Deaconess Henderson Hospital — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 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 776 procedures
Procedures with negotiated rates only
These 776 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,419 – $418,455 · median $151,630 | 46 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $89,283 – $273,080 · median $100,277 | 46 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,095 – $107,528 · median $38,848 | 46 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $25,930 – $83,118 · median $29,759 | 46 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $16,744 – $56,815 · median $19,535 | 46 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $50,935 – $155,133 · median $57,592 | 46 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $34,927 – $104,499 · median $39,775 | 46 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,309 – $66,746 · median $25,729 | 46 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $36,048 – $112,973 · median $41,022 | 46 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,021 – $77,123 · median $27,635 | 46 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,259 – $89,638 · median $32,352 | 46 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,326 – $61,298 · median $22,409 | 46 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,593 – $49,739 · median $18,254 | 46 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,414 – $118,454 · median $43,656 | 46 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,210 – $67,260 · median $24,506 | 46 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,061 – $43,278 · median $16,549 | 46 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,479 – $88,333 · median $30,371 | 46 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,494 – $42,013 · median $15,918 | 46 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,081 – $32,784 · median $12,119 | 46 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,572 – $76,311 · median $28,248 | 46 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,373 – $47,129 · median $16,896 | 46 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,583 – $38,302 · median $13,790 | 46 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,984 – $64,904 · median $24,254 | 46 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,181 – $31,990 · median $12,229 | 46 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,192 – $23,175 · median $8,903 | 46 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,834 – $76,124 · median $27,427 | 46 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,272 – $43,347 · median $16,784 | 46 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,106 – $34,062 · median $13,259 | 46 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,717 – $38,046 · median $15,052 | 46 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,822 – $19,305 · median $7,378 | 46 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,473 – $30,103 · median $11,442 | 46 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,893 – $20,625 · median $8,570 | 46 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,823 – $47,341 · median $18,510 | 46 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,434 – $25,543 · median $10,285 | 46 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,663 – $34,895 · median $13,880 | 46 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,731 – $24,464 · median $9,503 | 46 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,639 – $18,134 · median $7,174 | 46 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,082 – $54,356 · median $19,911 | 46 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,253 – $34,643 · median $13,423 | 46 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,876 – $27,676 · median $10,778 | 46 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,569 – $39,647 · median $14,888 | 46 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,427 – $19,918 · median $8,051 | 46 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,349 – $13,773 · median $5,739 | 46 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,199 – $28,955 · median $11,137 | 46 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,571 – $17,042 · median $7,098 | 46 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,057 – $15,748 · median $6,526 | 46 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,987 – $32,872 · median $13,127 | 46 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,659 – $20,228 · median $8,310 | 46 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,740 – $14,908 · median $6,173 | 46 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,766 – $31,629 · median $11,768 | 46 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,587 – $20,322 · median $8,229 | 46 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,884 – $37,804 · median $13,012 | 46 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,794 – $17,632 · median $7,347 | 46 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,561 – $37,581 · median $14,879 | 46 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,718 – $17,657 · median $7,262 | 46 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,661 – $45,061 · median $17,216 | 46 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,785 – $27,518 · median $10,676 | 46 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,041 – $18,844 · median $7,622 | 46 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,318 – $44,791 · median $16,835 | 46 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,288 – $25,683 · median $10,123 | 46 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,586 – $18,033 · median $7,115 | 46 plans |
| 088 | CONCUSSION WITH MCC | $8,914 – $26,669 · median $10,819 | 46 plans |
| 089 | CONCUSSION WITH CC | $6,775 – $21,659 · median $8,438 | 46 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,417 – $16,624 · median $6,927 | 46 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,518 – $34,623 · median $13,718 | 46 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,691 – $20,168 · median $8,345 | 46 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,988 – $15,699 · median $6,449 | 46 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,055 – $69,385 · median $26,559 | 46 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,147 – $50,849 · median $17,757 | 46 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $15,147 – $50,849 · median $17,757 | 46 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,653 – $71,207 · median $26,112 | 46 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,707 – $45,244 · median $16,154 | 46 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,804 – $26,860 · median $10,697 | 46 plans |
| 100 | SEIZURES WITH MCC | $12,545 – $38,184 · median $14,861 | 46 plans |
| 101 | SEIZURES WITHOUT MCC | $5,824 – $17,795 · median $7,380 | 46 plans |
| 102 | HEADACHES WITH MCC | $7,326 – $22,099 · median $9,052 | 46 plans |
| 103 | HEADACHES WITHOUT MCC | $5,372 – $16,506 · median $6,877 | 46 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,260 – $46,352 · median $16,770 | 46 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,470 – $26,674 · median $9,212 | 46 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,674 – $30,261 · median $11,665 | 46 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,543 – $35,647 · median $12,633 | 46 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,816 – $21,389 · median $8,484 | 46 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,350 – $22,934 · median $9,078 | 46 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,286 – $15,492 · median $5,668 | 46 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,075 – $15,744 · median $6,547 | 46 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,239 – $26,085 · median $10,068 | 46 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,218 – $16,092 · median $6,705 | 46 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,235 – $45,580 · median $17,855 | 46 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,181 – $20,017 · median $7,778 | 46 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,837 – $29,438 · median $10,734 | 46 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,141 – $17,471 · median $6,619 | 46 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,675 – $25,956 · median $10,554 | 46 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,723 – $84,090 · median $30,643 | 46 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,575 – $43,000 · median $16,008 | 46 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,935 – $31,473 · median $11,956 | 46 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $20,864 – $73,864 · median $24,121 | 46 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $11,100 – $34,164 · median $13,253 | 46 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,486 – $23,703 · median $9,230 | 46 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,495 – $43,368 · median $17,032 | 46 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,865 – $25,068 · median $9,652 | 46 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,060 – $15,715 · median $6,529 | 46 plans |
