Labette Health — 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 |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $5,835 – $22,255 · median $17,821 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $4,597 – $16,661 · median $8,877 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $2,641 – $15,190 · median $8,103 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $3,130 – $10,466 · median $8,973 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $3,130 – $13,415 · median $9,029 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $2,804 – $17,774 · median $8,013 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $6,683 – $21,620 · median $14,510 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,249 – $14,625 · median $9,444 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $3,488 – $10,222 · median $7,652 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $6,683 – $18,747 · median $15,689 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $4,238 – $12,772 · median $10,397 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $6,064 – $24,795 · median $14,248 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $5,966 – $16,947 · median $14,183 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $4,075 – $14,947 · median $11,422 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,129 – $21,759 · median $10,499 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,835 – $13,763 · median $8,373 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,575 – $7,664 · median $6,665 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $4,629 – $17,687 · median $12,069 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,434 – $12,276 · median $8,057 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,205 – $9,039 · median $6,467 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $7,270 – $20,209 · median $16,912 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $6,813 – $35,000 · median $15,846 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $4,140 – $35,948 · median $10,375 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $2,706 – $11,136 · median $6,906 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $3,293 – $10,626 · median $9,240 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,282 – $10,536 · median $7,063 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,162 – $9,183 · median $7,985 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $6,944 – $20,249 · median $16,946 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $28,199 – $69,367 · median $58,052 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $7,791 – $48,407 · median $24,091 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $13,953 – $48,424 · median $30,448 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $7,368 – $32,468 · median $16,200 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $5,477 – $17,606 · median $14,734 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,292 – $18,496 · median $11,965 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,857 – $12,841 · median $8,389 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $4,727 – $11,589 · median $10,077 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $2,934 – $19,810 · median $6,868 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $5,118 – $18,357 · median $10,917 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,488 – $12,963 · median $7,499 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $6,846 – $16,774 · median $13,517 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $5,346 – $21,324 · median $11,168 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $3,162 – $15,712 · median $7,407 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $2,445 – $7,578 · median $5,958 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $3,847 – $19,044 · median $8,471 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $8,183 – $23,098 · median $19,331 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $4,303 – $26,918 · median $9,204 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $19,234 – $76,638 · median $45,591 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $9,454 – $28,858 · median $21,796 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $18,941 – $59,160 · median $41,219 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $8,606 – $34,591 · median $21,217 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $5,444 – $26,300 · median $14,820 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $7,987 – $22,657 · median $18,961 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $5,509 – $17,130 · median $13,574 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,205 – $16,965 · median $10,335 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $6,520 – $18,246 · median $15,270 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $8,313 – $26,900 · median $20,215 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,857 – $14,535 · median $12,370 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,130 – $19,540 · median $7,074 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $7,335 – $21,863 · median $15,691 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $5,477 – $11,206 · median $9,744 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $2,999 – $9,614 · median $7,295 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $5,020 – $20,558 · median $11,351 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $6,227 – $39,733 · median $16,321 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $4,531 – $14,642 · median $9,394 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $2,641 – $8,639 · median $6,580 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $3,162 – $18,113 · median $7,488 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $4,075 – $12,163 · median $9,448 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $2,869 – $10,405 · median $6,851 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $6,096 – $16,487 · median $13,295 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $3,325 – $13,659 · median $7,909 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,999 – $11,484 · median $5,859 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $4,694 – $13,929 · median $11,801 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $3,195 – $15,573 · median $7,737 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $6,781 – $20,663 · median $14,865 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,401 – $15,068 · median $9,035 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,706 – $11,127 · median $6,578 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $6,390 – $35,383 · median $17,756 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $5,607 – $38,489 · median $14,886 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $7,791 – $21,013 · median $17,586 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,020 – $11,919 · median $10,071 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $4,727 – $12,118 · median $10,537 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $4,792 – $36,984 · median $14,934 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,564 – $16,043 · median $8,381 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,336 – $11,397 · median $6,406 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $7,824 – $20,276 · median $16,969 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $4,075 – $12,015 · median $9,236 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $4,662 – $27,283 · median $10,189 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,472 – $57,931 · median $48,481 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $12,453 – $31,627 · median $26,468 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $14,442 – $49,190 · median $30,746 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $11,051 – $66,981 · median $23,548 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $7,498 – $49,781 · median $16,925 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $20,375 – $52,100 · median $43,601 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $12,258 – $40,464 · median $26,006 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $10,204 – $40,185 · median $21,251 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,878 – $33,095 · median $20,992 