Lakeside Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,924 – $24,707 · median $22,461 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,030 – $33,144 · median $30,131 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,030 – $24,556 · median $22,324 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,030 – $22,186 · median $20,169 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,030 – $30,585 · median $27,804 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,030 – $24,316 · median $22,106 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,030 – $22,539 · median $20,490 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,924 – $26,746 · median $24,315 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,924 – $23,257 · median $21,143 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,924 – $23,257 · median $21,143 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,924 – $23,595 · median $21,450 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,924 – $20,490 · median $18,628 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,924 – $19,514 · median $17,740 | 25 plans |
| 100 | SEIZURES WITH MCC | $8,405 – $34,764 · median $31,603 | 24 plans |
| 101 | SEIZURES WITHOUT MCC | $3,902 – $22,731 · median $20,665 | 24 plans |
| 102 | HEADACHES WITH MCC | $4,909 – $25,422 · median $23,111 | 24 plans |
| 103 | HEADACHES WITHOUT MCC | $3,599 – $21,923 · median $19,930 | 24 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,553 – $37,833 · median $34,394 | 24 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $5,004 – $25,677 · median $23,343 | 24 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,481 – $29,624 · median $26,931 | 24 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $7,064 – $31,181 · median $28,346 | 24 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,566 – $24,506 · median $22,279 | 24 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,924 – $25,463 · median $23,149 | 24 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,872 – $19,978 · median $18,162 | 24 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $3,400 – $21,391 · median $19,446 | 24 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $5,520 – $27,055 · median $24,596 | 24 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $3,496 – $21,645 · median $19,678 | 24 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $10,207 – $39,581 · median $35,982 | 24 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,141 – $23,371 · median $21,246 | 24 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,921 – $28,126 · median $25,570 | 24 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,444 – $21,507 · median $19,552 | 24 plans |
| 139 | SALIVARY GLAND PROCEDURES | $5,812 – $27,837 · median $25,306 | 24 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $17,904 – $60,149 · median $54,681 | 24 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,095 – $36,610 · median $33,282 | 24 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,657 – $30,093 · median $27,357 | 24 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $13,978 – $49,658 · median $45,144 | 24 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $7,437 – $32,178 · median $29,252 | 24 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $5,016 – $25,708 · median $23,371 | 24 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $9,712 – $38,257 · median $34,779 | 24 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $5,270 – $26,387 · median $23,988 | 24 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,390 – $21,363 · median $19,421 | 24 plans |
| 149 | Dysequilibrium | $3,164 – $20,761 · median $18,873 | 24 plans |
| 150 | EPISTAXIS WITH MCC | $5,851 – $27,941 · median $25,401 | 24 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,209 – $20,879 · median $18,981 | 24 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $4,804 – $25,142 · median $22,857 | 24 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,013 – $20,356 · median $18,505 | 24 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $6,885 – $30,702 · median $27,911 | 24 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,952 – $22,866 · median $20,787 | 24 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,847 – $19,911 · median $18,101 | 24 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $6,932 – $30,829 · median $28,026 | 24 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,982 – $22,945 · median $20,859 | 24 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,792 – $19,766 · median $17,969 | 24 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $19,513 – $64,447 · median $58,589 | 24 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $10,655 – $40,779 · median $37,072 | 24 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $7,891 – $33,391 · median $30,356 | 24 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $16,300 – $55,862 · median $50,784 | 24 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $7,735 – $32,975 · median $29,977 | 24 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,732 – $27,621 · median $25,110 | 24 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $12,991 – $47,019 · median $42,744 | 24 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,965 – $28,245 · median $25,678 | 24 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,448 – $21,519 · median $19,562 | 24 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,843 – $30,592 · median $27,811 | 24 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,200 – $23,528 · median $21,389 | 24 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,258 – $21,012 · median $19,102 | 24 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $7,399 – $32,077 · median $29,161 | 24 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,700 – $24,865 · median $22,605 | 24 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,545 – $21,779 · median $19,799 | 24 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,720 – $30,261 · median $27,510 | 24 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,522 – $24,388 · median $22,171 | 24 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $3,292 – $21,102 · median $19,184 | 24 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $6,689 – $30,179 · median $27,435 | 24 plans |
| 187 | PLEURAL EFFUSION WITH CC | $4,250 – $23,662 · median $21,511 | 24 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,108 – $20,610 · median $18,737 | 24 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $5,238 – $26,303 · median $23,912 | 24 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $4,754 – $25,009 · median $22,735 | 24 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $3,637 – $22,023 · median $20,021 | 24 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,740 – $19,626 · median $17,842 | 24 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $5,578 – $27,211 · median $24,738 | 24 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $3,471 – $21,581 · median $19,619 | 24 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,636 – $19,349 · median $17,590 | 24 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $7,976 – $33,619 · median $30,563 | 24 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $4,191 – $23,504 · median $21,367 | 24 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,965 – $20,228 · median $18,389 | 24 plans |
| 199 | PNEUMOTHORAX WITH MCC | $7,473 – $32,275 · median $29,341 | 24 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,688 – $24,833 · median $22,576 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,866 – $19,964 · median $18,149 | 24 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $4,092 – $23,240 · median $21,128 | 24 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,949 – $20,185 · median $18,350 | 24 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,433 – $21,479 · median $19,526 | 24 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,992 – $33,661 · median $30,601 | 24 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,835 – $22,552 · median $20,501 | 24 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $27,378 – $85,467 · median $77,697 | 24 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $11,362 – $42,666 · median $38,787 | 24 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $46,118 – $135,545 · median $123,223 | 24 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $44,852 – $132,162 · median $120,147 | 24 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $40,857 – $121,486 · median $110,441 | 24 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $27,339 – $85,362 · median $77,601 | 24 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $25,186 – $79,608 · median $72,371 | 24 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $32,756 – $99,837 · median $90,761 | 24 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $22,423 – $72,225 · median $65,659 | 24 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $19,442 – $64,260 · median $58,418 | 24 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $21,096 – $68,680 · median $62,436 | 24 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $13,150 – $47,445 · median $43,132 | 24 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $35,873 – $108,168 · median $98,335 | 24 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $25,860 – $81,411 · median $74,010 | 24 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $33,090 – $100,730 · median $91,573 | 24 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $22,522 – $72,491 · median $65,901 | 24 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $24,910 – $78,871 · median $71,701 | 24 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $17,408 – $58,824 · median $53,476 | 24 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $21,323 – $69,286 · median $62,987 | 24 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $12,328 – $45,250 · median $41,136 | 24 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,392 – $29,386 · median $26,714 | 24 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $14,360 – $50,677 · median $46,070 | 24 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $9,537 – $37,790 · median $34,354 | 24 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,640 – $32,721 · median $29,746 | 24 plans |
| 245 | AICD generator procedures | $20,688 – $67,588 · median $61,444 | 24 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $9,790 – $38,466 · median $34,969 | 24 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,615 – $29,982 · median $27,256 | 24 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $14,522 – $51,112 · median $46,465 | 24 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,808 – $41,186 · median $37,442 | 24 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,406 – $32,095 · median $29,177 | 24 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,077 – $41,904 · median $38,095 | 24 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $7,170 – $31,465 · median $28,604 | 24 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,776 – $22,394 · median $20,358 | 24 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $11,877 – $44,043 · median $40,039 | 24 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,441 – $32,189 · median $29,263 | 24 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $14,420 – $50,838 · median $46,216 | 24 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,033 – $33,772 · median $30,701 | 24 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,425 – $29,475 · median $26,795 | 24 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,354 – $42,647 · median $38,770 | 24 plans |
| 264 | Other circulatory system O.R. procedures | $14,796 – $51,844 · median $47,131 | 24 plans |
| 265 | AICD lead procedures | $15,101 – $52,660 · median $47,872 | 24 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $25,361 – $80,077 · median $72,798 | 24 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $19,917 – $65,528 · median $59,571 | 24 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $28,226 – $87,734 · median $79,758 | 24 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $17,614 – $59,374 · median $53,976 | 24 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $21,730 – $70,373 · median $63,976 | 24 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $14,581 – $51,270 · median $46,609 | 24 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $10,593 – $40,611 · median $36,919 | 24 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $16,554 – $56,541 · median $51,401 | 24 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,212 – $47,612 · median $43,283 | 24 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $29,917 – $92,252 · median $83,866 | 24 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $26,223 – $82,381 · median $74,891 | 24 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $19,693 – $64,931 · median $59,028 | 24 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $21,181 – $68,906 · median $62,642 | 24 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $13,565 – $48,555 · median $44,141 | 24 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $6,949 – $30,873 · median $28,067 | 24 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $3,902 – $22,733 · median $20,666 | 24 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $3,070 – $20,507 · median $18,643 | 24 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $8,278 – $34,425 · median $31,296 | 24 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,137 – $20,687 · median $18,807 | 24 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,377 – $18,655 · median $16,959 | 24 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,370 – $37,343 · median $33,948 | 24 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,613 – $24,632 · median $22,393 | 24 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $11,563 – $43,205 · median $39,278 | 24 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,675 – $30,141 · median $27,401 | 24 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,144 – $23,380 · median $21,254 | 24 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $5,524 – $27,065 · median $24,605 | 24 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $3,646 – $22,047 · median $20,043 | 24 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,323 – $18,512 · median $16,829 | 24 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $5,199 – $26,197 · median $23,815 | 24 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,344 – $21,239 · median $19,308 | 24 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $6,936 – $30,839 · median $28,036 | 24 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,982 – $20,273 · median $18,430 | 24 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,870 – $17,301 · median $15,728 | 24 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $6,848 – $30,604 · median $27,822 | 24 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,532 – $24,416 · median $22,196 | 24 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,020 – $20,375 · median $18,523 | 24 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,925 – $25,465 · median $23,150 | 24 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,847 – $19,911 · median $18,101 | 24 plans |
| 304 | HYPERTENSION WITH MCC | $4,973 – $25,595 · median $23,268 | 24 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,178 – $20,797 · median $18,906 | 24 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,339 – $29,244 · median $26,586 | 24 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $3,922 – $22,785 · median $20,713 | 24 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,105 – $25,947 · median $23,588 | 24 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,130 – $20,668 · median $18,789 | 24 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,369 – $18,634 · median $16,940 | 24 plans |
| 311 | Angina pectoris | $2,956 – $20,204 · median $18,367 | 24 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,689 – $22,161 · median $20,147 | 24 plans |
| 313 | Chest pain | $3,020 – $20,375 · median $18,523 | 24 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $9,117 – $36,667 · median $33,333 | 24 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,074 – $23,191 · median $21,082 | 24 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,890 – $20,028 · median $18,207 | 24 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $18,596 – $61,999 · median $56,363 | 24 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $9,799 – $38,491 · median $34,992 | 24 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $12,052 – $44,510 · median $40,463 | 24 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $7,659 – $32,772 · median $29,792 | 24 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $18,032 – $60,490 · median $54,991 | 24 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $13,526 – $48,450 · median $44,045 | 24 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $12,116 – $44,683 · median $40,621 | 24 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $21,501 – $69,762 · median $63,420 | 24 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $10,279 – $39,773 · median $36,157 | 24 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,746 – $30,331 · median $27,574 | 24 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,439 – $64,252 · median $58,411 | 24 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,006 – $39,045 · median $35,495 | 24 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,989 – $30,982 · median $28,165 | 24 plans |
