Henry County Health 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.
Procedures published 771
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $1,830 – $33,673 · median $8,884 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $1,830 – $15,633 · median $4,124 | 7 plans |
| 102 | HEADACHES WITH MCC | $1,830 – $19,666 · median $5,660 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $1,830 – $14,420 · median $4,150 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,830 – $38,275 · median $11,016 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,830 – $20,050 · median $5,771 | 7 plans |
| 115 | Extraocular procedures except orbit | $1,830 – $25,968 · median $7,474 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,830 – $28,301 · median $8,145 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,830 – $18,294 · median $5,265 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,830 – $19,729 · median $5,520 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,830 – $11,505 · median $3,311 | 7 plans |
| 123 | Neurological eye disorders | $1,830 – $13,623 · median $3,921 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,830 – $22,116 · median $6,188 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,830 – $14,005 · median $3,695 | 7 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,830 – $40,895 · median $11,770 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,830 – $16,591 · median $4,775 | 7 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,830 – $23,722 · median $6,465 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,830 – $13,798 · median $3,971 | 7 plans |
| 139 | Salivary gland procedures | $1,830 – $23,288 · median $6,702 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,830 – $71,732 · median $20,645 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,830 – $36,441 · median $10,488 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,830 – $26,670 · median $7,462 | 7 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,830 – $56,004 · median $16,119 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,830 – $29,796 · median $7,861 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $20,096 · median $5,623 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,830 – $38,911 · median $11,199 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,830 – $21,113 · median $6,077 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,830 – $13,581 · median $3,909 | 7 plans |
| 149 | Dysequilibrium | $1,830 – $12,678 · median $3,649 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $1,830 – $23,444 · median $6,747 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,830 – $12,857 · median $3,392 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,830 – $19,248 · median $5,078 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,830 – $12,071 · median $3,185 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,830 – $27,584 · median $7,277 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,830 – $15,835 · median $4,557 | 7 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,830 – $11,405 · median $3,282 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,830 – $27,774 · median $7,981 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,830 – $15,954 · median $4,592 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,830 – $11,188 · median $3,220 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $1,830 – $78,177 · median $22,500 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $1,830 – $42,691 · median $12,287 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,830 – $31,616 · median $9,099 | 7 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,830 – $65,305 · median $18,796 | 7 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,830 – $30,991 · median $8,920 | 7 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $22,964 · median $6,609 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,830 – $23,900 · median $6,879 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,830 – $13,815 · median $3,976 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,830 – $27,418 · median $7,891 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,830 – $16,827 · median $4,843 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,830 – $13,055 · median $3,757 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,830 – $29,645 · median $8,532 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,830 – $18,832 · median $5,420 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,830 – $14,205 · median $4,088 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,830 – $26,922 · median $7,103 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,830 – $18,116 · median $4,966 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,830 – $13,191 · median $3,480 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,830 – $26,799 · median $7,713 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,830 – $17,029 · median $4,901 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,830 – $12,453 · median $3,584 | 7 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,830 – $20,988 · median $6,040 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,830 – $19,047 · median $5,482 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,830 – $14,571 · median $4,194 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,830 – $10,977 · median $3,159 | 7 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,830 – $22,350 · median $6,432 | 7 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,830 – $13,908 · median $4,003 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,830 – $10,562 · median $3,040 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,830 – $31,956 · median $9,197 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,830 – $16,792 · median $4,833 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,830 – $11,880 · median $3,419 | 7 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,830 – $29,942 · median $8,377 | 7 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,830 – $18,784 · median $5,406 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,830 – $11,484 · median $3,305 | 7 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,830 – $16,396 · median $4,535 | 7 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,830 – $11,815 · median $3,297 | 7 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,830 – $13,755 · median $3,849 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,830 – $32,019 · median $8,448 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,830 – $15,363 · median $4,422 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,830 – $109,691 · median $31,570 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,830 – $45,520 · median $12,736 | 7 plans |
| 215 | Other heart assist system implant | $1,830 – $179,700 · median $51,720 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,830 – $163,694 · median $47,113 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,830 – $109,533 · median $31,525 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,830 – $100,907 · median $29,042 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,830 – $131,237 · median $37,771 | 7 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $1,830 – $89,838 · median $25,856 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,830 – $77,896 · median $22,419 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $1,830 – $84,522 · median $24,326 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $1,830 – $52,686 · median $15,164 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,830 – $143,727 · median $41,366 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,830 – $103,611 · median $29,820 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $1,830 – $132,575 · median $37,042 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,830 – $90,237 · median $25,971 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,830 – $99,803 · median $28,724 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $1,830 – $69,746 · median $20,074 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $1,830 – $85,432 · median $24,588 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $1,830 – $49,394 · median $14,216 | 7 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $1,830 – $25,610 · median $7,371 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $1,830 – $57,532 · median $16,558 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,830 – $38,210 · median $10,997 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,830 – $30,610 · median $8,810 | 7 plans |
