Kuakini 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 |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $3,137 – $274,412 · median $261,345 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $3,137 – $267,882 · median $102,326 | 18 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $3,137 – $463,076 · median $198,875 | 18 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $3,137 – $401,358 · median $131,168 | 18 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $3,137 – $355,748 · median $98,892 | 18 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $3,137 – $355,748 · median $45,106 | 18 plans |
| 008 | Simultaneous pancreas/kidney transplant | $3,137 – $691,295 · median $50,595 | 18 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $3,137 – $82,460 · median $50,176 | 18 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $3,137 – $82,460 · median $38,193 | 18 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $3,137 – $82,460 · median $24,713 | 18 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $3,137 – $243,325 · median $74,890 | 18 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $3,137 – $243,325 · median $51,394 | 18 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $3,137 – $243,325 · median $32,877 | 18 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $3,137 – $104,032 · median $53,043 | 18 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $3,137 – $99,122 · median $35,393 | 18 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $3,137 – $88,386 · median $41,611 | 18 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $3,137 – $88,386 · median $28,502 | 18 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,137 – $76,037 · median $23,024 | 18 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $3,137 – $85,354 · median $56,515 | 18 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $3,137 – $70,618 · median $31,266 | 18 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $3,137 – $46,811 · median $20,776 | 18 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $3,137 – $53,390 · median $38,999 | 18 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $3,137 – $53,390 · median $19,943 | 18 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $3,137 – $37,094 · median $14,935 | 18 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $3,137 – $64,521 · median $30,934 | 18 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $3,137 – $53,709 · median $15,081 | 18 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $3,137 – $41,815 · median $10,694 | 18 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $3,137 – $65,524 · median $35,118 | 18 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $3,137 – $57,619 · median $21,080 | 18 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $3,137 – $49,714 · median $16,438 | 18 plans |
| 113 | INTRAOCULAR PROCEDURES WITH CC/MCC | $3,137 – $22,118 · median $21,065 | 18 plans |
| 114 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $3,137 – $18,943 · median $11,101 | 18 plans |
| 115 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $3,137 – $17,661 · median $14,337 | 18 plans |
| 116 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $3,137 – $18,363 · median $15,613 | 18 plans |
| 117 | NEUROLOGICAL EYE DISORDERS | $3,137 – $18,202 · median $10,142 | 18 plans |
| 135 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,137 – $25,681 · median $22,498 | 18 plans |
| 136 | SALIVARY GLAND PROCEDURES | $3,137 – $25,681 · median $9,211 | 18 plans |
| 137 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $3,137 – $59,301 · median $13,109 | 18 plans |
| 138 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,137 – $31,497 · median $7,683 | 18 plans |
| 139 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $3,137 – $21,580 · median $12,872 | 18 plans |
| 140 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $3,137 – $60,863 · median $39,357 | 18 plans |
| 141 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $3,137 – $49,997 · median $20,063 | 18 plans |
| 142 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $27,865 · median $14,721 | 18 plans |
| 143 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $3,137 – $99,982 · median $30,758 | 18 plans |
| 144 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $3,137 – $34,250 · median $16,430 | 18 plans |
| 145 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $3,137 – $22,073 · median $11,126 | 18 plans |
| 163 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $3,137 – $62,941 · median $42,881 | 18 plans |
| 164 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $3,137 – $62,706 · median $23,480 | 18 plans |
| 165 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $45,084 · median $17,425 | 18 plans |
| 166 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $3,137 – $62,995 · median $35,844 | 18 plans |
| 167 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $3,137 – $60,024 · median $17,083 | 18 plans |
| 168 | PULMONARY EMBOLISM WITHOUT MCC | $3,137 – $42,884 · median $12,694 | 18 plans |
| 215 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $3,137 – $169,263 · median $98,386 | 18 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $3,137 – $191,830 · median $89,635 | 18 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,137 – $191,830 · median $60,024 | 18 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,137 – $191,830 · median $55,308 | 18 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $3,137 – $126,518 · median $71,890 | 18 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $3,137 – $126,518 · median $49,256 | 18 plans |
| 221 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $3,137 – $126,518 · median $42,727 | 18 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $3,137 – $111,775 · median $46,350 | 18 plans |
| 229 | CORONARY BYPASS WITH PTCA WITH MCC | $3,137 – $111,775 · median $28,944 | 18 plans |
| 231 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $3,137 – $139,380 · median $78,718 | 18 plans |
| 232 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $3,137 – $139,380 · median $56,786 | 18 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $3,137 – $126,315 · median $72,621 | 18 plans |
| 234 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $3,137 – $110,870 · median $49,474 | 18 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $3,137 – $96,428 · median $54,704 | 18 plans |
| 236 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $3,137 – $89,654 · median $38,271 | 18 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $3,137 – $80,159 · median $46,847 | 18 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $3,137 – $80,159 · median $27,145 | 18 plans |
| 241 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $3,137 – $80,159 · median $14,141 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $3,137 – $71,011 · median $31,594 | 18 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $3,137 – $53,093 · median $21,030 | 18 plans |
| 244 | AICD GENERATOR PROCEDURES | $3,137 – $43,606 · median $16,875 | 18 plans |
| 245 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $3,137 – $76,692 · median $45,455 | 18 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $3,137 – $47,620 · median $21,584 | 18 plans |
| 251 | OTHER VASCULAR PROCEDURES WITH MCC | $3,137 – $37,812 · median $14,630 | 18 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH CC | $3,137 – $71,336 · median $31,950 | 18 plans |
| 253 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $3,137 – $67,005 · median $23,814 | 18 plans |
| 254 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $3,137 – $48,442 · median $16,362 | 18 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $3,137 – $36,342 · median $24,403 | 18 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $3,137 – $36,342 · median $15,845 | 18 plans |
| 257 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $3,137 – $36,342 · median $8,410 | 18 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $3,137 – $27,463 · median $26,155 | 18 plans |
| 259 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $3,137 – $22,913 · median $16,439 | 18 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $3,137 – $33,312 · median $31,725 | 18 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $3,137 – $30,930 · median $17,736 | 18 plans |
| 262 | VEIN LIGATION AND STRIPPING | $3,137 – $30,930 · median $14,214 | 18 plans |
| 263 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $3,137 – $32,630 · median $25,011 | 18 plans |
| 264 | AICD LEAD PROCEDURES | $3,137 – $160,450 · median $32,550 | 18 plans |
| 265 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $3,137 – $76,692 · median $33,218 | 18 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $3,137 – $91,641 · median $55,693 | 18 plans |
| 267 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $3,137 – $79,809 · median $43,766 | 18 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $3,137 – $110,399 · median $61,969 | 18 plans |