| 149 | DYSEQUILIBRIUM | $4,724 – $14,818 · median $6,155 | 46 plans |
| 150 | EPISTAXIS WITH MCC | $8,734 – $26,251 · median $10,619 | 46 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,790 – $14,950 · median $6,229 | 46 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,170 – $23,307 · median $8,879 | 46 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,497 – $14,554 · median $5,903 | 46 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $10,276 – $30,824 · median $12,336 | 46 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,899 – $18,069 · median $7,464 | 46 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,249 – $13,625 · median $5,627 | 46 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,347 – $33,847 · median $12,414 | 46 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,943 – $18,030 · median $7,513 | 46 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,168 – $13,968 · median $5,537 | 46 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,124 – $88,359 · median $33,315 | 46 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,904 – $49,761 · median $18,600 | 46 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,778 – $37,738 · median $14,008 | 46 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,335 – $73,689 · median $27,984 | 46 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,546 – $35,554 · median $13,749 | 46 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,555 – $26,939 · median $10,420 | 46 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,389 – $58,680 · median $22,480 | 46 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,904 – $27,081 · median $10,809 | 46 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,147 – $15,903 · median $6,626 | 46 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,215 – $30,809 · median $12,267 | 46 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,269 – $19,242 · median $7,876 | 46 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,864 – $15,147 · median $6,311 | 46 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,044 – $34,817 · median $13,190 | 46 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,015 – $21,115 · median $8,706 | 46 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,292 – $16,292 · median $6,788 | 46 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,030 – $30,162 · median $12,061 | 46 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,749 – $20,979 · median $8,409 | 46 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,914 – $15,506 · median $6,367 | 46 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,984 – $30,726 · median $12,011 | 46 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,344 – $19,500 · median $7,959 | 46 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,639 – $14,546 · median $6,061 | 46 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,820 – $24,356 · median $9,602 | 46 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,098 – $21,838 · median $8,798 | 46 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,429 – $16,656 · median $6,940 | 46 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,090 – $13,079 · median $5,450 | 46 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,327 – $25,913 · median $10,166 | 46 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,182 – $15,996 · median $6,665 | 46 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,936 – $12,667 · median $5,278 | 46 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,906 – $37,206 · median $14,150 | 46 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,255 – $18,864 · median $7,860 | 46 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,426 – $14,120 · median $5,824 | 46 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,154 – $34,779 · median $13,313 | 46 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,998 – $21,673 · median $8,687 | 46 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,277 – $14,098 · median $5,659 | 46 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,109 – $19,147 · median $7,697 | 46 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,400 – $13,908 · median $5,795 | 46 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,124 – $15,918 · median $6,601 | 46 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,929 – $36,098 · median $14,175 | 46 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,724 – $18,554 · median $7,269 | 46 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,870 – $126,860 · median $46,389 | 46 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $16,961 – $54,191 · median $19,777 | 46 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $68,834 – $214,383 · median $77,516 | 46 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $66,946 – $200,294 · median $75,414 | 46 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $60,982 – $192,868 · median $68,775 | 46 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,805 – $129,632 · median $46,317 | 46 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,593 – $129,632 · median $42,741 | 46 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,891 – $151,378 · median $55,317 | 46 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,468 – $105,136 · median $38,150 | 46 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,019 – $99,368 · median $33,198 | 46 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,487 – $97,538 · median $35,946 | 46 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,628 – $62,092 · median $22,745 | 46 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $53,544 – $166,195 · median $60,497 | 46 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $38,599 – $119,524 · median $43,861 | 46 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $49,389 – $150,725 · median $55,871 | 46 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $33,617 – $107,697 · median $38,316 | 46 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,180 – $115,699 · median $42,282 | 46 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,983 – $82,582 · median $29,818 | 46 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $31,826 – $97,031 · median $36,323 | 46 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,401 – $56,198 · median $21,380 | 46 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,541 – $28,544 · median $11,517 | 46 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,434 – $64,129 · median $24,756 | 46 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,235 – $42,590 · median $16,742 | 46 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,404 – $35,635 · median $13,591 | 46 plans |
| 245 | AICD GENERATOR PROCEDURES | $30,878 – $92,384 · median $35,267 | 46 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,614 – $43,724 · median $17,164 | 46 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,874 – $29,541 · median $11,888 | 46 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,676 – $68,772 · median $25,024 | 46 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,132 – $51,172 · median $18,854 | 46 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,054 – $35,126 · median $13,201 | 46 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,533 – $53,179 · median $19,300 | 46 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,702 – $33,474 · median $12,810 | 46 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,636 – $21,533 · median $7,171 | 46 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,728 – $61,947 · median $20,630 | 46 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,106 – $39,866 · median $13,260 | 46 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,528 – $64,409 · median $24,860 | 46 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,990 – $37,271 · median $14,243 | 46 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,590 – $32,133 · median $11,572 | 46 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,947 – $60,277 · median $19,761 | 46 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,085 – $66,075 · median $25,479 | 46 plans |