| 332 | RECTAL RESECTION WITH MCC | $14,684 – $51,545 · median $46,859 | 24 plans |
| 333 | RECTAL RESECTION WITH CC | $8,997 – $36,348 · median $33,043 | 24 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $7,021 – $31,068 · median $28,243 | 24 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $15,339 – $53,295 · median $48,450 | 24 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $8,942 – $36,200 · median $32,910 | 24 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $6,499 – $29,671 · median $26,973 | 24 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $11,407 – $42,787 · median $38,897 | 24 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $6,302 – $29,146 · median $26,496 | 24 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,272 – $26,392 · median $23,993 | 24 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $10,020 – $39,080 · median $35,527 | 24 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $5,329 – $26,546 · median $24,133 | 24 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,729 – $22,270 · median $20,245 | 24 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $10,239 – $39,667 · median $36,061 | 24 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,369 – $29,325 · median $26,659 | 24 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,668 – $24,778 · median $22,525 | 24 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $12,417 – $45,485 · median $41,350 | 24 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $7,201 – $31,549 · median $28,681 | 24 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,644 – $27,387 · median $24,897 | 24 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $18,058 – $60,562 · median $55,056 | 24 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $9,534 – $37,781 · median $34,346 | 24 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,737 – $27,634 · median $25,122 | 24 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $7,070 – $31,197 · median $28,361 | 24 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,308 – $23,816 · median $21,651 | 24 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,955 – $20,201 · median $18,364 | 24 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,400 – $32,079 · median $29,163 | 24 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $4,357 – $23,949 · median $21,772 | 24 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $3,071 – $20,511 · median $18,646 | 24 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,938 – $36,190 · median $32,900 | 24 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,202 – $26,204 · median $23,822 | 24 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,738 – $22,294 · median $20,267 | 24 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $7,697 – $32,873 · median $29,885 | 24 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,174 – $23,458 · median $21,325 | 24 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,695 – $19,507 · median $17,734 | 24 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,146 – $34,074 · median $30,976 | 24 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,611 – $24,625 · median $22,387 | 24 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,172 – $20,781 · median $18,892 | 24 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,352 – $26,606 · median $24,187 | 24 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,681 – $22,142 · median $20,129 | 24 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $6,878 – $30,685 · median $27,896 | 24 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,202 – $23,532 · median $21,393 | 24 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,838 – $19,887 · median $18,079 | 24 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,223 – $28,933 · median $26,303 | 24 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,393 – $21,373 · median $19,430 | 24 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,317 – $18,495 · median $16,813 | 24 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $5,438 – $26,836 · median $24,396 | 24 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,303 – $21,132 · median $19,211 | 24 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $7,010 – $31,038 · median $28,217 | 24 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $3,985 – $22,953 · median $20,866 | 24 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,694 – $19,504 · median $17,731 | 24 plans |
| 397 | Appendix Procedures with MCC | $10,489 – $40,335 · median $36,668 | 24 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $6,406 – $29,423 · median $26,748 | 24 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,757 – $25,018 · median $22,743 | 24 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $22,982 – $73,718 · median $67,017 | 24 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $11,889 – $44,075 · median $40,068 | 24 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $9,042 – $36,466 · median $33,151 | 24 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $14,822 – $51,914 · median $47,195 | 24 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $8,875 – $36,022 · median $32,747 | 24 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $6,566 – $29,852 · median $27,138 | 24 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $11,584 – $43,261 · median $39,328 | 24 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $9,024 – $36,419 · median $33,108 | 24 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $7,038 – $31,112 · median $28,284 | 24 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $14,833 – $51,942 · median $47,220 | 24 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $8,374 – $34,682 · median $31,529 | 24 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $5,801 – $27,805 · median $25,277 | 24 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $10,061 – $39,189 · median $35,627 | 24 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $7,021 – $31,066 · median $28,241 | 24 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $5,578 – $27,210 · median $24,737 | 24 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $14,942 – $52,233 · median $47,485 | 24 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,933 – $30,830 · median $28,028 | 24 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,221 – $28,927 · median $26,298 | 24 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $17,219 – $58,318 · median $53,017 | 24 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,666 – $38,135 · median $34,668 | 24 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $6,544 – $29,792 · median $27,083 | 24 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $8,294 – $34,467 · median $31,334 | 24 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $4,529 – $24,407 · median $22,188 | 24 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,949 – $20,184 · median $18,349 | 24 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,724 – $32,946 · median $29,951 | 24 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,774 – $25,062 · median $22,783 | 24 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,324 – $21,187 · median $19,261 | 24 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $7,043 – $31,126 · median $28,296 | 24 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $3,642 – $22,036 · median $20,032 | 24 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,604 – $19,263 · median $17,512 | 24 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $8,003 – $33,690 · median $30,627 | 24 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,090 – $23,235 · median $21,123 | 24 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,975 – $20,254 · median $18,413 | 24 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,131 – $31,360 · median $28,509 | 24 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,591 – $24,573 · median $22,339 | 24 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,375 – $21,324 · median $19,386 | 24 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $35,853 – $108,115 · median $98,286 | 24 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $24,297 – $77,233 · median $70,212 | 24 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $18,280 – $61,153 · median $55,594 | 24 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $25,979 – $81,728 · median $74,298 | 24 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $12,124 – $44,702 · median $40,638 | 24 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $22,864 – $73,405 · median $66,732 | 24 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,483 – $45,661 · median $41,510 | 24 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,350 – $31,945 · median $29,041 | 24 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,567 – $69,939 · median $63,581 | 24 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $14,500 – $51,053 · median $46,412 | 24 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,105 – $41,981 · median $38,165 | 24 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $13,838 – $49,283 · median $44,802 | 24 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $7,982 – $33,635 · median $30,577 | 24 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $20,563 – $67,254 · median $61,140 | 24 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,265 – $45,080 · median $40,982 | 24 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,022 – $39,086 · median $35,533 | 24 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $18,985 – $63,039 · median $57,308 | 24 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $9,133 – $36,710 · median $33,372 | 24 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,924 – $25,462 · median $23,148 | 24 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,559 – $51,209 · median $46,554 | 24 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,900 – $38,761 · median $35,237 | 24 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,518 – $32,394 · median $29,449 | 24 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $12,450 – $45,575 · median $41,432 | 24 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $8,784 – $35,777 · median $32,525 | 24 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $6,716 – $30,251 · median $27,501 | 24 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,788 – $41,132 · median $37,392 | 24 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $13,629 – $48,724 · median $44,294 | 24 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $8,979 – $36,298 · median $32,998 | 24 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,690 – $30,181 · median $27,437 | 24 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,320 – $34,539 · median $31,399 | 24 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,243 – $26,314 · median $23,922 | 24 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $15,034 – $52,478 · median $47,708 | 24 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $10,164 – $39,466 · median $35,879 | 24 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,982 – $33,634 · median $30,576 | 24 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $14,904 – $52,132 · median $47,393 | 24 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,352 – $34,625 · median $31,477 | 24 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,684 – $27,493 · median $24,994 | 24 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,689 – $40,868 · median $37,153 | 24 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,914 – $25,436 · median $23,124 | 24 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,414 – $48,151 · median $43,774 | 24 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,555 – $32,494 · median $29,540 | 24 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,915 – $28,111 · median $25,555 | 24 plans |
| 503 | FOOT PROCEDURES WITH MCC | $11,204 – $42,245 · median $38,404 | 24 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,430 – $32,158 · median $29,235 | 24 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,430 – $32,158 · median $29,235 | 24 plans |
| 506 | Major thumb or joint procedures | $6,346 – $29,263 · median $26,603 | 24 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,205 – $34,231 · median $31,119 | 24 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,464 – $26,905 · median $24,459 | 24 plans |
| 509 | Arthroscopy | $7,437 – $32,178 · median $29,252 | 24 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $12,099 – $44,638 · median $40,580 | 24 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $8,303 – $34,491 · median $31,356 | 24 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $6,806 – $30,493 · median $27,721 | 24 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,374 – $29,337 · median $26,670 | 24 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,316 – $23,839 · median $21,672 | 24 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,091 – $47,288 · median $42,989 | 24 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $8,516 – $35,062 · median $31,875 | 24 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,319 – $29,191 · median $26,537 | 24 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,172 – $52,850 · median $48,045 | 24 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,348 – $34,612 · median $31,466 | 24 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $6,067 – $28,518 · median $25,925 | 24 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,339 – $45,278 · median $41,162 | 24 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $8,924 – $36,153 · median $32,866 | 24 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,455 – $29,555 · median $26,868 | 24 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,446 – $21,513 · median $19,557 | 24 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,630 – $27,349 · median $24,863 | 24 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,433 – $21,478 · median $19,525 | 24 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $3,890 – $22,701 · median $20,637 | 24 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,843 – $19,901 · median $18,092 | 24 plans |
| 539 | OSTEOMYELITIS WITH MCC | $8,562 – $35,183 · median $31,985 | 24 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,478 – $26,944 · median $24,495 | 24 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,704 – $22,202 · median $20,184 | 24 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,896 – $33,404 · median $30,367 | 24 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,491 – $24,306 · median $22,096 | 24 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,199 – $20,853 · median $18,958 | 24 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,697 – $40,891 · median $37,173 | 24 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $4,901 – $25,401 · median $23,092 | 24 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,159 – $20,746 · median $18,860 | 24 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $8,529 – $35,095 · median $31,905 | 24 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,102 – $25,937 · median $23,580 | 24 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,650 – $22,057 · median $20,052 | 24 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,224 – $31,609 · median $28,735 | 24 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,080 – $23,208 · median $21,098 | 24 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,529 – $27,079 · median $24,617 | 24 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,533 – $21,746 · median $19,769 | 24 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,701 – $27,538 · median $25,035 | 24 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,457 – $21,541 · median $19,583 | 24 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,560 – $29,836 · median $27,124 | 24 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,657 – $22,076 · median $20,069 | 24 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,858 – $33,304 · median $30,277 | 24 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,821 – $25,186 · median $22,897 | 24 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,461 – $21,554 · median $19,594 | 24 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,196 – $28,861 · median $26,237 | 24 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,784 – $22,416 · median $20,378 | 24 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,643 – $30,056 · median $27,324 | 24 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,317 – $23,840 · median $21,673 | 24 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,167 – $20,767 · median $18,880 | 24 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $12,743 – $46,358 · median $42,144 | 24 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $7,088 – $31,245 · median $28,405 | 24 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,836 – $25,228 · median $22,935 | 24 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $26,070 – $81,971 · median $74,519 | 24 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,668 – $51,502 · median $46,820 | 24 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $8,453 – $34,893 · median $31,721 | 24 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,840 – $73,340 · median $66,673 | 24 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,273 – $42,428 · median $38,571 | 24 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,156 – $31,428 · median $28,571 | 24 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $13,798 – $49,177 · median $44,707 | 24 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $7,506 – $32,362 · median $29,420 | 24 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,093 – $28,586 · median $25,987 | 24 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,414 – $32,115 · median $29,196 | 24 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,954 – $30,888 · median $28,080 | 24 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $8,667 – $35,466 · median $32,242 | 24 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $8,404 – $34,761 · median $31,601 | 24 plans |