| 269 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,137 – $95,273 · median $38,722 | 18 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $3,137 – $110,399 · median $47,738 | 18 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $3,137 – $95,273 · median $32,080 | 18 plans |
| 272 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $3,137 – $95,273 · median $23,343 | 18 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $3,137 – $52,981 · median $36,400 | 18 plans |
| 274 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $3,137 – $37,301 · median $29,081 | 18 plans |
| 319 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $3,137 – $131,112 · median $40,874 | 18 plans |
| 320 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,137 – $131,112 · median $21,605 | 18 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $3,137 – $125,627 · median $47,237 | 18 plans |
| 327 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,137 – $88,917 · median $22,656 | 18 plans |
| 328 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,137 – $38,063 · median $14,916 | 18 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,137 – $79,923 · median $42,720 | 18 plans |
| 330 | RECTAL RESECTION WITH MCC | $3,137 – $64,701 · median $22,058 | 18 plans |
| 331 | RECTAL RESECTION WITH CC | $3,137 – $36,239 · median $15,449 | 18 plans |
| 332 | RECTAL RESECTION WITHOUT CC/MCC | $3,137 – $70,647 · median $32,305 | 18 plans |
| 333 | PERITONEAL ADHESIOLYSIS WITH MCC | $3,137 – $70,647 · median $19,848 | 18 plans |
| 334 | PERITONEAL ADHESIOLYSIS WITH CC | $3,137 – $33,822 · median $15,520 | 18 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $3,137 – $59,940 · median $33,740 | 18 plans |
| 336 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $3,137 – $52,986 · median $19,727 | 18 plans |
| 337 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $3,137 – $32,521 · median $14,375 | 18 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $3,137 – $36,000 · median $25,126 | 18 plans |
| 345 | ANAL AND STOMAL PROCEDURES WITH MCC | $3,137 – $32,187 · median $13,944 | 18 plans |
| 346 | ANAL AND STOMAL PROCEDURES WITH CC | $3,137 – $26,467 · median $11,687 | 18 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,137 – $28,290 · median $22,087 | 18 plans |
| 348 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $3,137 – $22,683 · median $11,814 | 18 plans |
| 349 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $3,137 – $14,084 · median $8,308 | 18 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $3,137 – $36,822 · median $22,568 | 18 plans |
| 351 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $3,137 – $29,660 · median $14,091 | 18 plans |
| 352 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $3,137 – $15,338 · median $10,364 | 18 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $3,137 – $41,084 · median $27,337 | 18 plans |
| 354 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $3,137 – $31,693 · median $15,914 | 18 plans |
| 355 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $3,137 – $23,425 · median $12,502 | 18 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $62,522 · median $39,696 | 18 plans |
| 357 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $3,137 – $57,569 · median $21,023 | 18 plans |
| 358 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,137 – $32,185 · median $12,706 | 18 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $3,137 – $92,677 · median $50,480 | 18 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $3,137 – $51,246 · median $26,182 | 18 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $3,137 – $36,721 · median $19,945 | 18 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $3,137 – $45,873 · median $32,607 | 18 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $3,137 – $45,873 · median $19,581 | 18 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $3,137 – $44,876 · median $14,523 | 18 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $3,137 – $49,677 · median $25,514 | 18 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $3,137 – $41,557 · median $19,906 | 18 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $3,137 – $33,437 · median $15,556 | 18 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $3,137 – $41,106 · median $32,631 | 18 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $3,137 – $38,262 · median $18,483 | 18 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $3,137 – $26,560 · median $12,846 | 18 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $3,137 – $29,361 · median $22,177 | 18 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $3,137 – $26,770 · median $15,518 | 18 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,137 – $17,318 · median $12,358 | 18 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $3,137 – $64,945 · median $32,869 | 18 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $3,137 – $64,945 · median $15,325 | 18 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $3,137 – $57,631 · median $13,765 | 18 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $3,137 – $96,042 · median $37,857 | 18 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $3,137 – $96,042 · median $21,313 | 18 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $96,042 · median $14,474 | 18 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $3,137 – $136,188 · median $78,675 | 18 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $3,137 – $136,188 · median $53,361 | 18 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $3,137 – $136,188 · median $40,181 | 18 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $3,137 – $65,784 · median $57,045 | 18 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $3,137 – $65,784 · median $26,696 | 18 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,137 – $100,320 · median $50,223 | 18 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,137 – $100,320 · median $27,482 | 18 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,137 – $100,320 · median $16,239 | 18 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $3,137 – $56,122 · median $47,382 | 18 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $3,137 – $56,122 · median $31,902 | 18 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $3,137 – $56,122 · median $24,466 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $3,137 – $40,633 · median $30,450 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $3,137 – $27,587 · median $17,624 | 18 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $3,137 – $61,421 · median $45,182 | 18 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $3,137 – $49,727 · median $27,006 | 18 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $3,137 – $45,635 · median $22,093 | 18 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $3,137 – $43,813 · median $41,726 | 18 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $3,137 – $40,372 · median $20,144 | 18 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,137 – $40,372 · median $10,925 | 18 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $3,137 – $47,444 · median $32,030 | 18 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $3,137 – $47,444 · median $21,826 | 18 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,137 – $47,444 · median $16,607 | 18 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $3,137 – $49,361 · median $27,412 | 18 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $3,137 – $48,138 · median $19,380 | 18 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $3,137 – $34,689 · median $14,850 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $3,137 – $36,591 · median $23,769 | 18 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $3,137 – $43,805 · median $29,992 | 18 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $3,137 – $43,805 · median $19,807 | 18 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,137 – $31,293 · median $14,793 | 18 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $3,137 – $24,736 · median $18,365 | 18 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $3,137 – $24,736 · median $11,623 | 18 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $3,137 – $54,325 · median $33,070 | 18 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $3,137 – $54,325 · median $22,404 | 18 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $3,137 – $32,078 · median $17,623 | 18 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $3,137 – $37,983 · median $32,786 | 18 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $3,137 – $35,280 · median $18,435 | 18 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $3,137 – $24,468 · median $12,590 | 18 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,137 – $42,636 · median $23,553 | 18 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $3,137 – $42,636 · median $10,904 | 18 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $3,137 – $46,045 · median $29,523 | 18 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $3,137 – $46,045 · median $16,689 | 18 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $3,137 – $22,714 · median $13,096 | 18 plans |