| 265 | AICD LEAD PROCEDURES | $22,540 – $71,333 · median $25,986 | 46 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $37,854 – $120,821 · median $43,032 | 46 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,727 – $93,859 · median $33,987 | 46 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,131 – $135,598 · median $47,792 | 46 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,290 – $83,260 · median $30,160 | 46 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,435 – $104,022 · median $37,000 | 46 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,765 – $70,112 · median $25,124 | 46 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,810 – $50,332 · median $18,496 | 46 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,708 – $81,334 · median $28,399 | 46 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $19,721 – $64,896 · median $22,848 | 46 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,654 – $140,576 · median $50,601 | 46 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,140 – $118,420 · median $44,464 | 46 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,398 – $91,054 · median $33,619 | 46 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,614 – $109,738 · median $36,086 | 46 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,248 – $71,100 · median $23,435 | 46 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,373 – $31,625 · median $12,443 | 46 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,825 – $18,120 · median $7,381 | 46 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,582 – $14,394 · median $5,998 | 46 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,356 – $39,051 · median $14,651 | 46 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,682 – $14,661 · median $6,109 | 46 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,547 – $11,807 · median $4,845 | 46 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,986 – $43,625 · median $16,465 | 46 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,885 – $21,097 · median $8,561 | 46 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $17,259 – $53,353 · median $20,109 | 46 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,963 – $33,652 · median $11,987 | 46 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,186 – $18,680 · median $7,783 | 46 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,246 – $25,310 · median $10,076 | 46 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,443 – $16,738 · median $6,956 | 46 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,469 – $11,421 · median $4,759 | 46 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,353 – $30,974 · median $12,421 | 46 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,451 – $14,045 · median $5,852 | 46 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,791 – $9,608 · median $4,004 | 46 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,222 – $32,189 · median $12,276 | 46 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,765 – $21,046 · median $8,427 | 46 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,507 – $14,195 · median $5,915 | 46 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,350 – $23,591 · median $9,079 | 46 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,249 – $13,505 · median $5,627 | 46 plans |
| 304 | HYPERTENSION WITH MCC | $7,424 – $23,461 · median $9,161 | 46 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,744 – $14,887 · median $6,178 | 46 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,462 – $31,067 · median $11,430 | 46 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,853 – $18,004 · median $7,413 | 46 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,621 – $23,737 · median $9,380 | 46 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,672 – $14,634 · median $6,097 | 46 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,536 – $11,599 · median $4,833 | 46 plans |
| 311 | ANGINA PECTORIS | $4,414 – $13,945 · median $5,810 | 46 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,506 – $17,184 · median $7,026 | 46 plans |
| 313 | CHEST PAIN | $4,507 – $14,195 · median $5,915 | 46 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,608 – $41,110 · median $16,044 | 46 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,081 – $18,991 · median $7,666 | 46 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,313 – $13,677 · median $5,699 | 46 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,090 – $131,824 · median $44,408 | 46 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,757 – $87,986 · median $31,793 | 46 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,626 – $47,420 · median $17,178 | 46 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,989 – $53,820 · median $20,920 | 46 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,432 – $34,758 · median $13,622 | 46 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $26,914 – $85,315 · median $30,855 | 46 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,189 – $62,122 · median $23,370 | 46 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,085 – $63,293 · median $21,028 | 46 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,093 – $98,327 · median $36,619 | 46 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,343 – $48,187 · median $17,976 | 46 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,069 – $31,589 · median $12,105 | 46 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,015 – $90,620 · median $33,194 | 46 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,936 – $47,261 · median $17,523 | 46 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,433 – $33,178 · median $12,510 | 46 plans |
| 332 | RECTAL RESECTION WITH MCC | $21,918 – $71,382 · median $25,294 | 46 plans |
| 333 | RECTAL RESECTION WITH CC | $13,429 – $46,176 · median $15,845 | 46 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,480 – $32,291 · median $12,562 | 46 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,900 – $70,400 · median $26,387 | 46 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,348 – $41,573 · median $15,755 | 46 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,700 – $30,263 · median $11,694 | 46 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,026 – $50,940 · median $19,849 | 46 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,410 – $29,665 · median $11,372 | 46 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,869 – $23,542 · median $9,656 | 46 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,955 – $45,258 · median $17,543 | 46 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,954 – $25,803 · median $9,751 | 46 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,566 – $17,164 · median $7,093 | 46 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,291 – $49,128 · median $17,918 | 46 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,508 – $30,056 · median $11,481 | 46 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,967 – $23,023 · median $8,652 | 46 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,533 – $57,213 · median $21,526 | 46 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,749 – $33,169 · median $12,862 | 46 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,424 – $26,517 · median $10,274 | 46 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,953 – $86,604 · median $30,899 | 46 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,230 – $45,847 · median $16,737 | 46 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,562 – $27,560 · median $10,428 | 46 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,552 – $31,571 · median $12,643 | 46 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,430 – $19,719 · median $8,055 | 46 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,410 – $13,935 · median $5,806 | 46 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,048 – $34,957 · median $13,194 | 46 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,504 – $20,129 · median $8,137 | 46 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,583 – $14,398 · median $5,999 | 46 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,343 – $42,164 · median $15,749 | 46 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,764 – $23,847 · median $9,540 | 46 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,579 – $18,223 · median $7,107 | 46 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,489 – $36,039 · median $13,685 | 46 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,230 – $19,335 · median $7,832 | 46 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,023 – $12,900 · median $5,375 | 46 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,160 – $38,685 · median $14,432 | 46 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,882 – $21,361 · median $8,558 | 46 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,735 – $15,784 · median $6,168 | 46 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,989 – $27,221 · median $9,789 | 46 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,495 – $16,852 · median $7,014 | 46 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,267 – $31,195 · median $12,325 | 46 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,271 – $19,248 · median $7,878 | 46 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,236 – $13,469 · median $5,612 | 46 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,289 – $29,115 · median $11,237 | 46 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,066 – $15,687 · median $6,536 | 46 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,457 – $11,389 · median $4,746 | 46 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,119 – $25,005 · median $9,935 | 46 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,931 – $15,370 · median $6,386 | 46 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,464 – $31,530 · median $12,545 | 46 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,948 – $18,447 · median $7,518 | 46 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,021 – $12,897 · median $5,374 | 46 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $15,656 – $47,215 · median $18,324 | 46 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,563 – $29,841 · median $11,542 | 46 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,103 – $22,568 · median $8,804 | 46 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $24,829 – $79,264 · median $28,534 | 46 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,302 – $107,851 · median $39,079 | 46 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,745 – $57,177 · median $20,649 | 46 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,495 – $43,759 · median $15,919 | 46 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,124 – $70,296 · median $25,523 | 46 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,247 – $42,925 · median $15,642 | 46 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,801 – $31,302 · median $11,807 | 46 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,292 – $65,125 · median $20,144 | 46 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,469 – $41,451 · median $15,890 | 46 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,505 – $32,737 · median $12,590 | 46 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,140 – $70,237 · median $25,541 | 46 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,499 – $40,745 · median $14,810 | 46 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,658 – $26,877 · median $10,535 | 46 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,017 – $47,048 · median $17,613 | 46 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,480 – $33,350 · median $12,563 | 46 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,326 – $26,927 · median $10,165 | 46 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,301 – $67,171 · median $25,721 | 46 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,347 – $34,255 · median $12,415 | 46 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,285 – $27,779 · median $11,232 | 46 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,700 – $81,876 · median $29,504 | 46 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,427 – $43,164 · median $16,956 | 46 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,767 – $29,578 · median $11,769 | 46 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $66,234 – $217,283 · median $74,622 | 46 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $44,857 – $142,315 · median $50,827 | 46 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $34,788 – $110,838 · median $39,619 | 46 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $52,701 – $177,624 · median $59,558 | 46 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $34,566 – $113,698 · median $39,372 | 46 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,380 – $38,803 · median $14,677 | 46 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,760 – $20,823 · median $8,421 | 46 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,401 – $14,047 · median $5,796 | 46 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,529 – $36,211 · median $13,730 | 46 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,125 – $22,300 · median $8,829 | 46 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $4,961 – $16,823 · median $6,420 | 46 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,514 – $32,139 · median $12,600 | 46 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,436 – $16,675 · median $6,948 | 46 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,887 – $12,537 · median $5,224 | 46 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,945 – $35,738 · median $14,193 | 46 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,105 – $19,031 · median $7,693 | 46 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,440 – $14,014 · median $5,839 | 46 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,644 – $32,942 · median $12,746 | 46 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,852 – $21,576 · median $8,525 | 46 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,038 – $16,310 · median $6,505 | 46 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,364 – $131,728 · median $48,053 | 46 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,802 – $83,607 · median $29,617 | 46 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $32,541 – $105,073 · median $37,119 | 46 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,499 – $63,687 · median $22,602 | 46 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,514 – $165,673 · median $60,463 | 46 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,265 – $117,563 · median $41,264 | 46 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,284 – $82,263 · median $31,267 | 46 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $38,778 – $116,020 · median $44,061 | 46 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,095 – $54,139 · median $21,039 | 46 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,127 – $112,366 · median $38,884 | 46 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,632 – $61,406 · median $21,637 | 46 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,969 – $35,954 · median $13,107 | 46 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,191 – $102,624 · median $36,729 | 46 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,642 – $69,527 · median $24,987 | 46 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,576 – $54,177 · median $19,348 | 46 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,654 – $61,794 · median $23,887 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $11,915 – $38,028 · median $14,159 | 46 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,692 – $95,198 · median $35,060 | 46 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,306 – $58,082 · median $21,274 | 46 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,959 – $48,130 · median $17,548 | 46 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,337 – $84,782 · median $32,439 | 46 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,631 – $44,865 · median $16,070 | 46 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,349 – $23,268 · median $9,078 | 46 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,730 – $68,107 · median $25,085 | 46 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,777 – $48,483 · median $17,345 | 46 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,221 – $36,648 · median $13,387 | 46 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,584 – $57,416 · median $21,583 | 46 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,111 – $41,293 · median $15,492 | 46 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,025 – $32,155 · median $12,056 | 46 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $16,102 – $54,648 · median $18,820 | 46 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,370 – $63,622 · median $23,571 | 46 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,401 – $41,226 · median $15,814 | 46 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,985 – $30,878 · median $12,011 | 46 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,419 – $37,156 · median $14,721 | 46 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,827 – $23,417 · median $9,609 | 46 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,439 – $72,386 · median $25,874 | 46 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,172 – $49,999 · median $17,785 | 46 