| 245 | AICD generator procedures | $1,830 – $82,886 · median $23,855 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $1,830 – $39,224 · median $11,289 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $1,830 – $26,503 · median $7,628 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $1,830 – $58,183 · median $16,746 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $1,830 – $43,302 · median $12,463 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,830 – $29,672 · median $8,540 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $1,830 – $44,379 · median $11,708 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $1,830 – $28,727 · median $8,268 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,830 – $15,128 · median $4,354 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,830 – $47,584 · median $13,695 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,830 – $29,813 · median $8,580 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $1,830 – $57,773 · median $16,628 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $1,830 – $32,185 · median $9,263 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,830 – $25,744 · median $7,409 | 7 plans |
| 263 | VEIN LIGATION AND STRIPPING | $1,830 – $45,491 · median $13,093 | 7 plans |
| 264 | Other circulatory system O.R. procedures | $1,830 – $59,281 · median $16,586 | 7 plans |
| 265 | AICD lead procedures | $1,830 – $60,504 · median $17,414 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $1,830 – $101,611 · median $29,245 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $1,830 – $79,797 · median $22,966 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,830 – $113,090 · median $32,549 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,830 – $70,570 · median $19,745 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $1,830 – $87,062 · median $25,057 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $1,830 – $58,421 · median $16,814 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $1,830 – $42,440 · median $12,215 | 7 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $1,830 – $66,323 · median $17,498 | 7 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $1,830 – $52,936 · median $15,235 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,830 – $27,840 · median $8,013 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,830 – $15,635 · median $4,500 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,830 – $12,299 · median $3,540 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,830 – $33,166 · median $8,750 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,830 – $12,568 · median $3,617 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,830 – $9,522 · median $2,741 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,830 – $37,540 · median $10,804 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,830 – $18,483 · median $5,319 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,830 – $46,329 · median $12,962 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,830 – $26,743 · median $7,697 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,830 – $16,605 · median $4,779 | 7 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,830 – $22,131 · median $6,370 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,830 – $14,607 · median $4,204 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,830 – $9,307 · median $2,679 | 7 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,830 – $20,828 · median $5,995 | 7 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,830 – $13,396 · median $3,855 | 7 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,830 – $27,789 · median $7,998 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,830 – $11,947 · median $3,439 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,830 – $7,492 · median $2,156 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,830 – $27,436 · median $7,238 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,830 – $18,159 · median $5,226 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,830 – $12,100 · median $3,483 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,830 – $19,731 · median $5,206 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,830 – $11,405 · median $3,282 | 7 plans |
| 304 | HYPERTENSION WITH MCC | $1,830 – $19,926 · median $5,575 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,830 – $12,733 · median $3,665 | 7 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,830 – $25,398 · median $7,310 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,830 – $15,713 · median $4,522 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,830 – $20,453 · median $5,887 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,830 – $12,539 · median $3,609 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,830 – $9,490 · median $2,731 | 7 plans |
| 311 | Angina pectoris | $1,830 – $11,844 · median $3,125 | 7 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,830 – $14,778 · median $4,253 | 7 plans |
| 313 | Chest pain | $1,830 – $12,100 · median $3,398 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,830 – $36,526 · median $10,513 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,830 – $16,322 · median $4,698 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,830 – $11,579 · median $3,333 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $1,830 – $74,507 · median $21,444 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $1,830 – $39,262 · median $11,300 | 7 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $1,830 – $86,146 · median $22,956 | 7 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $1,830 – $41,183 · median $11,640 | 7 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,830 – $27,028 · median $7,131 | 7 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,830 – $77,884 · median $22,416 | 7 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,830 – $40,091 · median $11,539 | 7 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,830 – $28,003 · median $8,060 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $1,830 – $58,833 · median $16,933 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $1,830 – $36,048 · median $10,375 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,830 – $28,132 · median $8,097 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,830 – $61,457 · median $17,688 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,830 – $35,827 · median $10,311 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,830 – $26,037 · median $7,494 | 7 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,830 – $45,702 · median $13,153 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,830 – $25,250 · median $7,267 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,830 – $21,122 · median $6,079 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,830 – $40,144 · median $11,554 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,830 – $21,352 · median $6,145 | 7 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,830 – $14,941 · median $4,300 | 7 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,830 – $41,024 · median $11,722 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,830 – $25,518 · median $7,344 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $1,830 – $18,701 · median $5,344 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $1,830 – $49,747 · median $13,789 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $1,830 – $28,853 · median $8,304 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $1,830 – $22,613 · median $6,508 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,830 – $72,351 · median $20,823 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,830 – $38,196 · median $10,993 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $22,984 · median $6,615 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,830 – $28,325 · median $8,152 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,830 – $17,260 · median $4,968 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,830 – $11,839 · median $3,407 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,830 – $29,648 · median $8,533 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,830 – $17,458 · median $5,025 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,830 – $12,304 · median $3,541 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,830 – $35,812 · median $10,307 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,830 – $20,840 · median $5,998 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,830 – $14,977 · median $4,310 | 7 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,830 – $30,839 · median $8,876 | 7 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,830 – $16,722 · median $4,813 | 7 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,830 – $10,799 · median $3,108 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,830 – $32,638 · median $9,394 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,830 – $18,472 · median $5,274 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,830 – $12,709 · median $3,658 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,830 – $21,442 · median $6,171 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,830 – $14,749 · median $4,245 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,830 – $27,558 · median $7,932 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,830 – $16,834 · median $4,845 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,830 – $11,369 · median $3,272 | 7 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,830 – $24,931 · median $6,906 | 7 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,830 – $13,596 · median $3,913 | 7 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,830 – $9,281 · median $2,671 | 7 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,830 – $21,787 · median $6,270 | 7 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,830 – $13,235 · median $3,809 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,830 – $28,088 · median $8,084 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,830 – $15,966 · median $4,595 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,830 – $10,794 · median $3,107 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,830 – $92,077 · median $26,501 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,830 – $47,634 · median $13,709 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,830 – $36,226 · median $10,426 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $1,830 – $59,386 · median $17,092 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,830 – $35,559 · median $10,234 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,830 – $26,308 · median $7,572 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,830 – $46,412 · median $13,358 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,830 – $36,154 · median $10,406 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,830 – $28,198 · median $8,116 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $1,830 – $59,428 · median $15,679 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $1,830 – $33,551 · median $9,656 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,830 – $23,240 · median $6,689 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $1,830 – $40,308 · median $11,278 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $1,830 – $28,128 · median $8,096 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $1,830 – $22,348 · median $6,432 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,830 – $59,864 · median $17,230 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,830 – $27,776 · median $7,994 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,830 – $24,923 · median $6,973 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $1,830 – $68,988 · median $19,855 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $1,830 – $38,727 · median $11,146 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $26,219 · median $7,546 | 7 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,830 – $33,229 · median $9,564 | 7 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,830 – $18,145 · median $5,222 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,830 – $11,813 · median $3,400 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,830 – $30,947 · median $8,907 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,830 – $19,127 · median $5,505 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,830 – $13,318 · median $3,833 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,830 – $28,218 · median $8,122 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,830 – $14,590 · median $4,199 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,830 – $10,433 · median $3,003 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,830 – $32,063 · median $9,228 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,830 – $16,388 · median $4,717 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,830 – $11,919 · median $3,430 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,830 – $28,569 · median $8,019 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,830 – $18,394 · median $5,294 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,830 – $13,523 · median $3,892 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $1,830 – $143,647 · median $41,343 | 7 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $1,830 – $97,347 · median $28,017 | 7 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $1,830 – $73,238 · median $21,079 | 7 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $1,830 – $104,085 · median $29,957 | 7 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $1,830 – $48,573 · median $13,980 | 7 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,830 – $91,607 · median $24,168 | 7 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,830 – $50,012 · median $14,394 | 7 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,830 – $29,446 · median $8,475 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $1,830 – $86,410 · median $23,734 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $1,830 – $58,095 · median $16,720 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,830 – $44,494 · median $12,806 | 7 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $1,830 – $55,441 · median $15,956 | 7 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $1,830 – $31,980 · median $9,204 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $1,830 – $82,385 · median $23,711 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $1,830 – $49,140 · median $14,143 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $1,830 – $40,154 · median $11,557 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,830 – $76,066 · median $20,068 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,830 – $36,590 · median $10,531 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,830 – $19,728 · median $5,678 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,830 – $58,329 · median $15,389 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,830 – $39,665 · median $11,098 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,830 – $30,120 · median $8,669 | 7 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $1,830 – $49,883 · median $14,357 | 7 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $1,830 – $35,193 · median $10,129 | 7 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $1,830 – $26,907 · median $7,744 | 7 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $1,830 – $43,220 · median $12,439 | 7 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $1,830 – $54,603 · median $15,715 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $1,830 – $35,973 · median $10,353 | 7 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,830 – $26,802 · median $7,714 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,830 – $33,335 · median $9,594 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,830 – $21,005 · median $6,045 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $1,830 – $60,232 · median $17,336 | 7 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $1,830 – $40,724 · median $11,721 | 7 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $1,830 – $31,979 · median $9,204 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $1,830 – $59,713 · median $17,186 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $1,830 – $33,464 · median $9,631 | 7 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $1,830 – $22,772 · median $6,554 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $1,830 – $42,825 · median $12,326 | 7 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,830 – $19,688 · median $5,667 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,830 – $53,745 · median $14,179 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,830 – $30,271 · median $8,587 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,830 – $23,698 · median $6,821 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $1,830 – $44,889 · median $12,920 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,830 – $29,767 · median $8,567 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,830 – $29,767 · median $8,436 | 7 plans |