| 503 | FOOT PROCEDURES WITH MCC | $3,137 – $25,916 · median $24,682 | 18 plans |
| 504 | FOOT PROCEDURES WITH CC | $3,137 – $23,032 · median $16,414 | 18 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $3,137 – $23,032 · median $16,414 | 18 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $3,137 – $34,597 · median $14,041 | 18 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $3,137 – $22,986 · median $18,113 | 18 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $3,137 – $22,986 · median $12,107 | 18 plans |
| 509 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $3,137 – $17,251 · median $16,430 | 18 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $3,137 – $27,975 · median $26,643 | 18 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $3,137 – $22,986 · median $18,326 | 18 plans |
| 512 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $3,137 – $21,601 · median $15,049 | 18 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $3,137 – $26,436 · median $14,101 | 18 plans |
| 514 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,137 – $18,276 · median $9,594 | 18 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $3,137 – $60,948 · median $28,816 | 18 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $60,948 · median $18,794 | 18 plans |
| 517 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $3,137 – $33,803 · median $13,982 | 18 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $3,137 – $45,997 · median $33,374 | 18 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $3,137 – $45,997 · median $18,425 | 18 plans |
| 520 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $3,137 – $29,665 · median $13,430 | 18 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $3,137 – $50,182 · median $27,168 | 18 plans |
| 522 | FRACTURES OF FEMUR WITH MCC | $3,137 – $36,595 · median $19,688 | 18 plans |
| 570 | SKIN DEBRIDEMENT WITH CC | $3,137 – $60,315 · median $28,053 | 18 plans |
| 571 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $3,137 – $57,497 · median $15,666 | 18 plans |
| 572 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,137 – $29,750 · median $10,733 | 18 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,137 – $60,397 · median $57,245 | 18 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,137 – $57,284 · median $32,270 | 18 plans |
| 575 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $3,137 – $34,712 · median $18,655 | 18 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $3,137 – $59,415 · median $50,170 | 18 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $3,137 – $59,415 · median $24,832 | 18 plans |
| 578 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $3,137 – $16,606 · median $15,815 | 18 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $3,137 – $46,448 · median $30,364 | 18 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,137 – $29,060 · median $16,581 | 18 plans |
| 581 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $3,137 – $23,860 · median $13,485 | 18 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $3,137 – $24,838 · median $16,379 | 18 plans |
| 583 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $3,137 – $22,656 · median $15,372 | 18 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $3,137 – $24,962 · median $19,125 | 18 plans |
| 585 | SKIN ULCERS WITH MCC | $3,137 – $24,178 · median $18,548 | 18 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $3,137 – $56,593 · median $21,273 | 18 plans |
| 615 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,137 – $56,593 · median $13,428 | 18 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,137 – $71,032 · median $35,980 | 18 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,137 – $71,032 · median $18,051 | 18 plans |
| 618 | O.R. PROCEDURES FOR OBESITY WITH MCC | $3,137 – $71,032 · median $11,686 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH CC | $3,137 – $51,309 · median $25,423 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,137 – $51,309 · median $15,322 | 18 plans |
| 621 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $3,137 – $51,085 · median $14,037 | 18 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $3,137 – $45,710 · median $34,839 | 18 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,137 – $45,710 · median $17,877 | 18 plans |
| 624 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $3,137 – $45,710 · median $9,441 | 18 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $3,137 – $28,063 · median $26,726 | 18 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,137 – $20,877 · median $14,135 | 18 plans |
| 627 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $3,137 – $20,877 · median $11,888 | 18 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $3,137 – $38,885 · median $36,728 | 18 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $27,633 · median $20,996 | 18 plans |
| 630 | DIABETES WITH MCC | $3,137 – $26,288 · median $13,134 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $3,137 – $153,497 · median $42,863 | 18 plans |
| 651 | KIDNEY TRANSPLANT | $3,137 – $153,497 · median $32,340 | 18 plans |
| 652 | MAJOR BLADDER PROCEDURES WITH MCC | $3,137 – $153,497 · median $28,621 | 18 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH CC | $3,137 – $54,425 · median $51,833 | 18 plans |
| 654 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,137 – $45,436 · median $26,309 | 18 plans |
| 655 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $3,137 – $45,436 · median $19,403 | 18 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $3,137 – $42,936 · median $30,351 | 18 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $3,137 – $42,936 · median $17,092 | 18 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $3,137 – $42,936 · median $14,086 | 18 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $3,137 – $47,379 · median $24,104 | 18 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,137 – $45,677 · median $12,566 | 18 plans |
| 661 | MINOR BLADDER PROCEDURES WITH MCC | $3,137 – $30,904 · median $9,659 | 18 plans |
| 662 | MINOR BLADDER PROCEDURES WITH CC | $3,137 – $32,560 · median $29,068 | 18 plans |
| 663 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $3,137 – $24,163 · median $14,303 | 18 plans |
| 664 | PROSTATECTOMY WITH MCC | $3,137 – $19,009 · median $10,153 | 18 plans |
| 665 | PROSTATECTOMY WITH CC | $3,137 – $33,579 · median $31,980 | 18 plans |
| 666 | PROSTATECTOMY WITHOUT CC/MCC | $3,137 – $22,385 · median $15,415 | 18 plans |
| 667 | TRANSURETHRAL PROCEDURES WITH MCC | $3,137 – $15,810 · median $9,671 | 18 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH CC | $3,137 – $28,542 · median $27,183 | 18 plans |
| 669 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,137 – $20,999 · median $14,490 | 18 plans |
| 670 | URETHRAL PROCEDURES WITH CC/MCC | $3,137 – $18,625 · median $9,002 | 18 plans |
| 671 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,137 – $35,215 · median $16,124 | 18 plans |
| 672 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $3,137 – $35,215 · median $10,288 | 18 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $3,137 – $54,550 · median $38,990 | 18 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $3,137 – $54,550 · median $21,546 | 18 plans |
| 675 | RENAL FAILURE WITH MCC | $3,137 – $54,550 · median $14,655 | 18 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $3,137 – $30,712 · median $18,135 | 18 plans |
| 708 | PENIS PROCEDURES WITH CC/MCC | $3,137 – $27,915 · median $13,887 | 18 plans |
| 709 | PENIS PROCEDURES WITHOUT CC/MCC | $3,137 – $24,749 · median $20,977 | 18 plans |
| 710 | TESTES PROCEDURES WITH CC/MCC | $3,137 – $24,749 · median $14,062 | 18 plans |
| 711 | TESTES PROCEDURES WITHOUT CC/MCC | $3,137 – $51,479 · median $17,857 | 18 plans |
| 712 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $3,137 – $36,414 · median $10,058 | 18 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,137 – $17,541 · median $13,548 | 18 plans |
| 714 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $3,137 – $13,900 · median $8,854 | 18 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $3,137 – $41,272 · median $21,081 | 18 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $3,137 – $41,272 · median $13,301 | 18 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,137 – $26,161 · median $17,346 | 18 plans |
| 718 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,137 – $26,161 · median $11,563 | 18 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $3,137 – $39,162 · median $19,639 | 18 plans |
