Minden Medical Center — Pricing
826 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 826 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 826 procedures
Procedures with negotiated rates only
These 826 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $1,156 – $320,483 · median $174,732 | 149 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $1,156 – $129,591 · median $76,230 | 149 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $1,156 – $242,733 · median $131,232 | 149 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $1,156 – $158,405 · median $82,400 | 149 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,156 – $117,911 · median $66,737 | 149 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $1,156 – $53,029 · median $31,188 | 149 plans |
| 007 | LUNG TRANSPLANT | $1,156 – $148,099 · median $72,912 | 149 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $1,156 – $64,094 · median $33,927 | 149 plans |
| 010 | PANCREAS TRANSPLANT | $1,156 – $84,602 · median $40,113 | 149 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $1,156 – $62,373 · median $33,248 | 149 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $1,156 – $48,214 · median $25,824 | 149 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $1,156 – $32,956 · median $17,317 | 149 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $1,156 – $89,988 · median $52,934 | 149 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $1,156 – $60,540 · median $35,612 | 149 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $1,156 – $42,570 · median $21,375 | 149 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $1,156 – $65,532 · median $36,552 | 149 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $1,156 – $44,737 · median $24,430 | 149 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $1,156 – $51,996 · median $28,474 | 149 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $1,156 – $35,557 · median $19,042 | 149 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $1,156 – $28,852 · median $15,687 | 149 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $1,156 – $68,711 · median $38,856 | 149 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | $1,156 – $39,015 · median $22,105 | 149 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,156 – $25,104 · median $14,767 | 149 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $1,156 – $51,239 · median $26,544 | 149 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $1,156 – $24,370 · median $13,888 | 149 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,156 – $19,017 · median $10,464 | 149 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $1,156 – $44,266 · median $25,156 | 149 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $1,156 – $27,338 · median $14,827 | 149 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $1,156 – $22,218 · median $11,659 | 149 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $1,156 – $37,649 · median $21,766 | 149 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $1,156 – $18,556 · median $10,316 | 149 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,156 – $13,443 · median $7,357 | 149 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $1,156 – $44,157 · median $24,828 | 149 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $1,156 – $25,144 · median $14,384 | 149 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $1,156 – $19,758 · median $11,218 | 149 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,156 – $21,355 · median $11,237 | 149 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,156 – $11,198 · median $6,344 | 149 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,156 – $17,462 · median $9,501 | 149 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,156 – $11,660 · median $6,859 | 149 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,295 – $26,571 · median $14,248 | 149 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,283 – $14,817 · median $8,452 | 149 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,156 – $19,587 · median $11,142 | 149 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,156 – $14,191 · median $7,655 | 149 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $1,156 – $10,519 · median $5,786 | 149 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $1,156 – $31,530 · median $18,072 | 149 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $1,156 – $20,095 · median $11,821 | 149 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $1,156 – $16,054 · median $9,443 | 149 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $1,156 – $22,998 · median $12,915 | 149 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $1,156 – $11,554 · median $6,554 | 149 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $1,156 – $7,827 · median $4,433 | 149 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,156 – $16,796 · median $9,136 | 149 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $1,156 – $9,885 · median $5,616 | 149 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,156 – $9,135 · median $5,150 | 149 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $1,156 – $19,039 · median $11,199 | 149 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,156 – $11,733 · median $6,846 | 149 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,156 – $8,648 · median $5,049 | 149 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,156 – $18,347 · median $9,756 | 149 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,156 – $11,788 · median $6,617 | 149 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,156 – $21,929 · median $12,288 | 149 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,156 – $9,729 · median $5,551 | 149 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,156 – $17,684 · median $9,742 | 149 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,156 – $11,412 · median $6,557 | 149 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,156 – $7,624 · median $4,485 | 149 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,237 – $20,893 · median $12,176 | 149 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,237 – $10,242 · median $5,628 | 149 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,156 – $26,138 · median $14,690 | 149 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,156 – $15,962 · median $8,746 | 149 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,156 – $10,931 · median $5,930 | 149 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,156 – $25,982 · median $14,655 | 149 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,156 – $14,898 · median $8,493 | 149 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,156 – $10,461 · median $5,714 | 149 plans |