| 592 | SKIN ULCERS WITH MCC | $8,705 – $35,567 · median $32,334 | 24 plans |
| 593 | SKIN ULCERS WITH CC | $5,176 – $26,137 · median $23,761 | 24 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $3,593 – $21,906 · median $19,914 | 24 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $8,954 – $36,232 · median $32,938 | 24 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $4,577 – $24,535 · median $22,304 | 24 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $7,437 – $32,178 · median $29,252 | 24 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $4,567 – $24,510 · median $22,282 | 24 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,619 – $21,976 · median $19,978 | 24 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,050 – $23,126 · median $21,024 | 24 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,538 – $19,086 · median $17,351 | 24 plans |
| 602 | CELLULITIS WITH MCC | $6,220 – $28,925 · median $26,296 | 24 plans |
| 603 | CELLULITIS WITHOUT MCC | $3,729 – $22,269 · median $20,244 | 24 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,290 – $29,112 · median $26,465 | 24 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $3,910 – $22,754 · median $20,685 | 24 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,817 – $30,521 · median $27,747 | 24 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $3,658 – $22,081 · median $20,074 | 24 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $9,648 – $38,086 · median $34,624 | 24 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $6,066 – $28,516 · median $25,923 | 24 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,362 – $56,028 · median $50,935 | 24 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,177 – $34,156 · median $31,051 | 24 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $5,271 – $26,390 · median $23,991 | 24 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $11,542 – $43,149 · median $39,226 | 24 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $6,761 – $30,371 · median $27,610 | 24 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $6,188 – $28,841 · median $26,220 | 24 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $15,841 – $54,637 · median $49,670 | 24 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $8,098 – $33,944 · median $30,858 | 24 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,247 – $23,652 · median $21,502 | 24 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,138 – $44,739 · median $40,672 | 24 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,389 – $29,379 · median $26,708 | 24 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,363 – $26,637 · median $24,215 | 24 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $16,704 – $56,941 · median $51,765 | 24 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $9,521 – $37,748 · median $34,316 | 24 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $5,932 – $28,157 · median $25,597 | 24 plans |
| 637 | DIABETES WITH MCC | $6,165 – $28,779 · median $26,163 | 24 plans |
| 638 | DIABETES WITH CC | $3,883 – $22,680 · median $20,619 | 24 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,653 – $19,393 · median $17,630 | 24 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $5,622 – $27,328 · median $24,843 | 24 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $3,308 – $21,144 · median $19,222 | 24 plans |
| 642 | Inborn errors of metabolism | $5,254 – $26,345 · median $23,950 | 24 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $7,016 – $31,053 · median $28,230 | 24 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $4,375 – $23,995 · median $21,814 | 24 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,297 – $21,114 · median $19,194 | 24 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $19,504 – $64,426 · median $58,569 | 24 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $14,700 – $51,588 · median $46,898 | 24 plans |
| 652 | Kidney transplant | $13,002 – $47,051 · median $42,773 | 24 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,599 – $75,369 · median $68,517 | 24 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $11,947 – $44,230 · median $40,209 | 24 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,794 – $35,805 · median $32,550 | 24 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $13,792 – $49,162 · median $44,692 | 24 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $7,739 – $32,985 · median $29,987 | 24 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $6,367 – $29,319 · median $26,654 | 24 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,940 – $41,540 · median $37,764 | 24 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,673 – $27,464 · median $24,967 | 24 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,346 – $23,918 · median $21,744 | 24 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $13,206 – $47,596 · median $43,269 | 24 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $6,466 – $29,584 · median $26,894 | 24 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,571 – $24,520 · median $22,291 | 24 plans |
| 665 | PROSTATECTOMY WITH MCC | $14,536 – $51,148 · median $46,498 | 24 plans |
| 666 | PROSTATECTOMY WITH CC | $6,974 – $30,940 · median $28,127 | 24 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,351 – $23,932 · median $21,756 | 24 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $12,346 – $45,296 · median $41,178 | 24 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,551 – $29,811 · median $27,101 | 24 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,046 – $23,116 · median $21,015 | 24 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $7,297 – $31,804 · median $28,913 | 24 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,633 – $24,685 · median $22,441 | 24 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $17,736 – $59,701 · median $54,273 | 24 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $9,772 – $38,419 · median $34,926 | 24 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,627 – $30,012 · median $27,284 | 24 plans |
| 682 | RENAL FAILURE WITH MCC | $6,358 – $29,295 · median $26,632 | 24 plans |
| 683 | RENAL FAILURE WITH CC | $3,763 – $22,360 · median $20,328 | 24 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,571 – $19,176 · median $17,433 | 24 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,983 – $33,637 · median $30,579 | 24 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,456 – $24,213 · median $22,012 | 24 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,066 – $20,497 · median $18,634 | 24 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,954 – $25,544 · median $23,222 | 24 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,398 – $21,384 · median $19,440 | 24 plans |
| 693 | URINARY STONES WITH MCC | $6,225 – $28,939 · median $26,308 | 24 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,308 – $21,144 · median $19,222 | 24 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $4,774 – $25,063 · median $22,785 | 24 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,929 – $20,131 · median $18,301 | 24 plans |