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,915 – $39,558 · median $14,159 | 46 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,245 – $71,481 · median $25,658 | 46 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,467 – $37,300 · median $14,774 | 46 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,487 – $25,391 · median $10,344 | 46 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $15,954 – $59,476 · median $18,655 | 46 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,335 – $39,722 · median $9,062 | 46 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,022 – $62,394 · median $23,184 | 46 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,279 – $34,464 · median $13,452 | 46 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,828 – $26,534 · median $10,724 | 46 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,723 – $55,027 · median $19,512 | 46 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,094 – $36,851 · median $13,246 | 46 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,094 – $35,345 · median $13,246 | 46 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,472 – $28,340 · median $11,441 | 46 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,247 – $36,642 · median $14,529 | 46 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,155 – $29,856 · median $9,975 | 46 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,060 – $59,549 · median $21,000 | 46 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,394 – $40,995 · median $14,693 | 46 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,159 – $32,636 · median $12,205 | 46 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,513 – $31,037 · median $11,487 | 46 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,443 – $20,155 · median $8,069 | 46 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,540 – $62,830 · median $22,647 | 46 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,711 – $40,970 · median $15,046 | 46 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,432 – $30,296 · median $11,396 | 46 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,646 – $73,681 · median $26,105 | 46 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,459 – $39,434 · median $14,766 | 46 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,056 – $29,452 · median $10,977 | 46 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,418 – $56,586 · median $21,398 | 46 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,322 – $41,750 · median $15,726 | 46 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,635 – $30,907 · median $11,622 | 46 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,143 – $15,893 · median $6,622 | 46 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,404 – $25,275 · median $10,252 | 46 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,124 – $15,922 · median $6,601 | 46 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,807 – $18,814 · median $7,361 | 46 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,243 – $14,201 · median $5,621 | 46 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,782 – $38,833 · median $15,124 | 46 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,179 – $25,557 · median $10,002 | 46 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,528 – $16,921 · median $7,051 | 46 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,784 – $35,258 · median $14,015 | 46 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,703 – $20,267 · median $8,359 | 46 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,775 – $14,911 · median $6,213 | 46 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,966 – $48,927 · median $18,669 | 46 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,316 – $22,739 · median $9,040 | 46 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,715 – $16,486 · median $6,146 | 46 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,730 – $38,086 · median $15,067 | 46 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,614 – $23,800 · median $9,373 | 46 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,448 – $17,233 · median $6,961 | 46 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,782 – $33,044 · median $12,899 | 46 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,090 – $18,952 · median $7,677 | 46 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,255 – $25,557 · median $10,086 | 46 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,274 – $16,365 · median $6,768 | 46 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,509 – $26,059 · median $10,368 | 46 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,160 – $16,375 · median $6,640 | 46 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,793 – $29,314 · median $11,798 | 46 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,458 – $17,609 · median $6,973 | 46 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,729 – $36,767 · median $13,953 | 46 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,196 – $22,201 · median $8,907 | 46 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,166 – $15,956 · median $6,648 | 46 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,249 – $28,090 · median $11,193 | 46 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,647 – $17,655 · median $7,183 | 46 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,916 – $30,432 · median $11,935 | 46 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,443 – $19,366 · median $8,069 | 46 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,727 – $14,781 · median $6,159 | 46 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $19,023 – $57,984 · median $22,072 | 46 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,583 – $33,308 · median $12,677 | 46 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,219 – $22,599 · median $8,933 | 46 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,912 – $129,161 · median $44,209 | 46 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,894 – $68,439 · median $25,267 | 46 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,616 – $37,746 · median $14,940 | 46 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,091 – $101,996 · median $38,843 | 46 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,825 – $52,259 · median $19,625 | 46 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,681 – $31,957 · median $12,786 | 46 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,595 – $63,847 · median $23,821 | 46 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,203 – $34,068 · median $13,367 | 46 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,094 – $28,451 · median $11,020 | 46 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,065 – $37,983 · median $13,214 | 46 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,379 – $33,997 · median $12,450 | 46 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,937 – $42,204 · median $15,297 | 46 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,543 – $38,032 · median $14,859 | 46 plans |
| 592 | SKIN ULCERS WITH MCC | $12,993 – $38,875 · median $15,360 | 46 plans |
| 593 | SKIN ULCERS WITH CC | $7,726 – $23,388 · median $9,497 | 46 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,362 – $17,089 · median $6,866 | 46 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,365 – $41,810 · median $15,774 | 46 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,831 – $21,341 · median $8,501 | 46 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,099 – $33,208 · median $13,252 | 46 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,818 – $22,304 · median $8,486 | 46 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,402 – $16,585 · median $6,911 | 46 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,049 – $20,535 · median $7,630 | 46 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,788 – $12,274 · median $5,114 | 46 plans |