| 506 | Major thumb or joint procedures | $1,830 – $25,426 · median $7,318 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,830 – $32,874 · median $9,462 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,830 – $21,890 · median $6,300 | 7 plans |
| 509 | Arthroscopy | $1,830 – $29,796 · median $8,576 | 7 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $1,830 – $48,477 · median $13,952 | 7 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $1,830 – $33,264 · median $9,574 | 7 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $1,830 – $27,270 · median $7,195 | 7 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $1,830 – $25,537 · median $7,350 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,830 – $17,294 · median $4,977 | 7 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $1,830 – $52,451 · median $15,096 | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,830 – $34,121 · median $9,820 | 7 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $25,318 · median $7,287 | 7 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $1,830 – $60,789 · median $16,038 | 7 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $1,830 – $33,446 · median $9,626 | 7 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,830 – $24,309 · median $6,996 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $1,830 – $49,437 · median $14,228 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,830 – $35,756 · median $10,291 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,830 – $25,864 · median $7,444 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,830 – $13,806 · median $3,642 | 7 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,830 – $22,557 · median $6,492 | 7 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,830 – $13,754 · median $3,958 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,830 – $15,587 · median $4,486 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,830 – $11,389 · median $3,278 | 7 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,830 – $34,302 · median $9,817 | 7 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,830 – $21,949 · median $6,317 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,830 – $14,839 · median $4,152 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,830 – $31,634 · median $9,105 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,830 – $17,994 · median $5,179 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,830 – $12,818 · median $3,382 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,830 – $42,859 · median $11,672 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,830 – $19,636 · median $5,651 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,830 – $12,656 · median $3,643 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,830 – $34,170 · median $9,834 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,830 – $20,440 · median $5,740 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,830 – $14,622 · median $4,208 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,830 – $28,942 · median $8,330 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,830 – $16,347 · median $4,313 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,830 – $22,151 · median $6,375 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,830 – $14,156 · median $4,074 | 7 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,830 – $22,840 · median $6,381 | 7 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,830 – $13,849 · median $3,654 | 7 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,830 – $26,285 · median $6,935 | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,830 – $14,651 · median $4,189 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,830 – $31,485 · median $9,062 | 7 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,830 – $19,314 · median $5,559 | 7 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,830 – $13,867 · median $3,991 | 7 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $1,830 – $24,823 · median $6,549 | 7 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $1,830 – $15,160 · median $4,242 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,830 – $26,615 · median $7,022 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,830 – $17,295 · median $4,978 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,830 – $12,689 · median $3,550 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $1,830 – $51,056 · median $13,470 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $1,830 – $28,398 · median $8,073 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,830 – $19,376 · median $5,577 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,830 – $104,450 · median $30,062 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,830 – $58,769 · median $15,505 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,830 – $33,866 · median $9,747 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,830 – $91,510 · median $26,338 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,830 – $45,164 · median $12,438 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,830 – $28,671 · median $8,022 | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $1,830 – $55,283 · median $14,585 | 7 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $1,830 – $30,072 · median $8,058 | 7 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $1,830 – $24,410 · median $6,440 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,830 – $29,702 · median $8,549 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,830 – $27,862 · median $8,019 | 7 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,830 – $34,726 · median $9,702 | 7 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,830 – $33,670 · median $9,420 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $1,830 – $34,877 · median $9,202 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $1,830 – $20,738 · median $5,471 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,830 – $14,395 · median $4,143 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,830 – $35,875 · median $10,325 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,830 – $18,337 · median $4,838 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,830 – $29,796 · median $8,576 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,830 – $18,299 · median $4,828 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,830 – $14,500 · median $4,138 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,830 – $16,225 · median $4,670 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,830 – $10,168 · median $2,683 | 7 plans |
