 – $23,260 · median $9,374 | 25 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $10,435 – $37,915 · median $15,280 | 25 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $5,473 – $19,885 · median $8,014 | 25 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $8,943 – $32,494 · median $13,095 | 25 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,101 – $18,535 · median $7,470 | 25 plans |
| 748 | Female reproductive system reconstructive procedures | $7,275 – $26,434 · median $10,653 | 25 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $13,824 – $50,229 · median $20,243 | 25 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $6,886 – $25,021 · median $10,084 | 25 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,662 – $35,108 · median $14,149 | 25 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,928 – $21,540 · median $8,681 | 25 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,100 – $18,531 · median $7,468 | 25 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,558 – $27,462 · median $11,068 | 25 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,443 – $19,779 · median $7,971 | 25 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,418 – $12,419 · median $5,005 | 25 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $5,263 – $19,125 · median $7,707 | 25 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,385 – $12,300 · median $4,957 | 25 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $7,420 – $26,962 · median $10,866 | 25 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,746 – $20,879 · median $8,414 | 25 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,810 – $13,845 · median $5,580 | 25 plans |
| 779 | ABORTION WITHOUT D&C | $4,992 – $18,139 · median $7,310 | 25 plans |
| 789 | Neonates, died or transferred to another acute care facility | $987 – $34,978 · median $12,796 | 25 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $2,159 – $115,353 · median $42,200 | 25 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,728 – $78,778 · median $28,820 | 25 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $987 – $47,534 · median $17,390 | 25 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,728 – $80,924 · median $29,605 | 25 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $987 – $28,644 · median $10,479 | 25 plans |
| 795 | Normal newborn | $726 – $3,877 · median $1,418 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,552 – $24,771 · median $9,062 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,171 – $18,787 · median $6,873 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,171 – $18,787 · median $6,873 | 25 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $25,392 – $92,262 · median $37,183 | 25 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $15,561 – $56,539 · median $22,786 | 25 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $8,767 – $31,856 · median $12,838 | 25 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $19,144 – $69,559 · median $28,033 | 25 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,506 – $34,539 · median $13,920 | 25 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $5,904 – $21,453 · median $8,646 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,330 – $19,365 · median $7,084 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,864 – $14,041 · median $5,552 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,403 – $12,366 · median $4,984 | 25 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $12,231 – $44,441 · median $17,910 | 25 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $6,614 – $24,032 · median $9,685 | 25 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $5,083 – $18,469 · median $7,443 | 25 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,513 – $27,299 · median $11,002 | 25 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,929 – $17,908 · median $7,217 | 25 plans |
| 813 | Coagulation disorders | $8,267 – $30,037 · median $12,105 | 25 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $11,164 – $40,564 · median $16,348 | 25 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,426 – $19,716 · median $7,946 | 25 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,521 – $12,795 · median $5,157 | 25 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,538 – $49,191 · median $19,825 | 25 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $6,878 – $24,992 · median $10,072 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,360 – $15,843 · median $6,385 | 25 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $31,093 – $112,976 · median $45,531 | 25 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $11,922 – $43,317 · median $17,457 | 25 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,108 – $22,192 · median $8,944 | 25 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $24,990 – $90,801 · median $36,594 | 25 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $11,746 – $42,677 · median $17,199 | 25 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,573 – $23,882 · median $9,625 | 25 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $25,503 – $92,664 · median $37,345 | 25 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $12,603 – $45,792 · median $18,454 | 25 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,560 – $31,103 · median $12,535 | 25 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $16,469 – $59,838 · median $24,115 | 25 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,810 – $28,378 · median $11,437 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,147 – $22,334 · median $9,001 | 25 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,991 – $14,503 · median $5,845 | 25 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,776 – $10,086 · median $4,065 | 25 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $29,518 – $107,252 · median $43,224 | 25 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $11,407 – $41,445 · median $16,703 | 25 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,786 – $24,657 · median $9,937 | 25 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $26,740 – $97,160 · median $39,156 | 25 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $10,831 – $39,355 · median $15,861 | 25 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,318 – $26,591 · median $10,717 | 25 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,030 – $61,879 · median $24,938 | 25 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,374 – $30,425 · median $12,262 | 25 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,618 – $20,411 · median $8,226 | 25 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $10,111 – $36,738 · median $14,806 | 25 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $6,383 – $23,192 · median $9,347 | 25 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $4,469 – $16,237 · median $6,544 | 25 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $13,638 – $49,554 · median $19,971 | 25 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $6,786 – $24,657 · median $9,937 | 25 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,373 – $15,890 · median $6,404 | 25 plans |