| 602 | CELLULITIS WITH MCC | $9,285 – $28,021 · median $11,233 | 46 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,566 – $17,170 · median $7,093 | 46 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,388 – $29,022 · median $11,347 | 46 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,837 – $18,059 · median $7,394 | 46 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,174 – $30,441 · median $12,222 | 46 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,462 – $17,870 · median $6,977 | 46 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,400 – $43,211 · median $16,926 | 46 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,055 – $27,587 · median $10,976 | 46 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,423 – $73,070 · median $28,082 | 46 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,210 – $36,873 · median $14,488 | 46 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,867 – $27,962 · median $9,654 | 46 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,228 – $56,925 · median $20,074 | 46 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,091 – $31,550 · median $12,130 | 46 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,237 – $29,738 · median $11,179 | 46 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,659 – $70,784 · median $27,232 | 46 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,095 – $36,186 · median $14,360 | 46 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,339 – $24,681 · median $7,953 | 46 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,116 – $59,541 · median $21,062 | 46 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,537 – $29,561 · median $11,513 | 46 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,005 – $26,187 · median $9,808 | 46 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $24,937 – $74,609 · median $28,654 | 46 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,219 – $42,955 · median $16,724 | 46 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,854 – $28,774 · median $10,753 | 46 plans |
| 637 | DIABETES WITH MCC | $9,202 – $28,325 · median $11,141 | 46 plans |
| 638 | DIABETES WITH CC | $5,796 – $17,669 · median $7,349 | 46 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,960 – $12,731 · median $5,305 | 46 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,392 – $26,331 · median $10,239 | 46 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,938 – $15,346 · median $6,394 | 46 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,843 – $28,037 · median $9,627 | 46 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,473 – $32,453 · median $12,554 | 46 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,531 – $20,208 · median $8,167 | 46 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,923 – $15,304 · median $6,377 | 46 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,224 – $105,386 · median $40,105 | 46 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,832 – $55,188 · median $20,746 | 46 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,126 – $41,729 · median $15,508 | 46 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,586 – $62,769 · median $23,811 | 46 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,551 – $36,078 · median $13,755 | 46 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,503 – $30,594 · median $11,475 | 46 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,330 – $50,094 · median $19,074 | 46 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,467 – $26,057 · median $10,322 | 46 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,487 – $20,413 · median $8,118 | 46 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,712 – $60,357 · median $22,838 | 46 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,651 – $29,971 · median $11,640 | 46 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,823 – $20,640 · median $8,492 | 46 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,696 – $64,912 · median $25,047 | 46 plans |
| 666 | PROSTATECTOMY WITH CC | $10,409 – $34,487 · median $12,483 | 46 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,494 – $21,809 · median $8,126 | 46 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,427 – $57,568 · median $21,408 | 46 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,779 – $30,598 · median $11,782 | 46 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,039 – $19,267 · median $7,619 | 46 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,892 – $35,388 · median $13,021 | 46 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,915 – $21,282 · median $8,594 | 46 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,477 – $82,835 · median $30,369 | 46 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,586 – $46,106 · median $17,133 | 46 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,891 – $32,360 · median $11,907 | 46 plans |
| 682 | RENAL FAILURE WITH MCC | $9,491 – $29,198 · median $11,462 | 46 plans |
| 683 | RENAL FAILURE WITH CC | $5,617 – $17,266 · median $7,150 | 46 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,839 – $12,409 · median $5,170 | 46 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,915 – $35,649 · median $14,160 | 46 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,651 – $20,657 · median $8,301 | 46 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,576 – $15,581 · median $5,991 | 46 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,396 – $22,875 · median $9,130 | 46 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,072 – $15,959 · median $6,543 | 46 plans |
| 693 | URINARY STONES WITH MCC | $9,291 – $27,797 · median $11,239 | 46 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,938 – $15,411 · median $6,394 | 46 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,126 – $22,550 · median $8,829 | 46 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,371 – $13,830 · median $5,763 | 46 plans |
| 697 | URETHRAL STRICTURE | $6,330 – $21,249 · median $7,944 | 46 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,622 – $32,617 · median $12,720 | 46 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,444 – $20,011 · median $8,070 | 46 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,386 – $13,871 · median $5,780 | 46 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,262 – $39,436 · median $14,546 | 46 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,367 – $30,247 · median $11,324 | 46 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,199 – $45,879 · median $16,702 | 46 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,487 – $28,384 · median $11,457 | 46 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,073 – $41,082 · median $14,336 | 46 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,759 – $21,681 · median $8,421 | 46 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,137 – $29,640 · median $11,067 | 46 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,937 – $20,847 · median $7,506 | 46 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $14,270 – $44,108 · median $16,781 | 46 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,968 – $29,001 · median $10,880 | 46 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,724 – $37,271 · median $13,948 | 46 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,784 – $26,479 · median $9,562 | 46 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $10,924 – $35,678 · median $13,057 | 46 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,096 – $22,528 · median $8,796 | 46 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,604 – $14,453 · median $6,022 | 46 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,982 – $23,880 · median $9,782 | 46 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,703 – $14,718 · median $6,133 | 46 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,285 – $29,235 · median $11,232 | 46 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,163 – $15,993 · median $6,645 | 46 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,956 – $20,872 · median $8,640 | 46 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,835 – $13,248 · median $5,166 | 46 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,287 – $41,993 · median $15,687 | 46 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,670 – $26,527 · median $9,435 | 46 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,880 – $74,439 · median $28,591 | 46 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,627 – $40,625 · median $14,953 | 46 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,585 – $28,951 · median $11,566 | 46 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,154 – $75,259 · median $28,896 | 46 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,489 – $35,676 · median $13,686 | 46 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,679 – $28,116 · median $10,558 | 46 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,542 – $36,173 · median $13,745 | 46 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,574 – $24,460 · median $9,328 | 46 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,347 – $40,398 · median $14,641 | 46 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,476 – $22,426 · median $8,106 | 46 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,581 – $34,247 · median $12,675 | 46 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,035 – $18,277 · median $7,615 | 46 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,608 – $27,351 · median $10,479 | 46 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,356 – $50,620 · median $19,103 | 46 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,148 – $29,095 · median $9,967 | 46 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,432 – $36,309 · median $13,623 | 46 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,015 – $21,446 · median $8,706 | 46 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,034 – $18,936 · median $7,614 | 46 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,943 – $28,230 · median $10,852 | 46 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,441 – $19,361 · median $8,067 | 46 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,044 – $13,083 · median $5,398 | 46 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,227 – $19,863 · median $7,829 | 46 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,006 – $12,855 · median $5,356 | 46 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,928 – $21,127 · median $8,608 | 46 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,780 – $33,314 · median $10,671 | 46 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,799 – $20,341 · median $8,465 | 46 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,508 – $14,197 · median $5,915 | 46 plans |