| 602 | CELLULITIS WITH MCC | $1,830 – $24,919 · median $7,172 | 7 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,830 – $14,939 · median $4,300 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,830 – $25,199 · median $6,648 | 7 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,830 – $15,667 · median $4,294 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,830 – $27,313 · median $7,861 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,830 – $14,658 · median $3,867 | 7 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,830 – $38,654 · median $11,125 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,830 – $24,305 · median $6,995 | 7 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,830 – $65,555 · median $17,295 | 7 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,830 – $32,762 · median $9,429 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,830 – $21,118 · median $5,572 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,830 – $46,245 · median $13,310 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,830 – $27,087 · median $7,796 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,830 – $24,794 · median $7,136 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,830 – $63,469 · median $18,267 | 7 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,830 – $32,443 · median $9,338 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,830 – $17,014 · median $4,897 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,830 – $48,629 · median $13,996 | 7 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $1,830 – $25,599 · median $7,368 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $1,830 – $21,488 · median $5,669 | 7 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $1,830 – $66,924 · median $17,656 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $1,830 – $38,147 · median $10,979 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $23,768 · median $6,841 | 7 plans |
| 637 | DIABETES WITH MCC | $1,830 – $24,701 · median $7,109 | 7 plans |
| 638 | DIABETES WITH CC | $1,830 – $15,557 · median $4,477 | 7 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,830 – $10,628 · median $3,059 | 7 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $1,830 – $22,524 · median $6,483 | 7 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $1,830 – $13,253 · median $3,814 | 7 plans |
| 642 | Inborn errors of metabolism | $1,830 – $21,050 · median $5,844 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,830 – $28,110 · median $7,604 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,830 – $17,528 · median $4,798 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,830 – $13,208 · median $3,695 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $1,830 – $78,145 · median $22,491 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $1,830 – $58,898 · median $16,951 | 7 plans |
| 652 | Kidney transplant | $1,830 – $93,261 · median $14,993 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $1,830 – $94,552 · median $24,945 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $1,830 – $47,866 · median $13,776 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,830 – $35,233 · median $10,141 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,830 – $55,259 · median $15,904 | 7 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,830 – $31,007 · median $8,924 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,830 – $25,510 · median $7,342 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $1,830 – $43,833 · median $11,907 | 7 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $1,830 – $22,728 · median $6,541 | 7 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,830 – $17,412 · median $5,011 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,830 – $52,912 · median $15,229 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,830 – $25,906 · median $6,835 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,830 – $18,315 · median $5,271 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $1,830 – $58,238 · median $16,761 | 7 plans |
| 666 | PROSTATECTOMY WITH CC | $1,830 – $27,940 · median $8,041 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,830 – $17,433 · median $5,017 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,830 – $49,464 · median $13,050 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,830 – $26,247 · median $7,554 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,830 – $16,210 · median $4,665 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,830 – $29,236 · median $8,414 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,830 – $18,562 · median $5,342 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $1,830 – $71,060 · median $18,748 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $1,830 – $39,153 · median $11,269 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $1,830 – $26,549 · median $7,641 | 7 plans |
| 682 | RENAL FAILURE WITH MCC | $1,830 – $25,474 · median $7,332 | 7 plans |
| 683 | RENAL FAILURE WITH CC | $1,830 – $15,077 · median $4,339 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,830 – $10,302 · median $2,965 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,830 – $31,984 · median $8,438 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,830 – $17,855 · median $5,139 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,830 – $12,283 · median $3,535 | 7 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,830 – $19,850 · median $5,713 | 7 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,830 – $13,613 · median $3,918 | 7 plans |
| 693 | URINARY STONES WITH MCC | $1,830 – $24,940 · median $6,580 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,830 – $13,253 · median $3,812 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,830 – $19,129 · median $5,505 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,830 – $11,734 · median $3,096 | 7 plans |
| 697 | Urethral stricture | $1,830 – $16,992 · median $4,483 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,830 – $28,510 · median $8,106 | 7 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,830 – $17,299 · median $4,979 | 7 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,830 – $11,774 · median $3,134 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,830 – $32,915 · median $9,473 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,830 – $25,145 · median $7,237 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,830 – $38,113 · median $10,969 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,830 – $25,465 · median $7,324 | 7 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,830 – $32,406 · median $9,327 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,830 – $18,142 · median $5,221 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,830 – $24,526 · median $6,586 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,830 – $15,938 · median $4,587 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,830 – $38,303 · median $11,024 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,830 – $24,073 · median $6,928 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $1,830 – $31,471 · median $9,058 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,830 – $20,894 · median $5,513 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,830 – $29,324 · median $8,440 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,830 – $19,046 · median $5,482 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,830 – $12,358 · median $3,557 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,830 – $21,415 · median $6,164 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,830 – $12,626 · median $3,533 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,830 – $24,923 · median $6,575 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,830 – $13,859 · median $3,989 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,830 – $18,673 · median $5,374 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,830 – $10,294 · median $2,963 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,830 – $35,666 · median $10,265 | 7 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,830 – $20,589 · median $5,926 | 7 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $1,830 – $66,786 · median $19,222 | 7 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,830 – $33,895 · median $9,755 | 7 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,830 – $25,728 · median $7,405 | 7 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $1,830 – $67,521 · median $19,433 | 7 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $1,830 – $30,840 · median $8,876 | 7 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $1,830 – $23,298 · median $6,705 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $1,830 – $30,983 · median $8,174 | 7 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $1,830 – $20,331 · median $5,852 | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,830 – $33,142 · median $8,744 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,830 – $17,382 · median $5,003 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,830 – $28,403 · median $7,494 | 7 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,830 – $16,201 · median $4,663 | 7 plans |