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $13,203 – $31,545 · median $26,400 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $8,639 – $28,841 · median $18,625 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $5,379 – $25,561 · median $14,240 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $10,302 – $31,816 · median $22,874 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $8,313 – $26,074 · median $19,038 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,390 – $36,679 · median $14,184 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $8,737 – $21,081 · median $17,642 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $5,118 – $27,466 · median $11,430 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $11,247 – $37,184 · median $21,552 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $7,759 – $24,351 · median $16,924 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $8,248 – $27,266 · median $17,710 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $7,205 – $38,263 · median $16,020 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $7,987 – $18,824 · median $15,754 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $7,628 – $18,824 · median $15,754 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $11,280 – $31,946 · median $25,655 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,303 – $17,852 · median $9,666 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $12,421 – $46,415 · median $26,163 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $8,411 – $35,992 · median $18,923 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $3,423 – $11,380 · median $8,009 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $3,325 – $9,182 · median $7,984 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $5,509 – $13,881 · median $11,878 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $7,726 – $26,544 · median $16,742 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $8,248 – $21,609 · median $18,084 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $4,075 – $27,057 · median $9,216 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $3,488 – $9,413 · median $8,175 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $3,716 – $16,426 · median $8,410 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $3,782 – $20,228 · median $8,652 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $6,618 – $18,174 · median $14,096 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $4,238 – $19,384 · median $9,667 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $3,162 – $12,441 · median $7,478 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $6,259 – $17,959 · median $15,029 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,205 – $12,254 · median $10,656 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $6,455 – $20,036 · median $15,915 | 14 plans |
| 602 | CELLULITIS WITH MCC | $10,693 – $15,759 · median $13,290 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,368 – $17,818 · median $8,547 | 14 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,118 – $13,259 · median $8,893 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $8,900 – $32,025 · median $14,455 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,020 – $9,676 · median $8,414 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $7,661 – $20,718 · median $17,339 | 14 plans |
| 637 | DIABETES WITH MCC | $5,509 – $15,620 · median $13,186 | 14 plans |
| 638 | DIABETES WITH CC | $3,553 – $15,669 · median $8,841 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $2,575 – $9,335 · median $6,499 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $5,509 – $32,729 · median $12,152 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $3,651 – $9,788 · median $7,746 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $3,749 – $11,244 · median $9,777 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $5,933 – $22,690 · median $12,248 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $5,770 – $17,739 · median $13,759 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $6,129 – $18,644 · median $13,553 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $3,945 – $10,527 · median $8,613 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $4,466 – $12,215 · median $9,933 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $4,988 – $18,018 · median $10,881 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $3,684 – $14,390 · median $7,917 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $3,325 – $22,150 · median $7,746 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $4,988 – $11,119 · median $9,669 | 14 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $6,161 – $37,628 · median $16,241 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,293 – $16,843 · median $9,664 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,032 – $11,827 · median $10,284 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,706 – $8,279 · median $7,199 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,075 – $14,616 · median $10,177 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,651 – $12,293 · median $8,489 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,108 – $17,332 · median $14,505 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,912 – $13,163 · median $10,006 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,716 – $11,893 · median $8,740 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,174 – $19,335 · median $16,181 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,390 – $44,733 · median $37,436 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,304 – $15,834 · median $13,346 | 14 plans |
| 795 | NORMAL NEWBORN | $815 – $3,518 · median $2,704 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $18,321 – $51,000 · median $42,681 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,032 – $10,988 · median $9,492 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,771 – $8,373 · median $7,280 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,608 – $8,274 · median $6,585 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $4,499 – $23,186 · median $11,430 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $5,379 – $33,791 · median $12,788 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,260 – $17,948 · median $8,887 | 14 plans |
| 813 | COAGULATION DISORDERS | $5,803 – $18,435 · median $13,925 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,912 – $14,912 · median $10,725 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $18,549 – $63,032 · median $44,894 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $9,943 – $34,965 · median $17,936 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $17,245 – $80,301 · median $40,498 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $8,313 – $23,371 · median $19,559 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $6,879 – $19,722 · median $16,505 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $3,749 – $15,077 · median $9,507 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,423 – $11,719 · median $8,580 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $7,791 – $23,000 · median $19,248 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $4,042 – $12,354 · median $9,912 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,575 – $8,335 · median $7,248 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $26,895 – $93,073 · median $62,444 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $7,172 – $26,857 · median $17,613 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $4,336 – $18,366 · median $9,758 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $6,487 – $19,592 · median $14,992 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $5,738 – $31,216 · median $15,985 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $3,977 – $14,346 · median $8,559 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $13,757 – $59,708 · median $35,759 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $7,400 – $21,635 · median $18,106 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $4,792 – $50,025 · median $15,600 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $4,173 – $17,587 · median $14,719 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $2,282 – $10,014 · median $8,578 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $5,803 – $19,560 · median $16,369 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $2,804 – $11,082 · median $9,636 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $4,727 – $18,121 · median $15,165 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $2,738 – $20,967 · median $9,669 | 14 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $5,118 – $13,796 · median $11,815 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,564 – $11,849 · median $7,852 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,610 – $6,921 · median $6,018 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $13,007 – $69,043 · median $34,311 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $9,063 – $29,139 · median $24,386 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,988 – $19,575 · median $13,539 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $9,910 – $26,261 · median $21,977 | 14 plans |