| 735 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $3,137 – $39,162 · median $11,396 | 18 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $3,137 – $45,255 · median $36,653 | 18 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,137 – $45,255 · median $18,671 | 18 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $3,137 – $45,255 · median $14,206 | 18 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $3,137 – $38,907 · median $37,055 | 18 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $3,137 – $35,794 · median $17,001 | 18 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $3,137 – $25,630 · median $12,877 | 18 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $3,137 – $22,106 · median $17,079 | 18 plans |
| 743 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $3,137 – $19,867 · median $11,255 | 18 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,137 – $19,172 · median $18,259 | 18 plans |
| 745 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $3,137 – $15,524 · median $9,643 | 18 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,137 – $26,235 · median $15,668 | 18 plans |
| 747 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $3,137 – $26,235 · median $8,997 | 18 plans |
| 748 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $3,137 – $18,047 · median $12,772 | 18 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $32,790 · median $24,144 | 18 plans |
| 750 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,137 – $32,790 · median $12,097 | 18 plans |
| 768 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $3,137 – $12,393 · median $10,306 | 18 plans |
| 769 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,137 – $24,921 · median $13,025 | 18 plans |
| 770 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,137 – $10,669 · median $10,117 | 18 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,137 – $18,956 · median $17,222 | 18 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,137 – $18,956 · median $10,182 | 18 plans |
| 785 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,137 – $16,794 · median $8,240 | 18 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,137 – $18,956 · median $15,124 | 18 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,137 – $18,956 · median $9,986 | 18 plans |
| 788 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,137 – $16,794 · median $8,529 | 18 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,137 – $14,579 · median $11,978 | 18 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,137 – $14,579 · median $9,118 | 18 plans |
| 798 | SPLENIC PROCEDURES WITH MCC | $3,137 – $14,579 · median $9,118 | 18 plans |
| 799 | SPLENIC PROCEDURES WITH CC | $3,137 – $46,443 · median $44,231 | 18 plans |
| 800 | SPLENIC PROCEDURES WITHOUT CC/MCC | $3,137 – $43,377 · median $27,159 | 18 plans |
| 801 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $3,137 – $43,377 · median $15,363 | 18 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $3,137 – $41,932 · median $33,382 | 18 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $3,137 – $41,932 · median $16,646 | 18 plans |
| 804 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,137 – $41,932 · median $10,392 | 18 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,137 – $24,830 · median $23,648 | 18 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $12,688 · median $12,083 | 18 plans |
| 819 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $3,137 – $10,258 · median $7,711 | 18 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $3,137 – $75,904 · median $54,130 | 18 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $75,904 · median $20,841 | 18 plans |
| 822 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $3,137 – $30,400 · median $10,745 | 18 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $3,137 – $91,789 · median $43,533 | 18 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,137 – $91,789 · median $20,535 | 18 plans |
| 825 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $3,137 – $24,864 · median $11,553 | 18 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $3,137 – $72,858 · median $44,423 | 18 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $72,858 · median $22,023 | 18 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $3,137 – $36,767 · median $15,003 | 18 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $3,137 – $46,437 · median $28,736 | 18 plans |
| 830 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,137 – $46,437 · median $13,702 | 18 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $3,137 – $152,815 · median $46,517 | 18 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $152,815 · median $18,668 | 18 plans |
| 855 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $3,137 – $152,815 · median $15,214 | 18 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $3,137 – $44,075 · median $41,976 | 18 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,137 – $37,598 · median $20,345 | 18 plans |
| 858 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $3,137 – $37,598 · median $12,087 | 18 plans |
| 876 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,137 – $85,304 · median $36,579 | 18 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $3,137 – $43,285 · median $41,224 | 18 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $3,137 – $27,862 · median $17,736 | 18 plans |
| 903 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $3,137 – $27,862 · median $11,444 | 18 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $3,137 – $64,544 · median $35,944 | 18 plans |
| 905 | HAND PROCEDURES FOR INJURIES | $3,137 – $64,544 · median $15,424 | 18 plans |
| 906 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $3,137 – $21,991 · median $20,378 | 18 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $3,137 – $47,107 · median $37,081 | 18 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $3,137 – $44,022 · median $18,844 | 18 plans |
| 909 | TRAUMATIC INJURY WITH MCC | $3,137 – $22,815 · median $11,901 | 18 plans |
| 927 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $3,137 – $379,456 · median $220,122 | 18 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $3,137 – $38,291 · median $29,572 | 18 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $3,137 – $38,291 · median $19,719 | 18 plans |
| 941 | REHABILITATION WITH CC/MCC | $3,137 – $38,291 · median $18,262 | 18 plans |
| 955 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $3,137 – $223,065 · median $63,459 | 18 plans |
| 956 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,137 – $212,523 · median $35,585 | 18 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $3,137 – $151,542 · median $69,355 | 18 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,137 – $151,542 · median $38,250 | 18 plans |
| 959 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $3,137 – $151,542 · median $24,657 | 18 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $3,137 – $98,293 · median $58,785 | 18 plans |
| 970 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $3,137 – $98,293 · median $24,744 | 18 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,137 – $75,894 · median $44,223 | 18 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,137 – $45,280 · median $22,843 | 18 plans |
| 983 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $3,137 – $30,046 · median $15,609 | 18 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $3,137 – $37,721 · median $32,620 | 18 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,137 – $37,721 · median $16,052 | 18 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $2,734 – $227,138 · median $121,633 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $2,734 – $227,138 · median $56,111 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $2,734 – $227,138 · median $56,111 | 17 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $2,734 – $34,297 · median $18,802 | 17 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $2,734 – $34,297 · median $8,684 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $2,734 – $23,732 · median $14,041 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $2,734 – $23,481 · median $10,257 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,734 – $25,626 · median $23,360 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $2,734 – $25,626 · median $12,514 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $2,734 – $20,014 · median $17,257 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $2,734 – $20,014 · median $11,486 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $2,734 – $20,014 · median $8,415 | 17 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $2,734 – $50,411 · median $25,208 | 17 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $2,734 – $50,411 · median $16,654 | 17 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $2,734 – $50,411 · median $13,166 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $2,734 – $34,134 · median $18,586 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $2,734 – $34,134 · median $9,569 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $2,734 – $34,134 · median $6,522 | 17 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $2,734 – $20,254 · median $13,631 | 17 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $2,734 – $20,254 · median $8,314 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $2,734 – $17,323 · median $7,559 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $2,734 – $27,749 · median $16,264 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $2,734 – $26,039 · median $9,913 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $2,734 – $16,111 · median $7,096 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $2,734 – $24,320 · median $14,472 | 17 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $2,734 – $22,152 · median $9,806 | 17 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $2,734 – $16,917 · median $16,112 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $2,734 – $13,990 · median $8,642 | 17 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $2,734 – $19,655 · median $14,479 | 17 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $2,734 – $19,655 · median $9,393 | 17 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $2,734 – $19,655 · median $6,322 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $2,734 – $32,306 · median $18,573 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $2,734 – $32,306 · median $8,530 | 17 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $2,734 – $37,446 · median $21,655 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,734 – $37,446 · median $13,033 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $2,734 – $37,446 · median $9,006 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $2,734 – $57,780 · median $21,152 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $2,734 – $16,577 · median $12,302 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $2,734 – $15,089 · median $8,337 | 17 plans |
| 088 | CONCUSSION WITH MCC | $2,734 – $22,306 · median $13,221 | 17 plans |
| 089 | CONCUSSION WITH CC | $2,734 – $22,306 · median $10,081 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $2,734 – $16,640 · median $8,089 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $2,734 – $24,767 · median $17,043 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $2,734 – $20,726 · median $9,957 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,734 – $17,175 · median $7,459 | 17 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $2,734 – $50,917 · median $33,974 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $2,734 – $50,917 · median $22,369 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,734 – $50,917 · median $22,369 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $2,734 – $37,256 · median $33,380 | 17 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $2,734 – $37,256 · median $20,256 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $2,734 – $37,256 · median $13,060 | 17 plans |
| 100 | HEADACHES WITHOUT MCC | $2,734 – $22,548 · median $18,549 | 17 plans |
| 101 | ORBITAL PROCEDURES WITH CC/MCC | $2,734 – $19,466 · median $8,687 | 17 plans |
| 102 | ORBITAL PROCEDURES WITHOUT CC/MCC | $2,734 – $15,544 · median $10,892 | 17 plans |
| 103 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $2,734 – $15,544 · median $8,024 | 17 plans |
| 121 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $2,734 – $11,472 · median $10,926 | 17 plans |
| 122 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,734 – $9,053 · median $6,430 | 17 plans |
| 123 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $2,734 – $16,501 · median $7,588 | 17 plans |
| 124 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $2,734 – $15,786 · median $12,231 | 17 plans |
| 125 | MOUTH PROCEDURES WITH CC/MCC | $2,734 – $8,186 · median $7,796 | 17 plans |
| 146 | DYSEQUILIBRIUM | $2,734 – $35,074 · median $21,413 | 17 plans |
| 147 | EPISTAXIS WITH MCC | $2,734 – $35,074 · median $11,683 | 17 plans |
| 148 | EPISTAXIS WITHOUT MCC | $2,734 – $35,074 · median $7,565 | 17 plans |
| 149 | OTITIS MEDIA AND URI WITH MCC | $2,734 – $12,624 · median $7,071 | 17 plans |
| 150 | OTITIS MEDIA AND URI WITHOUT MCC | $2,734 – $13,605 · median $12,957 | 17 plans |
| 151 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $2,734 – $10,313 · median $7,169 | 17 plans |
| 152 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $2,734 – $12,076 · median $10,663 | 17 plans |
| 153 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,734 – $10,468 · median $6,739 | 17 plans |
| 154 | DENTAL AND ORAL DISEASES WITH MCC | $2,734 – $15,981 · median $15,220 | 17 plans |
| 155 | DENTAL AND ORAL DISEASES WITH CC | $2,734 – $14,696 · median $8,797 | 17 plans |
| 156 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,734 – $14,696 · median $6,375 | 17 plans |
| 157 | MAJOR CHEST PROCEDURES WITH MCC | $2,734 – $19,770 · median $15,324 | 17 plans |
| 158 | MAJOR CHEST PROCEDURES WITH CC | $2,734 – $19,770 · median $8,862 | 17 plans |
| 159 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $2,734 – $19,770 · median $6,256 | 17 plans |
| 175 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $2,734 – $30,707 · median $13,206 | 17 plans |
| 176 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $2,734 – $30,707 · median $7,693 | 17 plans |
| 177 | RESPIRATORY NEOPLASMS WITH MCC | $2,734 – $41,805 · median $15,130 | 17 plans |
| 178 | RESPIRATORY NEOPLASMS WITH CC | $2,734 – $41,805 · median $9,339 | 17 plans |
| 179 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $2,734 – $33,020 · median $7,277 | 17 plans |
| 180 | MAJOR CHEST TRAUMA WITH MCC | $2,734 – $35,651 · median $16,347 | 17 plans |
| 181 | MAJOR CHEST TRAUMA WITH CC | $2,734 – $35,651 · median $10,436 | 17 plans |
| 182 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,734 – $35,651 · median $7,906 | 17 plans |
| 183 | PLEURAL EFFUSION WITH MCC | $2,734 – $21,352 · median $14,859 | 17 plans |
| 184 | PLEURAL EFFUSION WITH CC | $2,734 – $19,605 · median $10,044 | 17 plans |
| 185 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,734 – $18,731 · median $7,351 | 17 plans |
| 186 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $2,734 – $27,972 · median $14,791 | 17 plans |
| 187 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $2,734 – $27,346 · median $9,450 | 17 plans |
| 188 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $2,734 – $22,335 · median $6,948 | 17 plans |
| 189 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $2,734 – $45,244 · median $11,614 | 17 plans |
| 190 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $2,734 – $18,338 · median $10,553 | 17 plans |
| 191 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $2,734 – $18,338 · median $8,106 | 17 plans |
| 192 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $2,734 – $18,338 · median $6,141 | 17 plans |
| 193 | INTERSTITIAL LUNG DISEASE WITH MCC | $2,734 – $24,433 · median $12,359 | 17 plans |
| 194 | INTERSTITIAL LUNG DISEASE WITH CC | $2,734 – $23,599 · median $7,744 | 17 plans |
| 195 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,734 – $18,785 · median $5,914 | 17 plans |
| 196 | PNEUMOTHORAX WITH MCC | $2,734 – $34,127 · median $17,611 | 17 plans |
| 197 | PNEUMOTHORAX WITH CC | $2,734 – $34,127 · median $9,320 | 17 plans |
| 198 | PNEUMOTHORAX WITHOUT CC/MCC | $2,734 – $34,127 · median $6,635 | 17 plans |
| 199 | BRONCHITIS AND ASTHMA WITH CC/MCC | $2,734 – $18,184 · median $16,509 | 17 plans |
| 200 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,734 – $17,225 · median $10,410 | 17 plans |
| 201 | RESPIRATORY SIGNS AND SYMPTOMS | $2,734 – $13,657 · median $6,418 | 17 plans |
| 202 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $2,734 – $17,657 · median $9,104 | 17 plans |
| 203 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $2,734 – $13,425 · median $6,599 | 17 plans |
| 204 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $2,734 – $13,388 · median $7,660 | 17 plans |
| 205 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $2,734 – $20,284 · median $17,645 | 17 plans |
| 206 | COMPLEX AORTIC ARCH PROCEDURES | $2,734 – $17,495 · median $8,539 | 17 plans |
| 207 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $2,734 – $183,759 · median $60,110 | 17 plans |
| 208 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $2,734 – $69,643 · median $25,027 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $2,734 – $33,194 · median $15,360 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,734 – $28,700 · median $8,688 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $2,734 – $25,133 · median $6,864 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $2,734 – $55,461 · median $18,272 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,734 – $55,461 · median $7,011 | 17 plans |