| 779 | ABORTION WITHOUT D&C | $5,906 – $17,932 · median $7,472 | 46 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,640 – $48,402 · median $13,853 | 46 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,844 – $20,900 · median $8,515 | 46 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,529 – $18,883 · median $7,051 | 46 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,210 – $32,520 · median $12,262 | 46 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,710 – $22,018 · median $8,366 | 46 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $5,719 – $18,903 · median $7,263 | 46 plans |
| 795 | NORMAL NEWBORN | $1,263 – $5,527 · median $2,303 | 46 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,067 – $24,135 · median $9,877 | 46 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,118 – $19,723 · median $7,707 | 46 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,118 – $18,869 · median $7,707 | 46 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,044 – $89,889 · median $34,339 | 46 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $2,209 – $55,387 · median $21,391 | 46 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $2,209 – $37,634 · median $12,445 | 46 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $2,209 – $78,547 · median $26,110 | 46 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $2,209 – $36,648 · median $13,417 | 46 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $2,209 – $26,734 · median $8,673 | 46 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,209 – $21,276 · median $7,916 | 46 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,209 – $14,865 · median $5,986 | 46 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,209 – $13,292 · median $5,379 | 46 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $2,209 – $43,529 · median $17,007 | 46 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $2,209 – $24,957 · median $9,609 | 46 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $2,209 – $20,634 · median $7,591 | 46 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $2,209 – $27,686 · median $10,792 | 46 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $2,209 – $18,102 · median $7,389 | 46 plans |
| 813 | COAGULATION DISORDERS | $2,209 – $30,071 · median $11,785 | 46 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $2,209 – $41,928 · median $15,600 | 46 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $2,209 – $19,991 · median $8,044 | 46 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $2,209 – $13,285 · median $5,535 | 46 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,209 – $47,171 · median $18,729 | 46 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,209 – $23,966 · median $9,957 | 46 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $16,953 · median $6,640 | 46 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $2,209 – $115,625 · median $41,847 | 46 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $2,209 – $44,134 · median $16,598 | 46 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $23,737 · median $8,941 | 46 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $2,209 – $90,389 · median $33,809 | 46 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $2,209 – $44,666 · median $16,367 | 46 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,209 – $26,603 · median $9,554 | 46 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $2,209 – $92,223 · median $34,485 | 46 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $2,209 – $45,565 · median $17,495 | 46 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $33,590 · median $12,171 | 46 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $2,209 – $62,299 · median $22,586 | 46 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $2,209 – $29,671 · median $11,183 | 46 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,209 – $23,707 · median $8,993 | 46 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,209 – $14,769 · median $6,154 | 46 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $10,929 · median $4,554 | 46 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $2,209 – $108,233 · median $39,772 | 46 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $2,209 – $41,122 · median $15,920 | 46 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $2,209 – $24,042 · median $9,835 | 46 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $2,209 – $94,717 · median $36,114 | 46 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $2,209 – $41,153 · median $15,162 | 46 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,209 – $28,466 · median $10,536 | 46 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $2,209 – $63,776 · median $23,331 | 46 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $2,209 – $32,163 · median $11,926 | 46 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $2,209 – $19,920 · median $8,295 | 46 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $2,209 – $39,327 · median $14,213 | 46 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $2,209 – $24,001 · median $9,303 | 46 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $2,209 – $16,789 · median $6,783 | 46 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $2,209 – $51,111 · median $18,859 | 46 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $2,209 – $25,791 · median $9,834 | 46 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $2,209 – $16,746 · median $6,657 | 46 plans |
| 849 | RADIOTHERAPY | $2,209 – $53,418 · median $19,684 | 46 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $2,209 – $171,395 · median $65,687 | 46 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $2,209 – $97,365 · median $36,076 | 46 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $2,209 – $39,393 · median $14,952 | 46 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $30,246 · median $12,331 | 46 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $2,209 – $89,678 · median $32,628 | 46 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $2,209 – $42,220 · median $16,223 | 46 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,209 – $27,461 · median $9,960 | 46 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $2,209 – $35,954 · median $13,830 | 46 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $2,209 – $19,674 · median $7,930 | 46 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $2,209 – $17,501 · median $7,213 | 46 plans |