| 748 | Female reproductive system reconstructive procedures | $1,830 – $23,106 · median $6,650 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $1,830 – $43,906 · median $12,637 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $21,871 · median $6,295 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,830 – $30,688 · median $8,700 | 7 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,830 – $18,829 · median $5,419 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,830 – $16,198 · median $4,662 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,830 – $24,005 · median $6,909 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,830 – $17,288 · median $4,976 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,830 – $10,855 · median $3,124 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,830 – $16,717 · median $4,580 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,830 – $10,752 · median $2,837 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,830 – $18,595 · median $4,906 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,830 – $23,568 · median $6,218 | 7 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,830 – $18,250 · median $4,815 | 7 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,830 – $12,102 · median $3,193 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $1,830 – $15,855 · median $4,183 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,830 – $31,244 · median $8,243 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,830 – $18,369 · median $5,287 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,830 – $14,816 · median $4,264 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,830 – $27,408 · median $7,668 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,830 – $18,009 · median $5,183 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,830 – $15,345 · median $4,416 | 7 plans |
| 789 | Neonates, died or transferred to another acute care facility | $1,620 – $30,574 · median $8,066 | 7 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,830 – $100,831 · median $26,602 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,830 – $68,861 · median $18,167 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,830 – $41,550 · median $10,962 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,830 – $70,736 · median $18,662 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,830 – $25,038 · median $6,606 | 7 plans |
| 795 | Normal newborn | $894 – $3,389 · median $1,830 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,830 – $21,653 · median $6,232 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,830 – $16,422 · median $4,726 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,830 – $16,422 · median $4,726 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $1,830 – $80,647 · median $22,564 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $1,830 – $49,421 · median $13,039 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $1,830 – $27,845 · median $8,014 | 7 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $1,830 – $60,802 · median $17,500 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,830 – $30,191 · median $8,689 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,830 – $18,752 · median $5,397 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,830 – $16,927 · median $4,736 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,830 – $12,273 · median $3,532 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,830 – $10,809 · median $3,111 | 7 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,830 – $38,846 · median $10,869 | 7 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,830 – $21,006 · median $6,046 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,830 – $16,144 · median $4,646 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,830 – $23,863 · median $6,868 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,830 – $15,653 · median $4,505 | 7 plans |
| 813 | Coagulation disorders | $1,830 – $26,256 · median $6,927 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,830 – $35,457 · median $10,205 | 7 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,830 – $17,234 · median $4,960 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,830 – $11,184 · median $3,219 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,830 – $42,998 · median $11,344 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,830 – $21,846 · median $5,764 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $13,849 · median $3,986 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $1,830 – $98,753 · median $28,422 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,830 – $37,864 · median $10,898 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $19,398 · median $5,583 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $1,830 – $79,370 · median $22,843 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,830 – $37,304 · median $10,737 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,830 – $20,876 · median $6,008 | 7 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $1,830 – $80,998 · median $23,312 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,830 – $40,027 · median $11,520 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $27,187 · median $7,825 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $1,830 – $52,305 · median $13,799 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,830 – $24,806 · median $7,139 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,830 – $19,522 · median $5,150 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,830 – $12,677 · median $3,547 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $8,816 · median $2,537 | 7 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,830 – $93,749 · median $26,982 | 7 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,830 – $36,227 · median $10,427 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $21,553 · median $6,203 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,830 – $84,928 · median $22,406 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,830 – $34,401 · median $9,076 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,830 – $23,244 · median $6,398 | 7 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,830 – $54,089 · median $15,134 | 7 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,830 – $26,595 · median $7,654 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,830 – $17,841 · median $5,135 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,830 – $32,113 · median $8,985 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,830 – $20,272 · median $5,834 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,830 – $14,193 · median $4,085 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,830 – $43,315 · median $11,428 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,830 – $21,553 · median $6,203 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,830 – $13,889 · median $3,998 | 7 plans |
| 849 | Radiotherapy | $1,830 – $45,305 · median $13,039 | 7 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,830 – $84,828 · median $24,414 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,830 – $33,890 · median $9,754 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $27,572 · median $7,274 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $1,830 – $76,522 · median $20,189 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $1,830 – $36,957 · median $10,264 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,830 – $21,853 · median $6,289 | 7 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,830 – $31,186 · median $8,228 | 7 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,830 – $16,959 · median $4,881 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,830 – $15,231 · median $4,262 | 7 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,830 – $25,033 · median $6,604 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,830 – $15,007 · median $3,959 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,830 – $36,370 · median $10,375 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,830 – $17,811 · median $5,126 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,830 – $12,205 · median $3,513 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,830 – $117,990 · median $33,959 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,830 – $33,279 · median $9,578 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,830 – $17,487 · median $5,033 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,830 – $66,651 · median $17,584 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,830 – $16,259 · median $4,290 | 7 plans |