| 285 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $2,734 – $55,461 · median $5,346 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $2,734 – $33,859 · median $20,664 | 17 plans |
| 287 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $2,734 – $29,810 · median $10,245 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $2,734 – $47,620 · median $25,469 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $2,734 – $47,620 · median $14,760 | 17 plans |
| 290 | HEART FAILURE AND SHOCK WITH MCC | $2,734 – $47,620 · median $9,218 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH CC | $2,734 – $28,288 · median $12,239 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,734 – $28,288 · median $8,126 | 17 plans |
| 293 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $2,734 – $28,288 · median $5,228 | 17 plans |
| 294 | CARDIAC ARREST, UNEXPLAINED WITH CC | $2,734 – $25,539 · median $11,527 | 17 plans |
| 295 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,734 – $25,539 · median $7,464 | 17 plans |
| 296 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $2,734 – $44,332 · median $15,333 | 17 plans |
| 297 | PERIPHERAL VASCULAR DISORDERS WITH CC | $2,734 – $44,332 · median $6,672 | 17 plans |
| 298 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $2,734 – $44,332 · median $4,236 | 17 plans |
| 299 | ATHEROSCLEROSIS WITH MCC | $2,734 – $25,822 · median $15,140 | 17 plans |
| 300 | ATHEROSCLEROSIS WITHOUT MCC | $2,734 – $24,331 · median $10,067 | 17 plans |
| 301 | HYPERTENSION WITH MCC | $2,734 – $17,911 · median $6,755 | 17 plans |
| 302 | HYPERTENSION WITHOUT MCC | $2,734 – $14,075 · median $10,927 | 17 plans |
| 303 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $2,734 – $13,970 · median $6,375 | 17 plans |
| 304 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $2,734 – $13,581 · median $11,034 | 17 plans |
| 305 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $2,734 – $13,581 · median $7,101 | 17 plans |
| 306 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $2,734 – $14,726 · median $14,025 | 17 plans |
| 307 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,734 – $12,782 · median $8,730 | 17 plans |
| 308 | ANGINA PECTORIS | $2,734 – $20,945 · median $11,322 | 17 plans |
| 309 | SYNCOPE AND COLLAPSE | $2,734 – $19,657 · median $6,995 | 17 plans |
| 310 | CHEST PAIN | $2,734 – $15,066 · median $5,328 | 17 plans |
| 311 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $2,734 – $12,606 · median $6,615 | 17 plans |
| 312 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $2,734 – $13,890 · median $8,219 | 17 plans |
| 313 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,734 – $11,356 · median $6,755 | 17 plans |
| 314 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $2,734 – $39,402 · median $20,109 | 17 plans |
| 315 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $2,734 – $26,429 · median $9,063 | 17 plans |
| 316 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $2,734 – $16,869 · median $6,470 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $2,734 – $19,185 · median $15,626 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $2,734 – $19,185 · median $9,576 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $2,734 – $19,185 · median $6,612 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $2,734 – $21,818 · median $16,349 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $2,734 – $21,818 · median $9,684 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,734 – $21,818 · median $6,866 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $2,734 – $55,494 · median $19,719 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $2,734 – $54,197 · median $11,533 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $2,734 – $28,253 · median $8,328 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $2,734 – $21,186 · median $17,000 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $2,734 – $21,186 · median $9,282 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,734 – $16,246 · median $6,044 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $2,734 – $23,614 · median $17,984 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $2,734 – $23,614 · median $10,239 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,734 – $23,614 · median $7,088 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $2,734 – $19,466 · median $11,863 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $2,734 – $19,466 · median $8,204 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $2,734 – $19,275 · median $15,207 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $2,734 – $19,275 · median $9,343 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,734 – $19,275 · median $6,355 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $2,734 – $18,613 · median $13,770 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $2,734 – $16,535 · median $7,573 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,734 – $13,169 · median $5,214 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $2,734 – $16,779 · median $12,051 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $2,734 – $14,440 · median $7,375 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $2,734 – $25,076 · median $15,496 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $2,734 – $18,171 · median $8,868 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,734 – $16,558 · median $6,041 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $2,734 – $40,999 · median $18,306 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $2,734 – $40,999 · median $10,060 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,734 – $40,999 · median $6,598 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $2,734 – $38,320 · median $17,059 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $2,734 – $38,320 · median $10,597 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $2,734 – $38,320 · median $7,421 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $2,734 – $24,766 · median $15,567 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $2,734 – $24,766 · median $8,116 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,734 – $24,766 · median $5,844 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $2,734 – $31,667 · median $17,669 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $2,734 – $31,667 · median $9,099 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,734 – $22,899 · median $6,656 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $2,734 – $25,432 · median $15,759 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $2,734 – $24,922 · median $10,196 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,734 – $16,425 · median $7,533 | 17 plans |
| 533 | FRACTURES OF FEMUR WITHOUT MCC | $2,734 – $14,994 · median $14,280 | 17 plans |
| 534 | FRACTURES OF HIP AND PELVIS WITH MCC | $2,734 – $12,097 · median $7,688 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $2,734 – $17,314 · median $12,472 | 17 plans |
| 536 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $2,734 – $17,314 · median $7,659 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,734 – $24,713 · median $8,662 | 17 plans |
| 538 | OSTEOMYELITIS WITH MCC | $2,734 – $24,713 · median $6,367 | 17 plans |
| 539 | OSTEOMYELITIS WITH CC | $2,734 – $38,699 · median $18,893 | 17 plans |
| 540 | OSTEOMYELITIS WITHOUT CC/MCC | $2,734 – $38,699 · median $12,140 | 17 plans |
| 541 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $2,734 – $38,699 · median $8,253 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $2,734 – $32,622 · median $17,435 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $2,734 – $32,622 · median $9,977 | 17 plans |
| 544 | CONNECTIVE TISSUE DISORDERS WITH MCC | $2,734 – $32,622 · median $7,147 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH CC | $2,734 – $39,721 · median $23,572 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $2,734 – $34,387 · median $10,875 | 17 plans |
| 547 | SEPTIC ARTHRITIS WITH MCC | $2,734 – $29,053 · median $7,059 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH CC | $2,734 – $24,262 · median $18,821 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $2,734 – $24,262 · median $11,315 | 17 plans |
| 550 | MEDICAL BACK PROBLEMS WITH MCC | $2,734 – $24,262 · median $8,134 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITHOUT MCC | $2,734 – $16,761 · median $15,963 | 17 plans |
| 552 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $2,734 – $14,526 · median $9,077 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,734 – $12,863 · median $12,250 | 17 plans |
| 554 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,734 – $12,294 · median $7,879 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $2,734 – $13,258 · median $12,627 | 17 plans |
| 556 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $2,734 – $10,413 · median $7,711 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $2,734 – $19,610 · median $14,510 | 17 plans |