| 102 | HEADACHES WITH MCC | $6,390 – $12,437 · median $10,794 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $2,934 – $9,546 · median $8,301 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,258 – $24,204 · median $20,256 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,564 – $12,679 · median $10,976 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $5,770 – $16,422 · median $13,788 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,781 – $17,897 · median $14,978 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,434 – $11,663 · median $10,142 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,238 – $12,477 · median $10,823 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,478 – $7,953 · median $6,915 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $2,673 – $9,110 · median $7,922 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $4,401 – $13,986 · median $11,957 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $9,813 – $25,862 · median $21,643 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $3,847 – $10,732 · median $9,332 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $5,575 – $15,001 · median $12,721 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,195 – $9,206 · median $8,005 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,401 – $14,727 · median $12,514 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $13,985 – $45,362 · median $37,963 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $7,661 – $23,045 · median $19,286 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $5,705 – $16,866 · median $14,121 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $12,290 – $35,416 · median $29,639 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $6,390 – $18,842 · median $15,769 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,531 – $12,708 · median $10,998 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $7,009 – $24,607 · median $20,593 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $4,108 – $13,352 · median $11,481 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $2,967 – $9,087 · median $7,902 | 13 plans |
| 149 | DYSEQUILIBRIUM | $2,478 – $8,594 · median $7,473 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $4,368 – $14,826 · median $12,589 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $2,543 – $8,691 · median $7,558 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $3,945 – $12,184 · median $10,595 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $2,445 – $8,262 · median $7,185 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $5,118 – $17,444 · median $14,598 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $2,184 – $7,898 · median $6,868 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $5,672 – $17,564 · median $14,699 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $2,249 – $7,779 · median $6,765 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $14,572 – $49,438 · median $41,374 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $7,889 – $26,997 · median $22,594 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $5,803 – $20,364 · median $16,732 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $12,551 – $41,298 · median $34,562 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $5,640 – $19,599 · median $16,402 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,205 – $14,522 · median $12,360 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $9,487 – $32,914 · median $27,545 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $5,183 – $15,114 · median $12,805 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,064 – $9,651 · median $8,198 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $4,042 – $11,566 · median $10,057 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $2,901 – $8,874 · median $7,716 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $3,814 – $10,971 · median $9,540 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $2,869 – $8,471 · median $7,366 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $3,847 – $10,842 · median $9,428 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $2,999 – $8,157 · median $7,093 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,521 – $10,061 · median $8,749 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $43,456 – $116,848 · median $97,788 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $41,239 – $113,640 · median $95,103 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $39,153 – $103,518 · median $86,632 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $25,689 – $69,268 · median $57,969 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $22,983 – $63,812 · median $53,403 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $31,133 – $82,993 · median $69,455 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $21,157 – $56,813 · median $47,545 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $18,745 – $49,260 · median $41,225 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $20,342 – $55,448 · median $44,732 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $12,844 – $36,605 · median $27,883 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $32,763 – $90,891 · median $76,065 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $23,994 – $65,522 · median $54,834 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $31,492 – $83,839 · median $70,163 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $20,962 – $57,065 · median $47,756 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $23,733 – $63,114 · median $52,819 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $16,300 – $44,106 · median $36,912 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $19,397 – $54,026 · median $45,213 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $11,345 – $31,236 · median $26,141 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $5,640 – $16,819 · median $13,618 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $9,193 – $25,314 · median $20,222 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $18,289 – $52,416 · median $43,866 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $9,487 – $24,805 · median $20,759 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $6,390 – $16,760 · median $14,043 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $13,529 – $36,795 · median $30,793 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $10,302 – $27,384 · median $22,917 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $7,009 – $18,764 · median $15,703 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $11,084 – $28,065 · median $23,487 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $6,618 – $18,167 · median $15,203 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,010 – $9,932 · median $8,637 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $10,921 – $30,092 · median $25,183 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $7,531 – $18,853 · median $15,778 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $13,366 – $36,535 · median $30,575 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $7,596 – $20,354 · median $17,034 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $6,650 – $16,280 · median $13,681 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $11,410 – $28,768 · median $24,076 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $13,170 – $37,489 · median $31,373 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $14,279 – $38,262 · median $32,021 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $30,090 – $64,257 · median $53,776 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $19,690 – $52,498 · median $42,231 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $27,677 – $71,517 · median $59,851 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $16,789 – $44,628 · median $37,348 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $20,408 – $55,057 · median $46,076 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $13,953 – $36,945 · median $30,918 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $9,845 – $26,839 · median $22,461 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $15,713 – $41,942 · median $35,100 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $13,073 – $33,476 · median $28,015 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $28,395 – $75,801 · median $63,436 | 13 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $25,069 – $66,441 · median $55,603 | 13 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $19,299 – $49,896 · median $41,757 | 13 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $17,995 – $53,666 · median $44,912 | 13 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,910 – $34,370 · median $28,764 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $4,075 – $10,210 · median $8,878 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $2,804 – $8,386 · median $7,293 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $8,769 – $20,974 · median $17,552 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,293 – $8,534 · median $7,421 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $2,184 – $6,869 · median $5,973 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $9,487 – $23,740 · median $19,867 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $4,727 – $11,766 · median $10,231 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $11,540 – $29,298 · median $24,519 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,553 – $16,912 · median $14,156 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,825 – $10,740 · median $9,339 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,510 – $6,751 · median $5,871 | 13 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $4,857 – $13,172 · median $11,346 | 13 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $3,553 – $8,986 · median $7,814 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $7,139 – $17,574 · median $14,707 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,227 – $8,195 · median $7,126 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,956 – $5,760 · median $5,008 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $7,009 – $17,350 · median $14,520 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,162 – $8,278 · median $7,198 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $4,988 – $12,478 · median $10,824 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $4,205 – $10,252 · median $8,915 | 13 plans |
| 311 | ANGINA PECTORIS | $3,097 – $8,138 · median $7,077 | 13 plans |
| 313 | CHEST PAIN | $3,227 – $8,278 · median $7,198 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,064 – $7,993 · median $6,951 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $17,604 – $47,117 · median $39,431 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $8,998 – $24,829 · median $20,779 | 13 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $9,747 – $33,294 · median $25,554 | 13 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $8,280 – $19,623 · median $16,240 | 13 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $16,724 – $45,686 · median $38,234 | 13 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,997 – $34,271 · median $28,680 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $10,660 – $30,699 · median $25,691 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $6,064 – $17,092 · median $14,304 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $13,855 – $37,205 · median $31,136 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $7,889 – $22,796 · median $19,078 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $6,064 – $17,790 · median $14,888 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $13,529 – $38,865 · median $32,525 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $5,672 – $16,466 · median $13,821 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $10,367 – $28,901 · median $24,187 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $5,835 – $15,968 · median $13,447 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,890 – $13,357 · median $11,485 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $9,650 – $25,386 · median $21,245 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,923 – $13,503 · median $11,595 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $3,684 – $9,830 · median $8,548 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $9,095 – $25,943 · median $21,711 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $11,084 – $31,459 · median $26,328 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $5,151 – $14,300 · median $12,194 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $16,202 – $45,754 · median $38,291 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $6,944 – $17,912 · median $14,991 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $4,140 – $11,097 · median $9,650 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $8,802 – $22,647 · median $18,953 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $3,749 – $9,850 · median $8,565 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $8,183 – $20,640 · median $17,273 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $4,499 – $11,760 · median $10,226 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $5,868 – $13,560 · median $11,638 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $3,684 – $9,726 · median $8,457 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $6,585 – $17,428 · median $14,585 | 13 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $8,509 – $26,577 · median $22,242 | 13 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $5,738 – $16,231 · median $13,644 | 13 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $3,456 – $12,082 · median $10,506 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $17,832 – $58,228 · median $48,730 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $9,356 – $30,123 · median $25,209 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $6,976 – $22,909 · median $19,172 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $12,062 – $37,555 · median $31,429 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $6,357 – $22,487 · median $18,819 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $5,086 – $16,637 · median $13,950 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $9,845 – $29,351 · median $24,563 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $6,683 – $22,864 · median $19,134 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,890 – $17,832 · median $14,923 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $11,410 – $37,582 · median $31,451 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,336 – $14,697 · median $12,492 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $7,498 – $25,490 · median $21,332 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $3,782 – $14,133 · median $12,068 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $10,367 – $37,857 · median $31,682 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $5,542 – $17,565 · median $14,700 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,564 – $15,761 · median $13,291 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $12,681 – $43,627 · median $36,511 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $6,911 – $24,491 · median $20,496 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $5,183 – $16,580 · median $13,907 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $2,869 – $8,121 · median $7,062 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $7,531 – $19,571 · median $16,378 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $3,553 – $8,943 · median $7,777 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,064 – $8,179 · median $7,112 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $7,009 – $18,067 · median $15,120 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $3,423 – $9,056 · median $7,874 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $34,947 – $90,841 · median $76,023 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $25,167 – $61,561 · median $51,519 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $18,778 – $46,315 · median $38,760 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $28,264 – $65,822 · median $55,085 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $11,801 – $31,596 · median $25,707 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,759 – $20,312 · median $15,584 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $21,483 – $54,645 · median $45,731 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $13,790 – $35,060 · median $29,341 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $17,832 – $48,103 · median $40,256 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $8,900 – $23,139 · median $19,365 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,890 – $12,475 · median $10,823 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,953 – $36,887 · median $30,870 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,726 – $19,047 · median $15,940 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $13,659 – $34,530 · median $28,898 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $14,344 – $38,090 · median $31,877 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $14,833 – $37,762 · median $31,602 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,901 – $14,401 · median $12,269 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $10,823 – $27,082 · median $22,664 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $5,346 – $12,451 · median $10,804 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $13,431 – $33,988 · median $28,443 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $5,738 – $14,986 · median $12,709 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $8,411 – $28,387 · median $23,757 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $6,064 – $16,079 · median $13,531 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $8,835 – $20,789 · median $17,398 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $5,933 – $13,843 · median $11,850 | 13 plans |
| 509 | ARTHROSCOPY | $5,672 – $18,842 · median $15,769 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $8,248 – $21,036 · median $17,605 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,683 – $17,245 · median $14,432 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $6,716 – $16,149 · median $13,583 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $13,105 – $33,169 · median $27,759 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $8,443 – $22,051 · median $18,058 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $6,194 – $16,011 · median $13,479 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $15,126 – $38,442 · median $32,171 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $8,150 – $21,151 · median $17,701 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $5,933 – $15,373 · median $13,000 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,911 – $16,356 · median $13,739 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $5,477 – $14,265 · median $12,167 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $4,108 – $10,184 · median $8,855 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $2,999 – $7,890 · median $6,861 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $8,411 – $21,692 · median $18,154 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $3,619 – $9,775 · median $8,500 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $4,629 – $11,499 · median $9,999 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $3,260 – $8,670 · median $7,539 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $10,562 – $27,104 · median $22,682 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,086 – $12,418 · median $10,779 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $3,488 – $8,582 · median $7,463 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $5,118 – $12,926 · median $11,161 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $3,977 – $9,656 · median $8,397 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,205 – $18,303 · median $15,317 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $5,705 – $14,008 · median $11,974 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,933 – $14,444 · median $12,302 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $3,488 – $9,234 · median $8,029 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $6,585 – $16,622 · median $13,939 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $7,824 – $19,911 · median $16,663 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,792 – $12,220 · median $10,626 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,293 – $9,244 · median $8,038 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $6,422 – $15,698 · median $13,244 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $10,823 – $32,287 · median $27,021 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $22,983 – $66,053 · median $55,278 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $12,584 – $37,165 · median $31,102 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,563 – $21,417 · median $17,923 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $21,027 – $57,870 · median $48,430 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $9,813 – $28,561 · median $23,902 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $5,966 – $18,131 · median $15,174 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $12,355 – $34,960 · median $29,258 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,988 – $15,437 · median $13,048 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $6,455 – $18,783 · median $15,719 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,640 – $17,620 · median $14,746 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $7,237 – $21,960 · median $18,378 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,227 – $21,292 · median $17,819 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $11,002 – $22,056 · median $18,458 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $6,813 – $13,115 · median $11,303 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,434 – $9,532 · median $8,289 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $12,225 – $22,687 · median $18,986 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,672 – $11,686 · median $10,162 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,998 – $18,842 · median $15,769 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,748 – $11,666 · median $10,144 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,782 – $9,589 · median $8,339 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,770 – $10,532 · median $9,158 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,553 – $7,222 · median $6,280 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $8,476 – $15,936 · median $13,423 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $6,161 – $24,962 · median $20,457 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,010 – $15,731 · median $12,998 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,823 – $41,456 · median $34,694 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,162 – $13,355 · median $11,484 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $7,107 – $29,244 · median $24,474 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,434 – $17,129 · median $14,335 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $3,553 – $15,679 · median $13,230 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $10,465 – $40,137 · median $33,590 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $5,607 – $20,517 · median $17,170 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $3,032 – $10,963 · median $9,533 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $7,987 – $30,753 · median $25,736 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,075 – $16,189 · median $13,613 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $3,390 – $13,589 · median $11,659 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $10,986 – $42,322 · median $35,418 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $6,194 – $24,124 · median $20,189 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $3,814 – $15,030 · median $12,742 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $5,314 – $13,312 · median $11,451 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $3,945 – $17,776 · median $14,877 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $3,586 – $8,883 · median $7,725 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $17,734 – $49,420 · median $41,357 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $13,627 – $40,450 · median $31,171 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $11,866 – $36,950 · median $27,570 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $21,353 – $59,793 · median $50,040 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $10,791 – $30,270 · median $25,332 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,313 – $22,281 · median $18,647 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $12,388 – $34,945 · median $29,245 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $6,227 – $19,608 · median $16,410 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $5,835 – $16,132 · median $13,570 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $10,204 – $27,719 · median $23,198 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $3,586 – $12,019 · median $9,723 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $11,834 – $33,461 · median $28,003 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,173 – $11,674 · median $10,151 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $12,192 – $36,829 · median $30,821 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $6,781 – $17,669 · median $14,787 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,140 – $11,192 · median $9,732 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $11,117 – $31,280 · median $26,178 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $6,064 – $16,599 · median $13,921 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $3,782 – $10,524 · median $9,151 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,748 – $18,488 · median $15,473 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $3,684 – $11,809 · median $10,269 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $14,572 – $44,938 · median $37,607 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $9,389 – $24,760 · median $20,721 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $6,259 – $16,789 · median $14,064 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $2,608 – $7,295 · median $6,344 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $7,824 – $20,226 · median $16,927 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $3,325 – $8,378 · median $7,285 | 13 plans |
| 693 | URINARY STONES WITH MCC | $6,031 – $15,772 · median $13,299 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $5,086 – $12,119 · median $10,538 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $2,934 – $8,078 · median $7,024 | 13 plans |
| 697 | URETHRAL STRICTURE | $4,727 – $10,951 · median $9,523 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $6,520 – $18,029 · median $15,088 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $3,032 – $8,100 · median $7,043 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $7,270 – $20,815 · median $17,420 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $5,379 – $15,901 · median $13,397 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $8,020 – $24,102 · median $20,171 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,792 – $16,104 · median $13,549 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $7,857 – $20,493 · median $17,150 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,401 – $11,579 · median $10,069 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $5,379 – $15,510 · median $13,103 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $3,553 – $10,375 · median $9,022 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $8,150 – $24,223 · median $20,271 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $5,249 – $15,223 · median $12,888 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $6,716 – $19,902 · median $16,656 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,336 – $13,213 · median $11,377 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $6,227 – $18,544 · median $15,519 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,684 – $12,073 · median $10,499 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,673 – $8,419 · median $7,321 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $4,108 – $13,543 · median $11,625 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $2,412 – $8,565 · median $7,448 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $5,379 – $15,761 · median $13,291 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $2,641 – $9,239 · median $8,034 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $3,325 – $11,870 · median $10,321 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $2,054 – $7,291 · median $6,340 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $8,052 – $22,555 · median $18,876 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,662 – $13,020 · median $11,232 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $14,377 – $42,235 · median $35,345 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $7,302 – $21,435 · median $17,938 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $5,053 – $16,270 · median $13,674 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $13,366 – $42,699 · median $35,734 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $6,618 – $19,503 · median $16,322 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,792 – $14,733 · median $12,519 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $6,585 – $19,593 · median $16,397 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,303 – $12,857 · median $11,110 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $6,976 – $20,959 · median $17,540 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $3,847 – $11,164 · median $9,708 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $6,194 – $17,962 · median $15,032 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $3,293 – $10,519 · median $9,147 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $5,183 – $14,612 · median $12,428 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $9,324 – $27,765 · median $23,236 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $5,020 – $13,831 · median $11,841 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,586 – $11,955 · median $10,396 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $3,293 – $10,517 · median $9,145 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $4,955 – $15,181 · median $12,855 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $2,152 – $7,598 · median $6,607 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $3,293 – $10,801 · median $9,392 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,021 – $7,541 · median $6,557 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $5,020 – $14,904 · median $12,647 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $2,901 – $11,639 · median $10,121 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $3,814 – $10,330 · median $8,983 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,760 – $19,758 · median $16,535 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,238 – $13,763 · median $11,737 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,042 – $10,640 · median $9,252 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,847 – $10,640 · median $9,252 | 13 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $10,432 – $31,253 · median $26,155 | 13 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $6,618 – $17,609 · median $14,737 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $12,681 – $38,451 · median $32,179 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $6,879 – $19,092 · median $15,978 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,466 – $12,510 · median $10,359 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $8,183 – $24,566 · median $20,559 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $3,749 – $10,488 · median $9,120 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $7,922 – $22,423 · median $18,765 