| 865 | VIRAL ILLNESS WITH MCC | $2,209 – $29,539 · median $11,278 | 46 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $2,209 – $17,144 · median $7,120 | 46 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $2,209 – $41,267 · median $15,979 | 46 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $2,209 – $20,328 · median $8,283 | 46 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $2,209 – $14,386 · median $5,958 | 46 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $2,209 – $136,266 · median $49,827 | 46 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $2,209 – $38,296 · median $14,700 | 46 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $2,209 – $20,174 · median $8,149 | 46 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,995 – $83,757 · median $32,058 | 46 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,990 – $37,744 · median $14,243 | 46 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,703 – $23,059 · median $9,472 | 46 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $24,397 – $72,994 · median $28,054 | 46 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,414 – $31,159 · median $12,490 | 46 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,791 – $41,260 · median $16,248 | 46 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $25,172 – $75,692 · median $28,916 | 46 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,746 – $39,335 · median $15,084 | 46 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,014 – $25,880 · median $9,818 | 46 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,226 – $32,226 · median $12,279 | 46 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,790 – $17,622 · median $7,342 | 46 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,981 – $33,153 · median $13,121 | 46 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,196 – $13,363 · median $5,568 | 46 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,361 – $30,998 · median $12,430 | 46 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,589 – $17,083 · median $7,118 | 46 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,522 – $36,094 · median $13,723 | 46 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,419 – $19,760 · median $8,042 | 46 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,345 – $13,761 · median $5,734 | 46 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,674 – $34,489 · median $12,779 | 46 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,444 – $20,064 · median $8,070 | 46 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $149,906 – $448,503 · median $167,756 | 46 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,202 – $141,410 · median $47,872 | 46 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,096 – $63,498 · median $23,266 | 46 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,341 – $81,801 · median $31,330 | 46 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,559 – $43,582 · median $15,990 | 46 plans |
| 935 | NON-EXTENSIVE BURNS | $13,879 – $41,523 · median $16,346 | 46 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,055 – $71,536 · median $23,221 | 46 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,341 – $46,072 · median $15,748 | 46 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,349 – $39,976 · median $14,643 | 46 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,127 – $25,026 · median $9,943 | 46 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,021 – $15,782 · median $6,486 | 46 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,818 – $23,455 · median $8,486 | 46 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,704 – $12,375 · median $5,020 | 46 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,582 – $11,724 · median $4,885 | 46 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $43,146 – $132,704 · median $48,923 | 46 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,153 – $74,188 · median $27,782 | 46 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,164 – $150,226 · median $53,395 | 46 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,968 – $83,077 · median $29,802 | 46 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,706 – $58,043 · median $19,492 | 46 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,166 – $53,897 · median $20,005 | 46 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,480 – $30,215 · median $11,449 | 46 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,766 – $18,542 · median $7,316 | 46 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $39,961 – $120,681 · median $45,378 | 46 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,766 – $51,996 · median $19,559 | 46 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,869 – $56,897 · median $21,900 | 46 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,981 – $26,871 · median $10,894 | 46 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,337 – $19,084 · median $7,952 | 46 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,111 – $27,259 · median $11,039 | 46 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,043 – $92,499 · median $34,338 | 46 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,472 – $48,469 · median $18,119 | 46 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,541 – $33,792 · median $12,630 | 46 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,136 – $67,591 · median $25,536 | 46 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,844 – $32,443 · median $12,967 | 46 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,301 – $23,642 · median $9,024 | 46 plans |
| 077 | Inpatient Services | $9,771 – $29,232 · median $11,773 | 45 plans |
| 078 | Inpatient Services | $6,305 – $18,998 · median $7,916 | 45 plans |
| 079 | Inpatient Services | $4,213 – $13,408 · median $5,587 | 45 plans |
| 294 | Inpatient Services | $7,759 – $23,215 · median $9,534 | 45 plans |
| 295 | Inpatient Services | $4,991 – $15,486 · median $6,453 | 45 plans |
| 509 | Inpatient Services | $11,099 – $33,208 · median $13,252 | 45 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $177,986 – $552,491 · median $244,027 | 42 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $69,634 – $223,406 · median $95,745 | 42 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $67,289 – $203,272 · median $92,536 | 42 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,641 – $91,673 · median $42,381 | 42 plans |
| 007 | LUNG TRANSPLANT | $82,577 – $255,313 · median $113,458 | 42 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $34,381 – $110,495 · median $47,500 | 42 plans |
| 010 | PANCREAS TRANSPLANT | $50,379 – $150,730 · median $69,394 | 42 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $82,786 – $247,686 · median $113,743 | 42 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,139 – $116,904 · median $52,643 | 42 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,139 – $114,107 · median $52,643 | 42 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $238,294 – $851,349 · median $326,560 | 42 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,089 – $149,862 · median $68,998 | 42 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,112 – $92,688 · median $40,289 | 42 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,941 – $73,060 · median $30,476 | 42 plans |
| 652 | KIDNEY TRANSPLANT | $19,407 – $63,670 · median $27,008 | 42 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,077 – $76,197 · median $28,536 | 42 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,712 – $18,930 · median $7,640 | 42 plans |
| 881 | DEPRESSIVE NEUROSES | $1,712 – $18,550 · median $7,327 | 42 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,712 – $21,170 · median $7,663 | 42 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,712 – $38,766 · median $13,955 | 42 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,712 – $31,719 · median $12,644 | 42 plans |
| 885 | PSYCHOSES | $1,712 – $27,538 · median $10,811 | 42 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,712 – $40,915 · median $13,533 | 42 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,712 – $22,230 · median $9,263 | 42 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,077 – $12,689 · median $5,287 | 42 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,077 – $27,909 · median $11,082 | 42 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,077 – $34,405 · median $13,423 | 42 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,077 – $17,404 · median $7,103 | 42 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,077 – $30,531 · median $13,649 | 42 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,077 – $22,609 · median $10,103 | 42 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,391 – $35,530 · median $13,577 | 41 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,567 – $117,176 · median $42,713 | 41 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,656 – $80,023 · median $29,455 | 41 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,480 – $48,286 · median $18,129 | 41 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,354 – $82,204 · median $30,232 | 41 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,328 – $29,097 · median $11,281 | 41 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $223,150 – $223,150 · median $223,150 | 1 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $112,512 – $112,512 · median $112,512 | 1 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $47,754 – $47,754 · median $47,754 | 1 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $67,792 – $67,792 · median $67,792 | 1 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $47,598 – $47,598 · median $47,598 | 1 plans |
No procedures match that keyword.