| 558 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $2,734 – $19,610 · median $8,150 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $2,734 – $18,221 · median $17,353 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $2,734 – $16,444 · median $10,699 | 17 plans |
| 561 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $2,734 – $16,444 · median $7,721 | 17 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $2,734 – $14,396 · median $13,711 | 17 plans |
| 563 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $2,734 – $13,050 · median $8,428 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $2,734 – $16,545 · median $14,691 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $2,734 – $16,545 · median $9,595 | 17 plans |
| 566 | SKIN DEBRIDEMENT WITH MCC | $2,734 – $16,545 · median $7,077 | 17 plans |
| 592 | SKIN ULCERS WITH CC | $2,734 – $22,848 · median $19,208 | 17 plans |
| 593 | SKIN ULCERS WITHOUT CC/MCC | $2,734 – $22,848 · median $11,478 | 17 plans |
| 594 | MAJOR SKIN DISORDERS WITH MCC | $2,734 – $22,848 · median $8,010 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,734 – $40,182 · median $19,753 | 17 plans |
| 596 | MALIGNANT BREAST DISORDERS WITH MCC | $2,734 – $32,231 · median $10,165 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH CC | $2,734 – $51,575 · median $16,430 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,734 – $51,575 · median $10,144 | 17 plans |
| 599 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,563 – $8,471 · median $8,067 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $2,734 – $15,876 · median $9,010 | 17 plans |
| 601 | CELLULITIS WITH MCC | $2,734 – $15,876 · median $5,699 | 17 plans |
| 602 | CELLULITIS WITHOUT MCC | $2,734 – $23,805 · median $13,764 | 17 plans |
| 603 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $2,734 – $16,022 · median $8,307 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $2,734 – $17,765 · median $13,917 | 17 plans |
| 605 | MINOR SKIN DISORDERS WITH MCC | $2,734 – $14,607 · median $8,705 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITHOUT MCC | $2,734 – $15,826 · median $15,072 | 17 plans |
| 607 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $2,734 – $12,449 · median $8,153 | 17 plans |
| 637 | DIABETES WITH CC | $2,734 – $14,964 · median $13,644 | 17 plans |
| 638 | DIABETES WITHOUT CC/MCC | $2,734 – $14,812 · median $8,645 | 17 plans |
| 639 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $2,734 – $14,700 · median $5,950 | 17 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $2,734 – $20,063 · median $12,454 | 17 plans |
| 641 | INBORN AND OTHER DISORDERS OF METABOLISM | $2,734 – $15,619 · median $7,386 | 17 plans |
| 642 | ENDOCRINE DISORDERS WITH MCC | $2,734 – $84,650 · median $11,648 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH CC | $2,734 – $19,241 · median $15,508 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $2,734 – $19,241 · median $9,722 | 17 plans |
| 645 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $2,734 – $16,655 · median $7,361 | 17 plans |
| 682 | RENAL FAILURE WITH CC | $2,734 – $29,761 · median $14,067 | 17 plans |
| 683 | RENAL FAILURE WITHOUT CC/MCC | $2,734 – $29,761 · median $8,382 | 17 plans |
| 684 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $2,734 – $29,761 · median $5,772 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $2,734 – $30,684 · median $17,626 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $2,734 – $30,684 · median $9,901 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $2,734 – $30,684 · median $6,855 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $2,734 – $17,401 · median $10,992 | 17 plans |
| 690 | URINARY STONES WITH MCC | $2,734 – $14,856 · median $7,582 | 17 plans |
| 693 | URINARY STONES WITHOUT MCC | $2,734 – $14,463 · median $13,775 | 17 plans |
| 694 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $2,734 – $11,627 · median $7,386 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,734 – $20,364 · median $10,598 | 17 plans |
| 696 | URETHRAL STRICTURE | $2,734 – $20,364 · median $6,555 | 17 plans |
| 697 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $2,734 – $9,901 · median $9,429 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $2,734 – $21,735 · median $15,727 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $2,734 – $21,699 · median $9,597 | 17 plans |
| 700 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $2,734 – $17,015 · median $6,577 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $2,734 – $43,014 · median $16,172 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,734 – $43,014 · median $10,552 | 17 plans |
| 724 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $2,734 – $29,920 · median $6,896 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,734 – $24,799 · median $11,848 | 17 plans |
| 726 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $2,734 – $24,799 · median $7,043 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,734 – $14,454 · median $13,765 | 17 plans |
| 728 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $2,734 – $13,082 · median $7,717 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,734 – $13,242 · median $10,348 | 17 plans |
| 730 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $2,734 – $13,242 · median $5,768 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,734 – $56,921 · median $16,917 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,734 – $56,921 · median $10,434 | 17 plans |
| 756 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,734 – $21,376 · median $8,995 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,734 – $13,927 · median $13,264 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,734 – $13,539 · median $9,592 | 17 plans |
| 759 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $2,734 – $13,539 · median $6,074 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,734 – $11,900 · median $9,279 | 17 plans |
| 761 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,734 – $11,900 · median $6,018 | 17 plans |
| 776 | ABORTION WITHOUT D&C | $2,734 – $9,521 · median $6,756 | 17 plans |
| 779 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,734 – $9,249 · median $8,808 | 17 plans |
| 789 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $2,734 – $63,906 · median $16,855 | 17 plans |
| 790 | PREMATURITY WITH MAJOR PROBLEMS | $2,734 – $269,810 · median $55,266 | 17 plans |
| 791 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,734 – $61,079 · median $37,787 | 17 plans |
| 792 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $2,734 – $23,999 · median $22,856 | 17 plans |
| 793 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,734 – $40,753 · median $38,813 | 17 plans |
| 794 | NORMAL NEWBORN | $2,734 – $14,520 · median $13,829 | 17 plans |
| 795 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,992 – $3,339 · median $2,092 | 17 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,734 – $10,046 · median $9,394 | 17 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,734 – $10,046 · median $6,850 | 17 plans |
| 807 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,734 – $9,041 · median $6,049 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,734 – $34,626 · median $21,378 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,734 – $34,626 · median $11,624 | 17 plans |
| 810 | RED BLOOD CELL DISORDERS WITH MCC | $2,734 – $34,626 · median $8,966 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,734 – $30,795 · median $13,186 | 17 plans |
| 812 | COAGULATION DISORDERS | $2,734 – $16,499 · median $8,698 | 17 plans |
| 813 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,734 – $32,010 · median $14,494 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,734 – $20,501 · median $19,525 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,734 – $15,837 · median $9,562 | 17 plans |
| 816 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,734 – $11,585 · median $6,254 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,734 – $11,354 · median $10,813 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,734 – $9,249 · median $7,070 | 17 plans |
| 833 | ACUTE LEUKEMIA WITH MCC | $2,734 – $9,093 · median $4,960 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH CC | $2,734 – $138,591 · median $51,394 | 17 plans |
| 835 | ACUTE LEUKEMIA WITHOUT CC/MCC | $2,734 – $138,591 · median $19,946 | 17 plans |
| 836 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,734 – $138,591 · median $11,923 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,734 – $57,510 · median $46,572 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,734 – $57,510 · median $18,947 | 17 plans |
| 839 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,734 – $57,510 · median $12,847 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,734 – $81,627 · median $29,711 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,734 – $77,106 · median $14,680 | 17 plans |