| 881 | Depressive neuroses | $1,830 – $15,504 · median $4,090 | 7 plans |
| 882 | Neuroses except depressive | $1,830 – $16,317 · median $4,305 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,830 – $31,444 · median $8,296 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,830 – $28,329 · median $7,474 | 7 plans |
| 885 | Psychoses | $1,830 – $23,908 · median $6,308 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,830 – $30,471 · median $8,039 | 7 plans |
| 887 | Other mental disorder diagnoses | $1,830 – $20,174 · median $5,806 | 7 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $1,830 – $10,585 · median $3,039 | 7 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $1,830 – $24,558 · median $6,871 | 7 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $1,830 – $30,204 · median $8,360 | 7 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $1,830 – $14,963 · median $4,307 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $1,830 – $75,146 · median $21,628 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,830 – $32,185 · median $9,263 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,830 – $20,677 · median $5,951 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,830 – $65,489 · median $18,323 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,830 – $27,955 · median $8,046 | 7 plans |
| 906 | Hand procedures for injuries | $1,830 – $37,018 · median $10,654 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $1,830 – $67,568 · median $19,259 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,830 – $34,212 · median $9,847 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,830 – $21,512 · median $6,171 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,830 – $27,448 · median $7,900 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,830 – $15,543 · median $4,101 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,830 – $29,477 · median $7,777 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,830 – $11,264 · median $3,242 | 7 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,830 – $27,811 · median $7,337 | 7 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,830 – $15,004 · median $3,958 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,830 – $30,930 · median $8,654 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,830 – $17,231 · median $4,959 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,830 – $11,664 · median $3,256 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,830 – $28,654 · median $8,247 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,830 – $17,299 · median $4,763 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,830 – $402,366 · median $115,805 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,830 – $113,282 · median $29,887 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,830 – $53,943 · median $14,232 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,830 – $73,389 · median $19,362 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,830 – $36,395 · median $9,602 | 7 plans |
| 935 | Non-extensive burns | $1,830 – $37,253 · median $9,828 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,830 – $53,835 · median $15,494 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,830 – $35,812 · median $9,448 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,830 – $33,147 · median $8,745 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,830 – $25,891 · median $7,452 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,830 – $18,937 · median $5,450 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,830 – $21,815 · median $6,279 | 7 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,830 – $13,476 · median $3,878 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,830 – $18,301 · median $5,267 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,830 – $9,941 · median $2,861 | 7 plans |
| 951 | Other factors influencing health status | $1,830 – $9,617 · median $2,768 | 7 plans |
| 955 | Craniotomy for multiple significant trauma | $1,830 – $115,816 · median $33,333 | 7 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $1,830 – $64,832 · median $18,659 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,830 – $126,601 · median $36,437 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,830 – $69,707 · median $20,062 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,830 – $44,844 · median $12,906 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,830 – $46,078 · median $12,914 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,830 – $25,443 · median $7,323 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,830 – $15,479 · median $4,455 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $1,830 – $107,267 · median $30,873 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,830 – $45,003 · median $12,952 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,830 – $50,649 · median $13,796 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,830 – $24,109 · median $6,360 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,830 – $17,012 · median $4,896 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,830 – $24,456 · median $6,843 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,830 – $80,632 · median $23,207 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,830 – $41,526 · median $10,956 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,830 – $28,295 · median $8,035 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,830 – $59,410 · median $16,238 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,830 – $29,105 · median $8,377 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,125 – $19,599 · median $5,112 | 7 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $1,830 – $52,047 · median $14,562 | 5 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $1,830 – $184,773 · median $51,698 | 5 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $1,830 – $119,864 · median $33,537 | 5 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $1,830 – $105,064 · median $29,396 | 5 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $1,830 – $78,902 · median $22,076 | 5 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $1,830 – $84,862 · median $23,743 | 5 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $1,830 – $54,350 · median $15,207 | 5 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $1,830 – $48,285 · median $13,510 | 5 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $1,830 – $30,686 · median $8,586 | 5 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $1,830 – $72,244 · median $20,213 | 5 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $1,830 – $54,193 · median $15,163 | 5 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $1,830 – $48,544 · median $13,582 | 5 plans |
| 397 | Appendix Procedures with MCC | $1,830 – $42,026 · median $11,759 | 5 plans |
| 398 | Appendix Procedures without MCC/CC | $1,830 – $25,666 · median $7,181 | 5 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $1,830 – $19,061 · median $5,333 | 5 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $1,830 – $477,766 · median $131,777 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $1,830 – $186,907 · median $51,552 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,830 – $363,504 · median $100,261 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $1,830 – $239,661 · median $66,103 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,830 – $180,626 · median $49,820 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $1,830 – $82,248 · median $22,686 | 4 plans |