| 697 | Urethral stricture | $4,241 – $23,638 · median $21,489 | 24 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $7,116 – $31,320 · median $28,473 | 24 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,318 – $23,842 · median $21,675 | 24 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,939 – $20,158 · median $18,325 | 24 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $8,215 – $34,258 · median $31,144 | 24 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $6,276 – $29,076 · median $26,432 | 24 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $9,513 – $37,725 · median $34,296 | 24 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,356 – $29,289 · median $26,627 | 24 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $8,088 – $33,919 · median $30,835 | 24 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,528 – $24,405 · median $22,186 | 24 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $6,121 – $28,663 · median $26,057 | 24 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,978 – $22,935 · median $20,850 | 24 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $9,560 – $37,852 · median $34,411 | 24 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,008 – $28,361 · median $25,782 | 24 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $7,855 – $33,295 · median $30,268 | 24 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,215 – $26,241 · median $23,855 | 24 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $7,319 – $31,863 · median $28,966 | 24 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $4,754 – $25,008 · median $22,734 | 24 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,084 – $20,547 · median $18,679 | 24 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $5,345 – $26,588 · median $24,171 | 24 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,151 – $20,726 · median $18,841 | 24 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $6,221 – $28,927 · median $26,298 | 24 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,459 – $21,548 · median $19,589 | 24 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $4,661 – $24,759 · median $22,508 | 24 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,569 – $19,170 · median $17,427 | 24 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,902 – $36,093 · median $32,812 | 24 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $5,139 – $26,037 · median $23,670 | 24 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $16,669 – $56,850 · median $51,682 | 24 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $8,460 – $34,912 · median $31,738 | 24 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,422 – $29,465 · median $26,786 | 24 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $16,853 – $57,340 · median $52,127 | 24 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $7,698 – $32,874 · median $29,886 | 24 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,815 – $27,844 · median $25,312 | 24 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $7,733 – $32,970 · median $29,972 | 24 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $5,075 – $25,865 · median $23,514 | 24 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,272 – $34,410 · median $31,281 | 24 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,338 – $23,898 · median $21,725 | 24 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,089 – $31,249 · median $28,408 | 24 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,044 – $23,110 · median $21,009 | 24 plans |
| 748 | Female reproductive system reconstructive procedures | $5,767 – $27,716 · median $25,196 | 24 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $10,959 – $41,589 · median $37,808 | 24 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,459 – $26,892 · median $24,448 | 24 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,659 – $32,773 · median $29,793 | 24 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,699 – $24,863 · median $22,602 | 24 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,043 – $23,108 · median $21,007 | 24 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,992 – $28,315 · median $25,741 | 24 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $4,315 – $23,836 · median $21,669 | 24 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,709 – $19,545 · median $17,768 | 24 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,172 – $23,454 · median $21,322 | 24 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,684 – $19,476 · median $17,705 | 24 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,882 – $28,024 · median $25,476 | 24 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,555 – $24,477 · median $22,252 | 24 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,021 – $20,376 · median $18,524 | 24 plans |
| 779 | ABORTION WITHOUT D&C | $3,957 – $22,880 · median $20,800 | 24 plans |
| 789 | Neonates, died or transferred to another acute care facility | $7,631 – $32,697 · median $29,724 | 24 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $25,167 – $79,557 · median $72,324 | 24 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,187 – $58,233 · median $52,939 | 24 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,371 – $40,017 · median $36,379 | 24 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $17,655 – $59,485 · median $54,077 | 24 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,249 – $29,004 · median $26,368 | 24 plans |
| 795 | Normal newborn | $846 – $14,565 · median $13,241 | 24 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $20,129 – $66,095 · median $60,086 | 24 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $12,335 – $45,268 · median $41,152 | 24 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,950 – $30,877 · median $28,070 | 24 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $15,176 – $52,859 · median $48,053 | 24 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $7,535 – $32,441 · median $29,492 | 24 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,680 – $24,812 · median $22,556 | 24 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,696 – $38,214 · median $34,740 | 24 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $5,243 – $26,315 · median $23,923 | 24 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $4,029 – $23,072 · median $20,974 | 24 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,956 – $28,220 · median $25,655 | 24 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,907 – $22,745 · median $20,677 | 24 plans |
| 813 | Coagulation disorders | $6,553 – $29,817 · median $27,106 | 24 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $8,850 – $35,954 · median $32,685 | 24 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,302 – $23,799 · median $21,636 | 24 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,791 – $19,764 · median $17,967 | 24 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,732 – $40,984 · median $37,258 | 24 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,453 – $26,875 · median $24,432 | 24 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,457 – $21,541 · median $19,583 | 24 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $24,648 – $78,171 · median $71,065 | 24 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,451 – $37,559 · median $34,145 | 24 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,842 – $25,243 · median $22,948 | 24 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $19,810 – $65,243 · median $59,312 | 24 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $9,311 – $37,186 · median $33,805 | 24 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,210 – $26,228 · median $23,844 | 24 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $20,217 – $66,329 · median $60,299 | 24 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $9,990 – $39,002 · median $35,456 | 24 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,786 – $30,438 · median $27,671 | 24 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $13,055 – $47,191 · median $42,901 | 24 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,191 – $28,849 · median $26,227 | 24 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,873 – $25,325 · median $23,023 | 24 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,164 – $20,760 · median $18,872 | 24 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,201 – $18,185 · median $16,532 | 24 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $23,399 – $74,834 · median $68,031 | 24 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $9,042 – $36,467 · median $33,152 | 24 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $5,379 – $26,680 · median $24,254 | 24 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $21,197 – $68,950 · median $62,682 | 24 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $8,586 – $35,249 · median $32,045 | 24 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,801 – $27,807 · median $25,280 | 24 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $13,500 – $48,381 · median $43,983 | 24 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $6,638 – $30,043 · median $27,312 | 24 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $4,453 – $24,204 · median $22,004 | 24 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $8,015 – $33,723 · median $30,657 | 24 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $5,060 – $25,825 · median $23,478 | 24 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $3,542 – $21,771 · median $19,792 | 24 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,811 – $41,195 · median $37,450 | 24 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $5,379 – $26,680 · median $24,254 | 24 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,467 – $21,568 · median $19,608 | 24 plans |