| 842 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,734 – $50,628 · median $9,894 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,734 – $45,693 · median $17,696 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,734 – $41,296 · median $11,223 | 17 plans |
| 845 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,734 – $41,296 · median $7,899 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,734 – $25,012 · median $23,821 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,734 – $18,356 · median $11,923 | 17 plans |
| 848 | RADIOTHERAPY | $2,734 – $18,356 · median $7,733 | 17 plans |
| 849 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $2,734 – $26,154 · median $24,909 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,734 – $21,371 · median $17,190 | 17 plans |
| 863 | FEVER AND INFLAMMATORY CONDITIONS | $2,734 – $21,371 · median $9,412 | 17 plans |
| 864 | VIRAL ILLNESS WITH MCC | $2,734 – $22,382 · median $8,467 | 17 plans |
| 865 | VIRAL ILLNESS WITHOUT MCC | $2,734 – $24,149 · median $13,826 | 17 plans |
| 866 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,734 – $22,649 · median $8,344 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,734 – $56,732 · median $20,024 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,734 – $56,732 · median $9,877 | 17 plans |
| 869 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,734 – $56,732 · median $6,813 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,734 – $181,229 · median $64,647 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,734 – $40,496 · median $18,334 | 17 plans |
| 872 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,734 – $40,473 · median $9,700 | 17 plans |
| 880 | DEPRESSIVE NEUROSES | $2,734 – $11,567 · median $9,029 | 17 plans |
| 881 | NEUROSES EXCEPT DEPRESSIVE | $2,734 – $9,932 · median $8,616 | 17 plans |
| 882 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,734 – $9,513 · median $9,060 | 17 plans |
| 883 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,734 – $20,951 · median $17,331 | 17 plans |
| 884 | PSYCHOSES | $2,734 – $25,475 · median $15,628 | 17 plans |
| 885 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,734 – $15,637 · median $13,211 | 17 plans |
| 886 | OTHER MENTAL DISORDER DIAGNOSES | $2,734 – $17,639 · median $16,799 | 17 plans |
| 887 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,734 – $36,176 · median $11,169 | 17 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,734 – $8,403 · median $5,927 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,734 – $22,417 · median $13,566 | 17 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,734 – $22,417 · median $16,653 | 17 plans |
| 897 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $2,734 – $14,299 · median $8,320 | 17 plans |
| 913 | TRAUMATIC INJURY WITHOUT MCC | $2,734 – $15,904 · median $15,146 | 17 plans |
| 914 | ALLERGIC REACTIONS WITH MCC | $2,734 – $14,744 · median $8,638 | 17 plans |
| 915 | ALLERGIC REACTIONS WITHOUT MCC | $2,734 – $17,068 · median $16,255 | 17 plans |
| 916 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $2,734 – $13,035 · median $6,298 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,734 – $20,437 · median $15,345 | 17 plans |
| 918 | COMPLICATIONS OF TREATMENT WITH MCC | $2,734 – $15,596 · median $8,343 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH CC | $2,734 – $27,605 · median $17,050 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $2,734 – $27,605 · median $9,560 | 17 plans |
| 921 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $2,734 – $15,640 · median $6,517 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,734 – $39,300 · median $15,806 | 17 plans |
| 923 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $2,734 – $17,389 · median $9,597 | 17 plans |
| 933 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $2,734 – $61,124 · median $40,263 | 17 plans |
| 945 | REHABILITATION WITHOUT CC/MCC | $2,734 – $15,010 · median $14,295 | 17 plans |
| 946 | SIGNS AND SYMPTOMS WITH MCC | $2,734 – $11,018 · median $10,493 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITHOUT MCC | $2,734 – $14,274 · median $12,067 | 17 plans |
| 948 | AFTERCARE WITH CC/MCC | $2,734 – $13,563 · median $7,507 | 17 plans |
| 949 | AFTERCARE WITHOUT CC/MCC | $2,734 – $17,477 · median $10,145 | 17 plans |
| 950 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,734 – $5,853 · median $5,575 | 17 plans |
| 951 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $2,734 – $11,334 · median $5,398 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $2,734 – $41,603 · median $25,332 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $2,734 – $41,603 · median $14,050 | 17 plans |
| 965 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $2,734 – $41,603 · median $8,602 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH CC | $2,734 – $57,177 · median $27,831 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,734 – $57,177 · median $13,320 | 17 plans |
| 976 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $2,734 – $57,177 · median $9,441 | 17 plans |
| 977 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $2,734 – $41,104 · median $13,510 | 17 plans |
| 007 | Lung transplant | $3,137 – $127,393 · median $121,327 | 15 plans |
| 010 | Pancreas transplant | $3,137 – $77,777 · median $74,074 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $3,137 – $77,332 · median $73,650 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $3,137 – $38,010 · median $36,200 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $3,137 – $22,296 · median $21,234 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $3,137 – $17,995 · median $17,138 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $3,137 – $65,177 · median $62,073 | 15 plans |
| 929 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $3,137 – $31,113 · median $29,632 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $2,734 – $367,344 · median $349,851 | 14 plans |
| 212 | OTHER HEART ASSIST SYSTEM IMPLANT | $3,137 – $126,518 · median $103,688 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $3,137 – $158,762 · median $67,314 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $3,137 – $102,185 · median $59,020 | 14 plans |
| 277 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $3,137 – $102,185 · median $44,359 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $3,137 – $71,336 · median $47,699 | 14 plans |
| 279 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $3,137 – $71,336 · median $30,601 | 14 plans |
| 321 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $3,137 – $56,596 · median $27,202 | 14 plans |
| 322 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $3,137 – $40,157 · median $17,339 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $3,137 – $41,619 · median $39,637 | 14 plans |
| 324 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $3,137 – $40,157 · median $30,512 | 14 plans |
| 325 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $3,137 – $37,812 · median $27,347 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $3,137 – $34,046 · median $23,694 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $3,137 – $31,438 · median $14,526 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,137 – $23,473 · median $10,825 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $3,137 – $114,677 · median $37,328 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,137 – $114,677 · median $99,710 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $3,137 – $114,677 · median $67,653 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $3,137 – $114,677 · median $52,459 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $3,137 – $114,677 · median $79,419 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $3,137 – $114,677 · median $52,139 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,137 – $83,580 · median $63,870 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,137 – $78,647 · median $38,956 | 14 plans |
| 850 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $3,137 – $138,591 · median $87,701 | 14 plans |
| 934 | NON-EXTENSIVE BURNS | $2,734 – $21,040 · median $20,038 | 14 plans |
| 935 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $2,734 – $21,532 · median $20,507 | 14 plans |
| 173 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $3,137 – $30,025 · median $28,595 | 11 plans |
| 317 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $3,137 – $60,382 · median $57,506 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $3,137 – $50,292 · median $47,897 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $3,137 – $30,194 · median $28,756 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $3,137 – $37,721 · median $5,839 | 8 plans |
No procedures match that keyword.