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $3,716 – $11,084 · median $9,638 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,641 – $7,777 · median $6,763 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,236 – $27,192 · median $22,756 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $5,216 – $13,815 · median $11,829 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,293 – $9,234 · median $8,029 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $22,364 – $62,450 · median $52,263 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $8,248 – $23,945 · median $20,039 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,597 – $12,267 · median $10,666 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $16,659 – $50,192 · median $42,005 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $8,248 – $23,591 · median $19,743 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,792 – $13,202 · median $11,368 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $17,115 – $51,222 · median $42,867 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $8,574 – $25,312 · median $21,183 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $6,064 – $17,193 · median $14,388 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $11,671 – $33,077 · median $27,681 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $5,835 – $15,687 · median $13,236 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,771 – $8,593 · median $7,472 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,445 – $6,484 · median $5,638 | 13 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $16,007 – $59,286 · median $49,615 | 13 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $6,390 – $22,910 · median $19,173 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,042 – $13,630 · median $11,690 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $13,855 – $53,707 · median $44,947 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $5,738 – $21,755 · median $18,206 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $3,716 – $14,699 · median $12,493 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $8,932 – $34,205 · median $28,626 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $4,499 – $16,818 · median $14,086 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,064 – $11,415 · median $9,926 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,314 – $20,308 · median $16,995 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $3,325 – $12,820 · median $11,081 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,478 – $9,422 · median $8,193 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $7,009 – $27,392 · median $22,924 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $3,456 – $13,630 · median $11,690 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,380 – $9,256 · median $8,049 | 13 plans |
| 849 | RADIOTHERAPY | $7,694 – $28,650 · median $23,977 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,618 – $17,436 · median $14,592 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,988 – $13,819 · median $11,833 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,249 – $9,989 · median $8,686 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $6,096 – $15,831 · median $13,344 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $13,790 – $42,149 · median $35,274 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $3,553 – $10,551 · median $9,174 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $2,249 – $10,138 · median $8,816 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,347 – $10,582 · median $9,202 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,706 – $19,885 · median $16,641 | 13 plans |
| 885 | PSYCHOSES | $2,999 – $15,119 · median $12,809 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,412 – $19,269 · median $16,126 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,901 – $12,758 · median $11,035 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,380 – $7,450 · median $6,479 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $3,032 – $16,610 · median $13,118 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $16,007 – $47,522 · median $39,770 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $6,976 – $20,354 · median $17,034 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,597 – $13,076 · median $11,274 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $12,029 – $41,414 · median $34,659 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $5,868 – $17,679 · median $14,795 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $6,944 – $23,410 · median $19,591 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $5,020 – $13,604 · median $11,671 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $4,042 – $17,358 · median $14,526 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $2,445 – $10,159 · median $8,834 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,793 – $7,821 · median $6,801 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,891 – $8,040 · median $6,991 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $97,474 – $254,451 · median $212,945 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $25,591 – $71,638 · median $59,952 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $11,899 – $34,113 · median $28,549 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $10,073 – $46,410 · median $38,840 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $6,944 – $23,016 · median $19,262 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $6,781 – $23,559 · median $19,716 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $11,899 – $34,044 · median $28,491 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $8,020 – $22,647 · median $18,953 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $6,879 – $20,962 · median $17,543 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,987 – $18,626 · median $13,752 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $5,509 – $12,014 · median $10,447 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,592 – $11,667 · median $10,145 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,651 – $7,098 · median $6,172 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $20,440 – $73,240 · median $61,294 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $24,287 – $80,061 · median $67,002 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,562 – $44,082 · median $36,891 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,509 – $28,359 · median $23,733 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $3,162 – $10,740 · median $8,804 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $25,428 – $67,835 · median $56,769 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $10,269 – $28,459 · median $23,817 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $9,682 – $32,030 · median $26,805 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $4,531 – $15,246 · median $12,904 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $2,804 – $10,962 · median $9,532 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $4,694 – $15,466 · median $13,070 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $18,875 – $50,990 · median $42,673 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,520 – $17,893 · median $14,974 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $13,464 – $37,570 · median $31,442 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $6,748 – $18,406 · median $15,403 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,257 – $12,394 · median $2,596 | 13 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $24,972 – $66,355 · median $55,532 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $16,267 – $41,962 · median $35,117 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,423 – $112,359 · median $94,031 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $29,405 – $76,184 · median $63,757 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $22,820 – $59,037 · median $49,407 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $34,556 – $89,461 · median $74,869 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $22,657 – $58,677 · median $49,105 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $27,775 – $71,915 · median $60,184 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $16,919 – $43,800 · median $36,655 