| 849 | RADIOTHERAPY | $14,265 – $51,830 · median $20,888 | 25 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $26,709 – $97,045 · median $39,110 | 25 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $10,671 – $38,771 · median $15,625 | 25 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,681 – $31,543 · median $12,712 | 25 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $24,094 – $87,543 · median $35,281 | 25 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $11,636 – $42,279 · median $17,039 | 25 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,881 – $25,000 · median $10,075 | 25 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $9,819 – $35,678 · median $14,379 | 25 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $5,340 – $19,402 · median $7,819 | 25 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,796 – $17,425 · median $7,022 | 25 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,882 – $28,638 · median $11,542 | 25 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,725 – $17,169 · median $6,919 | 25 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $11,451 – $41,608 · median $16,768 | 25 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $5,608 – $20,376 · median $8,212 | 25 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,843 – $13,963 · median $5,627 | 25 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $37,150 – $134,984 · median $54,400 | 25 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $10,478 – $38,073 · median $15,344 | 25 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $5,506 – $20,006 · median $8,062 | 25 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,661 – $85,969 · median $34,647 | 25 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,134 – $36,821 · median $14,839 | 25 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,510 – $23,655 · median $9,533 | 25 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,620 – $74,921 · median $30,194 | 25 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,802 – $31,982 · median $12,889 | 25 plans |
| 906 | Hand procedures for injuries | $11,655 – $42,349 · median $17,067 | 25 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $21,274 – $77,300 · median $31,153 | 25 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,772 – $39,140 · median $15,774 | 25 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,773 – $24,610 · median $9,918 | 25 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,642 – $31,401 · median $12,655 | 25 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,894 – $17,782 · median $7,166 | 25 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,281 – $33,722 · median $13,590 | 25 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,547 – $12,886 · median $5,193 | 25 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,757 – $31,817 · median $12,823 | 25 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,724 – $17,165 · median $6,918 | 25 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,739 – $35,385 · median $14,261 | 25 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,425 – $19,713 · median $7,944 | 25 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,673 – $13,344 · median $5,378 | 25 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $9,022 – $32,781 · median $13,211 | 25 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $5,447 – $19,790 · median $7,976 | 25 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $126,689 – $460,317 · median $185,513 | 25 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $35,668 – $129,597 · median $52,229 | 25 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,985 – $61,712 · median $24,871 | 25 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,107 – $83,959 · median $33,836 | 25 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $11,459 – $41,637 · median $16,780 | 25 plans |
| 935 | NON-EXTENSIVE BURNS | $11,730 – $42,619 · median $17,176 | 25 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $16,950 – $61,588 · median $24,821 | 25 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $11,276 – $40,970 · median $16,511 | 25 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $10,437 – $37,921 · median $15,283 | 25 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,152 – $29,620 · median $11,937 | 25 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,963 – $21,665 · median $8,731 | 25 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,869 – $24,957 · median $10,058 | 25 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,243 – $15,416 · median $6,213 | 25 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,762 – $20,937 · median $8,438 | 25 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,130 – $11,373 · median $4,583 | 25 plans |
| 951 | Other factors influencing health status | $3,028 – $11,002 · median $4,434 | 25 plans |