| 007 | Lung transplant | $1,830 – $221,662 · median $61,138 | 4 plans |
| 008 | Simultaneous pancreas/kidney transplant | $1,830 – $92,287 · median $25,455 | 4 plans |
| 010 | Pancreas transplant | $1,830 – $135,231 · median $37,299 | 4 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $1,830 – $91,521 · median $25,243 | 4 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $1,830 – $69,603 · median $19,198 | 4 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $1,830 – $44,947 · median $12,397 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $1,830 – $222,221 · median $61,293 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $1,830 – $102,376 · median $28,237 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $1,830 – $102,376 · median $28,237 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $1,830 – $639,652 · median $176,428 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $1,830 – $134,456 · median $37,086 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $1,830 – $136,725 · median $37,711 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $1,830 – $93,749 · median $25,858 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $1,830 – $59,880 · median $16,516 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $1,830 – $96,765 · median $26,690 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $1,830 – $64,481 · median $17,785 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $1,830 – $75,855 · median $20,922 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $1,830 – $51,877 · median $14,309 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,830 – $41,857 · median $11,545 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $1,830 – $103,115 · median $28,441 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $1,830 – $56,933 · median $15,703 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,830 – $37,745 · median $10,411 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $1,830 – $71,077 · median $19,604 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $1,830 – $36,222 · median $9,991 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,830 – $27,062 · median $7,464 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $1,830 – $65,957 · median $18,192 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $1,830 – $38,583 · median $10,642 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $1,830 – $31,091 · median $8,576 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $1,830 – $56,326 · median $15,536 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $1,830 – $27,329 · median $7,538 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,830 – $19,305 · median $5,325 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $1,830 – $63,979 · median $17,647 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $1,830 – $38,302 · median $10,564 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $1,830 – $29,811 · median $8,222 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,830 – $34,134 · median $9,415 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,830 – $15,628 · median $4,310 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,830 – $25,426 · median $7,013 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,830 – $18,505 · median $5,104 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,830 – $42,472 · median $11,715 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,830 – $22,633 · median $6,243 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,830 – $31,309 · median $8,635 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,830 – $20,754 · median $5,724 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,830 – $15,136 · median $4,175 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $1,830 – $45,853 · median $12,647 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,830 – $30,206 · median $8,331 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,830 – $23,827 · median $6,572 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,830 – $33,739 · median $9,306 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,830 – $17,248 · median $4,757 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,830 – $11,674 · median $3,220 | 4 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,830 – $24,677 · median $6,806 | 4 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,830 – $14,951 · median $4,124 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,830 – $13,571 · median $3,743 | 4 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $1,830 – $29,492 · median $8,134 | 4 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,830 – $17,875 · median $4,930 | 4 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,830 – $12,724 · median $3,510 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,830 – $26,215 · median $7,231 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,830 – $17,680 · median $4,877 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,830 – $29,214 · median $8,058 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,830 – $15,552 · median $4,289 | 4 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,830 – $26,227 · median $7,234 | 4 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,830 – $16,926 · median $4,668 | 4 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,830 – $11,308 · median $3,119 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,830 – $33,715 · median $9,299 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,830 – $15,346 · median $4,233 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,830 – $39,353 · median $10,854 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,830 – $23,583 · median $6,505 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,830 – $16,217 · median $4,473 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,830 – $38,434 · median $10,601 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,830 – $22,246 · median $6,136 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,830 – $14,994 · median $4,136 | 4 plans |
| 088 | CONCUSSION WITH MCC | $1,830 – $23,927 · median $6,600 | 4 plans |
| 089 | CONCUSSION WITH CC | $1,830 – $18,184 · median $5,016 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,830 – $14,541 · median $4,011 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,830 – $30,918 · median $8,528 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,830 – $17,957 · median $4,953 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,830 – $13,387 · median $3,693 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,830 – $61,886 · median $17,069 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,830 – $40,659 · median $11,215 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,830 – $40,659 · median $11,215 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,830 – $60,799 · median $16,769 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,830 – $36,794 · median $10,148 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,830 – $23,632 · median $6,518 | 4 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $29,358 – $29,358 · median $29,358 | 1 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $18,566 – $18,566 · median $18,566 | 1 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,712 – $49,712 · median $49,712 | 1 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $33,706 – $33,706 · median $33,706 | 1 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $26,120 – $26,120 · median $26,120 | 1 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $39,581 – $39,581 · median $39,581 | 1 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $25,961 – $25,961 · median $25,961 | 1 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $31,818 – $31,818 · median $31,818 | 1 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,378 – $19,378 · median $19,378 | 1 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $24,440 – $24,440 · median $24,440 | 1 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $14,645 – $14,645 · median $14,645 | 1 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $43,716 – $43,716 · median $43,716 | 1 plans |
No procedures match that keyword.