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $21,353 – $55,240 · median $46,229 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $12,779 – $33,101 · median $27,701 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $34,067 – $98,807 · median $82,690 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $10,318 – $63,764 · median $53,363 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,801 – $43,547 · median $36,443 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,514 – $26,276 · median $21,989 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $104,037 – $185,197 · median $126,836 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,028 – $11,867 · median $10,242 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,954 – $14,034 · median $12,203 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $11,928 – $20,534 · median $17,856 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,644 – $22,472 · median $9,644 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,802 – $16,939 · median $7,897 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,845 – $26,483 · median $9,943 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,960 – $29,032 · median $7,495 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,881 – $11,327 · median $9,850 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,197 – $17,780 · median $15,461 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $6,134 – $23,951 · median $20,827 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $2,680 – $14,553 · median $12,655 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,546 – $35,165 · median $9,981 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,115 – $21,028 · median $12,678 | 9 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $252,850 – $303,783 · median $252,850 | 8 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $98,917 – $150,904 · median $98,917 | 8 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,113 – $221,235 · median $192,378 | 8 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,593 – $115,143 · median $95,593 | 8 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,528 – $53,911 · median $43,528 | 8 plans |
| 007 | LUNG TRANSPLANT | $98,927 – $134,907 · median $117,311 | 8 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $48,841 – $61,499 · median $48,841 | 8 plans |
| 010 | PANCREAS TRANSPLANT | $48,787 – $82,304 · median $71,569 | 8 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $47,244 – $55,701 · median $48,436 | 8 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $35,233 – $42,362 · median $36,836 | 8 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,540 – $27,356 · median $23,787 | 8 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $117,607 – $135,248 · median $117,607 | 8 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,181 – $74,325 · median $54,181 | 8 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $52,735 – $62,308 · median $54,181 | 8 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $338,525 – $426,668 · median $338,525 | 8 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $71,159 – $82,677 · median $71,159 | 8 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $71,520 – $83,214 · median $72,360 | 8 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,615 – $57,057 · median $49,615 | 8 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $31,690 – $40,178 · median $31,690 | 8 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $49,018 – $58,893 · median $51,211 | 8 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $34,042 – $39,244 · median $34,126 | 8 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $38,867 – $46,167 · median $40,145 | 8 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $26,462 – $31,573 · median $27,455 | 8 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,729 – $25,475 · median $22,152 | 8 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $50,324 – $62,758 · median $54,572 | 8 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $28,492 – $34,651 · median $30,131 | 8 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,976 – $22,972 · median $19,976 | 8 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,734 – $43,259 · median $37,616 | 8 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,155 – $22,045 · median $19,170 | 8 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,322 – $16,470 · median $14,322 | 8 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,304 – $40,142 · median $34,906 | 8 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,909 – $23,482 · median $20,419 | 8 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,241 – $18,923 · median $16,455 | 8 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $28,326 – $34,281 · median $29,810 | 8 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,336 – $16,633 · median $14,464 | 8 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,861 – $12,215 · median $10,622 | 8 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $33,400 – $38,939 · median $33,860 | 8 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,270 – $23,311 · median $20,270 | 8 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,777 – $18,143 · median $15,777 | 8 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,018 – $20,775 · median $18,065 | 8 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,875 – $10,206 · median $8,875 | 8 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,825 – $15,560 · median $13,531 | 8 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,972 – $25,849 · median $22,478 | 8 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,018 – $19,055 · median $16,570 | 8 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,742 – $13,007 · median $11,310 | 8 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,226 – $9,937 · median $8,641 | 8 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $24,267 – $27,907 · median $24,267 | 8 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,986 – $18,384 · median $15,986 | 8 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,771 – $14,818 · median $12,771 | 8 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,996 – $8,045 · median $6,996 | 8 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,268 – $15,151 · median $13,174 | 8 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,261 – $9,836 · median $8,553 | 8 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $14,515 – $17,949 · median $15,608 | 8 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,556 – $15,991 · median $13,905 | 8 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,512 – $10,164 · median $8,838 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $12,305 – $15,998 · median $13,911 | 8 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $8,209 – $10,915 · median $9,491 | 8 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,339 – $7,845 · median $6,822 | 8 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $10,562 – $20,520 · median $17,843 | 8 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,154 – $10,052 · median $8,741 | 8 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,154 – $10,527 · median $9,154 | 8 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $15,265 – $23,392 · median $20,341 | 8 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,014 – $13,822 · median $12,020 | 8 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,463 – $9,859 · median $8,573 | 8 plans |
| 088 | CONCUSSION WITH MCC | $11,898 – $14,741 · median $12,818 | 8 plans |
| 089 | CONCUSSION WITH CC | $8,976 – $11,603 · median $10,089 | 8 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,319 – $9,612 · median $8,358 | 8 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,890 – $18,818 · median $16,363 | 8 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,760 – $8,981 · median $7,810 | 8 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $31,439 – $37,665 · median $32,752 | 8 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,518 – $24,746 · median $21,518 | 8 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,160 – $24,746 · median $21,518 | 8 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $32,177 – $37,003 · median $32,177 | 8 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,257 – $22,393 · median $19,472 | 8 plans |
No procedures match that keyword.