| 955 | Craniotomy for multiple significant trauma | $36,466 – $132,496 · median $53,398 | 25 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $20,413 – $74,170 · median $29,891 | 25 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $39,862 – $144,835 · median $58,370 | 25 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $21,948 – $79,747 · median $32,139 | 25 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $14,119 – $51,302 · median $20,675 | 25 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,508 – $52,715 · median $21,245 | 25 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,011 – $29,108 · median $11,731 | 25 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,874 – $17,708 · median $7,137 | 25 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $33,774 – $122,717 · median $49,456 | 25 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $14,170 – $51,485 · median $20,749 | 25 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,947 – $57,944 · median $23,352 | 25 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $7,591 – $27,581 · median $11,115 | 25 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,356 – $19,462 · median $7,843 | 25 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,700 – $27,979 · median $11,276 | 25 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,388 – $92,245 · median $37,176 | 25 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,075 – $47,507 · median $19,146 | 25 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,909 – $32,370 · median $13,045 | 25 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,706 – $67,966 · median $27,391 | 25 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,164 – $33,297 · median $13,419 | 25 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,171 – $22,421 · median $9,036 | 25 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $20,986 – $76,250 · median $30,730 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $5,119 – $18,601 · median $7,496 | 24 plans |
| 881 | Depressive neuroses | $4,882 – $17,737 · median $7,148 | 24 plans |
| 882 | Neuroses except depressive | $5,137 – $18,667 · median $7,523 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,901 – $35,973 · median $14,498 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,920 – $32,409 · median $13,061 | 24 plans |
| 885 | Psychoses | $7,528 – $27,352 · median $11,023 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $9,594 – $34,859 · median $14,049 | 24 plans |
| 887 | Other mental disorder diagnoses | $6,352 – $23,079 · median $9,301 | 24 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $3,333 – $12,110 · median $4,880 | 24 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $7,732 – $28,095 · median $11,323 | 24 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $9,510 – $34,555 · median $13,926 | 24 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $4,711 – $17,118 · median $6,899 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,586 – $82,063 · median $29,947 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,474 – $41,689 · median $15,214 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,397 – $30,511 · median $11,134 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $17,633 – $64,070 · median $23,381 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,381 – $34,087 · median $12,439 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $6,327 – $22,990 · median $8,390 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $15,566 – $56,557 · median $20,639 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $11,258 – $40,906 · median $14,927 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $24,605 – $89,400 · median $32,624 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $18,544 – $67,380 · median $24,589 | 20 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $150,429 – $546,578 · median $220,277 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $58,849 – $213,826 · median $86,174 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $114,453 – $415,859 · median $167,596 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $75,460 – $274,179 · median $110,497 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $56,872 – $206,641 · median $83,279 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $25,897 – $94,094 · median $37,921 | 19 plans |
| 007 | Lung transplant | $69,792 – $253,587 · median $102,198 | 19 plans |
| 008 | Simultaneous pancreas/kidney transplant | $29,058 – $105,579 · median $42,550 | 19 plans |
| 010 | Pancreas transplant | $42,579 – $154,708 · median $62,349 | 19 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $28,816 – $104,702 · median $42,196 | 19 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $21,915 – $79,628 · median $32,091 | 19 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $14,152 – $51,421 · median $20,723 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $69,969 – $254,227 · median $102,456 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $32,234 – $117,121 · median $47,201 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $32,234 – $117,121 · median $47,201 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $43,049 – $156,418 · median $63,038 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $29,518 – $107,252 · median $43,224 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $18,854 – $68,504 · median $27,608 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $30,467 – $110,702 · median $44,614 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $20,303 – $73,768 · median $29,729 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $23,884 – $86,781 · median $34,974 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $16,334 – $59,349 · median $23,918 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,179 – $47,885 · median $19,298 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $32,467 – $117,967 · median $47,542 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $17,926 – $65,133 · median $26,249 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,884 – $43,182 · median $17,403 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $22,379 – $81,314 · median $32,771 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,405 – $41,439 · median $16,700 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,521 – $30,959 · median $12,477 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $20,767 – $75,456 · median $30,410 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,148 – $44,140 · median $17,789 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $9,789 – $35,569 · median $14,335 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,735 – $64,439 · median $25,970 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,605 – $31,266 · median $12,600 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,078 – $22,086 · median $8,901 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $20,144 – $73,194 · median $29,498 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $12,060 – $43,818 · median $17,659 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $9,386 – $34,104 · median $13,744 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,748 – $39,051 · median $15,738 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $4,921 – $17,879 · median $7,205 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,006 – $29,089 · median $11,723 