| 849 | Radiotherapy | $11,308 – $42,522 · median $38,656 | 24 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $21,172 – $68,883 · median $62,621 | 24 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $8,459 – $34,909 · median $31,735 | 24 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,882 – $30,695 · median $27,904 | 24 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $19,099 – $63,343 · median $57,585 | 24 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $9,224 – $36,954 · median $33,594 | 24 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,454 – $26,880 · median $24,436 | 24 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $7,784 – $33,105 · median $30,096 | 24 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $4,233 – $23,616 · median $21,469 | 24 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $3,802 – $22,463 · median $20,421 | 24 plans |
| 865 | VIRAL ILLNESS WITH MCC | $6,248 – $29,001 · median $26,365 | 24 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,746 – $22,314 · median $20,285 | 24 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $9,078 – $36,562 · median $33,239 | 24 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,445 – $24,184 · median $21,985 | 24 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $3,046 – $20,445 · median $18,586 | 24 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $29,450 – $91,002 · median $82,729 | 24 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $8,306 – $34,501 · median $31,365 | 24 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,365 – $23,968 · median $21,789 | 24 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $16,635 – $56,759 · median $51,599 | 24 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,058 – $23,149 · median $21,044 | 24 plans |
| 881 | DEPRESSIVE NEUROSES | $3,870 – $22,645 · median $20,587 | 24 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,073 – $23,187 · median $21,079 | 24 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $7,848 – $33,277 · median $30,252 | 24 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $7,071 – $31,199 · median $28,363 | 24 plans |
| 885 | PSYCHOSES | $5,967 – $28,251 · median $25,683 | 24 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $7,605 – $32,628 · median $29,662 | 24 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,035 – $25,760 · median $23,418 | 24 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,642 – $19,365 · median $17,604 | 24 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $6,130 – $28,684 · median $26,077 | 24 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $7,539 – $32,450 · median $29,500 | 24 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,735 – $22,285 · median $20,259 | 24 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $18,756 – $62,426 · median $56,751 | 24 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $8,033 – $33,772 · median $30,701 | 24 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $5,161 – $26,096 · median $23,723 | 24 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $16,346 – $55,984 · median $50,895 | 24 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,977 – $30,950 · median $28,137 | 24 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $9,239 – $36,995 · median $33,631 | 24 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $16,865 – $57,371 · median $52,156 | 24 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $8,539 – $35,123 · median $31,930 | 24 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,369 – $26,652 · median $24,229 | 24 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $6,851 – $30,612 · median $27,829 | 24 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,879 – $22,671 · median $20,610 | 24 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $7,357 – $31,965 · median $29,059 | 24 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $2,811 – $19,817 · median $18,016 | 24 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $6,941 – $30,854 · median $28,049 | 24 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $3,745 – $22,312 · median $20,283 | 24 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $7,720 – $32,934 · median $29,940 | 24 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $4,301 – $23,797 · median $21,634 | 24 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,911 – $20,084 · median $18,258 | 24 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,152 – $31,416 · median $28,560 | 24 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,318 – $23,842 · median $21,675 | 24 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $100,428 – $280,676 · median $255,160 | 24 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $28,274 – $87,862 · median $79,874 | 24 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $13,464 – $48,284 · median $43,894 | 24 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $18,317 – $61,254 · median $55,685 | 24 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $9,084 – $36,579 · median $33,254 | 24 plans |
| 935 | Non-extensive burns | $9,298 – $37,152 · median $33,774 | 24 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $13,437 – $48,211 · median $43,828 | 24 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $8,938 – $36,190 · median $32,900 | 24 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,273 – $34,413 · median $31,285 | 24 plans |
| 945 | REHABILITATION WITH CC/MCC | $6,462 – $29,573 · median $26,885 | 24 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $4,727 – $24,935 · median $22,668 | 24 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,445 – $26,855 · median $24,414 | 24 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $3,363 – $21,292 · median $19,357 | 24 plans |
| 949 | AFTERCARE WITH CC/MCC | $4,568 – $24,511 · median $22,283 | 24 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $2,481 – $18,935 · median $17,213 | 24 plans |
| 951 | Other factors influencing health status | $2,400 – $18,719 · median $17,017 | 24 plans |
| 955 | Craniotomy for multiple significant trauma | $28,907 – $89,552 · median $81,411 | 24 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $16,182 – $55,547 · median $50,497 | 24 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $31,599 – $96,746 · median $87,951 | 24 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $17,398 – $58,798 · median $53,453 | 24 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,193 – $42,214 · median $38,377 | 24 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $11,501 – $43,038 · median $39,125 | 24 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $6,350 – $29,275 · median $26,613 | 24 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,863 – $22,628 · median $20,571 | 24 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $26,773 – $83,850 · median $76,227 | 24 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $11,232 – $42,321 · median $38,473 | 24 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $12,642 – $46,087 · median $41,897 | 24 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,017 – $28,384 · median $25,804 | 24 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,246 – $23,651 · median $21,501 | 24 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,104 – $28,616 · median $26,015 | 24 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,125 – $66,084 · median $60,077 | 24 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,365 – $40,002 · median $36,365 | 24 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,062 – $31,176 · median $28,342 | 24 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $14,828 – $51,930 · median $47,209 | 24 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $7,264 – $31,717 · median $28,834 | 24 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,892 – $25,376 · median $23,069 | 24 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $285,836 – $330,968 · median $300,880 | 19 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $118,291 – $136,968 · median $124,517 | 19 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $220,017 – $254,756 · median $231,597 | 19 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $148,679 – $172,155 · median $156,504 | 19 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $114,673 – $132,779 · median $120,708 | 19 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $58,004 – $67,163 · median $61,057 | 19 plans |