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,826 – $21,170 · median $8,532 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $13,373 – $48,590 · median $19,582 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $7,126 – $25,893 · median $10,435 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,858 – $35,818 · median $14,435 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,534 – $23,743 · median $9,569 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,766 – $17,316 · median $6,979 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $14,437 – $52,457 · median $21,141 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $9,511 – $34,557 · median $13,927 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $7,502 – $27,259 · median $10,986 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $10,623 – $38,598 · median $15,556 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $5,431 – $19,732 · median $7,952 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $3,676 – $13,356 · median $5,383 | 19 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,770 – $28,231 · median $11,377 | 19 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $4,708 – $17,105 · median $6,893 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,273 – $15,525 · median $6,257 | 19 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $9,286 – $33,740 · median $13,597 | 19 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $5,628 – $20,450 · median $8,242 | 19 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,006 – $14,557 · median $5,867 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,254 – $29,991 · median $12,087 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,567 – $20,227 · median $8,152 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $9,198 – $33,421 · median $13,469 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,897 – $17,792 · median $7,170 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,258 – $30,004 · median $12,092 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,329 – $19,363 · median $7,804 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,560 – $12,937 · median $5,214 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,616 – $38,571 · median $15,545 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,832 – $17,557 · median $7,076 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,391 – $45,021 · median $18,144 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,425 – $26,979 · median $10,873 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,106 – $18,552 · median $7,477 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,101 – $43,969 · median $17,720 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,004 – $25,450 · median $10,257 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,721 – $17,153 · median $6,913 | 19 plans |
| 088 | CONCUSSION WITH MCC | $7,534 – $27,373 · median $11,032 | 19 plans |
| 089 | CONCUSSION WITH CC | $5,725 – $20,803 · median $8,384 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,578 – $16,635 · median $6,704 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,735 – $35,372 · median $14,255 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,654 – $20,543 · median $8,279 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,215 – $15,316 · median $6,172 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $19,485 – $70,799 · median $28,533 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $12,802 – $46,515 · median $18,746 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $12,802 – $46,515 · median $18,746 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,143 – $69,556 · median $28,032 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $11,585 – $42,093 · median $16,964 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $7,441 – $27,036 · median $10,896 | 19 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $201,401 – $731,779 · median $389,554 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $42,335 – $153,821 · median $81,885 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $16,387 – $49,257 · median $21,675 | 11 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $58,178 – $174,869 · median $76,947 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $37,740 – $113,439 · median $49,917 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $33,080 – $99,433 · median $43,753 | 11 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,843 – $74,672 · median $32,858 | 11 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $26,720 – $80,313 · median $35,340 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $17,113 – $51,437 · median $22,634 | 11 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $33,038 – $99,304 · median $43,697 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $15,203 – $45,697 · median $20,108 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $9,662 – $29,041 · median $12,779 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $22,747 – $68,372 · median $30,086 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,063 – $51,288 · median $22,568 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $15,285 – $45,942 · median $20,216 | 11 plans |
| 397 | Appendix Procedures with MCC | $13,232 – $39,774 · median $17,502 | 11 plans |
| 398 | Appendix Procedures without MCC/CC | $8,081 – $24,290 · median $10,688 | 11 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,002 – $18,039 · median $7,938 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $20,893 – $62,799 · median $27,633 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $55,943 – $168,151 · median $73,991 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $37,931 – $114,013 · median $50,169 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $29,394 – $88,352 · median $38,877 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $44,542 – $133,883 · median $58,912 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $29,215 – $87,812 · median $38,640 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $35,806 – $107,624 · median $47,358 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $21,807 – $65,548 · median $28,843 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,503 – $82,669 · median $36,377 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,480 – $49,536 · median $21,797 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $49,195 – $147,869 · median $65,067 | 11 plans |
No procedures match that keyword.