| 007 | LUNG TRANSPLANT | $138,311 – $160,150 · median $145,590 | 19 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $63,787 – $73,859 · median $67,144 | 19 plans |
| 010 | PANCREAS TRANSPLANT | $88,524 – $102,502 · median $93,183 | 19 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $63,345 – $73,347 · median $66,679 | 19 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $50,720 – $58,729 · median $53,390 | 19 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $36,517 – $42,283 · median $38,439 | 19 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $138,633 – $160,523 · median $145,930 | 19 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $69,598 – $80,587 · median $73,261 | 19 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $69,598 – $80,587 · median $73,261 | 19 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $379,087 – $438,943 · median $399,039 | 19 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $88,078 – $101,985 · median $92,713 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $89,385 – $103,498 · median $94,089 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $64,629 – $74,834 · median $68,031 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $45,119 – $52,243 · median $47,494 | 19 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $66,366 – $76,845 · median $69,859 | 19 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $47,770 – $55,312 · median $50,284 | 19 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $54,322 – $62,899 · median $57,181 | 19 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $40,510 – $46,906 · median $42,642 | 19 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $34,737 – $40,222 · median $36,566 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $70,024 – $81,081 · median $73,710 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $43,422 – $50,278 · median $45,707 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $32,369 – $37,480 · median $34,073 | 19 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $51,569 – $59,712 · median $54,284 | 19 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $31,492 – $36,464 · median $33,149 | 19 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $26,215 – $30,354 · median $27,595 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $48,620 – $56,297 · median $51,179 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $32,852 – $38,039 · median $34,581 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $28,536 – $33,042 · median $30,038 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $43,072 – $49,873 · median $45,339 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $26,369 – $30,533 · median $27,757 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,747 – $25,181 · median $22,891 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $47,481 – $54,977 · median $49,980 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $32,690 – $37,851 · median $34,410 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $27,799 – $32,188 · median $29,262 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $30,289 – $35,071 · median $31,883 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $19,629 – $22,728 · median $20,662 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $25,273 – $29,263 · median $26,603 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $21,286 – $24,647 · median $22,406 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $35,092 – $40,633 · median $36,939 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $23,664 – $27,400 · median $24,909 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $28,661 – $33,187 · median $30,170 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $22,581 – $26,147 · median $23,770 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $19,345 – $22,400 · median $20,364 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $37,039 – $42,887 · median $38,989 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $28,026 – $32,451 · median $29,501 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $24,352 – $28,197 · median $25,633 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $30,061 – $34,808 · median $31,644 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $20,562 – $23,808 · median $21,644 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $17,351 – $20,091 · median $18,265 | 19 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $24,841 – $28,763 · median $26,149 | 19 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $19,239 – $22,277 · median $20,251 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $18,444 – $21,356 · median $19,414 | 19 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $27,615 – $31,975 · median $29,068 | 19 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $20,923 – $24,227 · median $22,025 | 19 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $17,956 – $20,791 · median $18,901 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $25,727 – $29,789 · median $27,081 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $20,811 – $24,097 · median $21,906 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $27,455 – $31,790 · median $28,900 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $19,585 – $22,677 · median $20,616 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $25,734 – $29,797 · median $27,089 | 19 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $20,376 – $23,593 · median $21,449 | 19 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $17,140 – $19,847 · median $18,042 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $30,048 – $34,792 · median $31,629 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $19,467 – $22,540 · median $20,491 | 19 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $33,295 – $38,552 · median $35,048 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $24,211 – $28,034 · median $25,485 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $19,968 – $23,121 · median $21,019 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $32,766 – $37,939 · median $34,490 | 19 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $23,441 – $27,142 · median $24,675 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $19,263 – $22,305 · median $20,277 | 19 plans |
| 088 | CONCUSSION WITH MCC | $24,409 – $28,263 · median $25,694 | 19 plans |
| 089 | CONCUSSION WITH CC | $21,101 – $24,433 · median $22,212 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $19,002 – $22,003 · median $20,003 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $28,437 – $32,927 · median $29,933 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $20,970 – $24,281 · median $22,074 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,338 – $21,234 · median $19,303 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $46,275 – $53,582 · median $48,710 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $34,048 – $39,423 · median $35,840 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $34,048 – $39,423 · median $35,840 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $45,649 – $52,856 · median $48,051 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $31,821 – $36,845 · median $33,496 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $24,239 – $28,067 · median $25,515 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $71,069 – $82,290 · median $74,809 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $48,849 – $56,562 · median $51,420 | 19 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $112,973 – $130,811 · median $118,919 | 19 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $80,021 – $92,656 · median $84,233 | 19 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $64,403 – $74,571 · median $67,792 | 19 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $92,116 – $106,660 · median $96,964 | 19 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $64,074 – $74,191 · median $67,447 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,133 – $88,154 · median $80,140 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $50,523 – $58,500 · median $53,182 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $60,944 – $70,567 · median $64,151 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,777 – $47,216 · median $42,923 | 19 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $100,628 – $116,517 · median $105,925 | 19 plans |
No procedures match that keyword.