| 088 | CONCUSSION WITH MCC | $1,156 – $15,459 · median $9,094 | 149 plans |
| 089 | CONCUSSION WITH CC | $1,156 – $12,564 · median $7,390 | 149 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,156 – $9,414 · median $5,538 | 149 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,156 – $20,084 · median $11,467 | 149 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,156 – $11,699 · median $6,616 | 149 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,156 – $9,107 · median $4,993 | 149 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $1,156 – $40,248 · median $23,359 | 149 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $1,156 – $29,496 · median $15,373 | 149 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $1,156 – $29,496 · median $14,418 | 149 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $1,156 – $41,305 · median $23,451 | 149 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $1,156 – $26,245 · median $13,892 | 149 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $1,156 – $15,580 · median $8,513 | 149 plans |
| 100 | SEIZURES WITH MCC | $1,156 – $22,149 · median $12,270 | 149 plans |
| 101 | SEIZURES WITHOUT MCC | $1,156 – $10,322 · median $5,865 | 149 plans |
| 102 | HEADACHES WITH MCC | $1,156 – $12,819 · median $7,540 | 149 plans |
| 103 | HEADACHES WITHOUT MCC | $1,156 – $9,564 · median $5,432 | 149 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,156 – $26,887 · median $15,816 | 149 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,156 – $15,473 · median $7,943 | 149 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,156 – $17,553 · median $10,087 | 149 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,156 – $20,678 · median $11,170 | 149 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,156 – $12,407 · median $7,298 | 149 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,156 – $13,304 · median $7,344 | 149 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,156 – $8,986 · median $4,801 | 149 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,156 – $9,133 · median $5,184 | 149 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $1,156 – $15,131 · median $8,524 | 149 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,156 – $8,781 · median $5,142 | 149 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,156 – $25,584 · median $14,598 | 149 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,156 – $11,611 · median $6,734 | 149 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,156 – $17,076 · median $9,702 | 149 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,156 – $10,135 · median $5,582 | 149 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,156 – $14,569 · median $7,658 | 149 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,156 – $24,343 · median $13,612 | 149 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,156 – $14,541 · median $7,968 | 149 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $1,156 – $9,116 · median $5,362 | 149 plans |
| 149 | DYSEQUILIBRIUM | $1,156 – $8,595 · median $4,802 | 149 plans |
| 150 | EPISTAXIS WITH MCC | $1,156 – $15,227 · median $8,476 | 149 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,156 – $8,394 · median $4,938 | 149 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,156 – $13,520 · median $7,662 | 149 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,156 – $8,442 · median $4,738 | 149 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | $1,156 – $17,880 · median $9,918 | 149 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $1,156 – $10,481 · median $6,104 | 149 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $1,156 – $7,903 · median $4,227 | 149 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,156 – $19,633 · median $11,007 | 149 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,156 – $10,405 · median $6,051 | 149 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,156 – $8,102 · median $4,354 | 149 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $1,156 – $51,254 · median $30,149 | 149 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $1,156 – $28,865 · median $16,445 | 149 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,156 – $21,891 · median $12,099 | 149 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,156 – $42,745 · median $25,144 | 149 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,156 – $20,624 · median $11,734 | 149 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | $1,156 – $15,626 · median $8,742 | 149 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,156 – $15,709 · median $9,047 | 149 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,156 – $9,206 · median $5,259 | 149 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,156 – $17,871 · median $10,512 | 149 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,156 – $11,162 · median $6,362 | 149 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $1,156 – $8,634 · median $4,922 | 149 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,156 – $20,196 · median $11,208 | 149 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,156 – $12,248 · median $7,100 | 149 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,156 – $8,887 · median $5,071 | 149 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,156 – $17,496 · median $10,152 | 149 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,156 – $12,169 · median $6,783 | 149 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,156 – $8,994 · median $4,873 | 149 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,156 – $17,823 · median $10,008 | 149 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,156 – $11,311 · median $6,424 | 149 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,156 – $8,202 · median $4,813 | 149 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,156 – $14,128 · median $7,944 | 149 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,156 – $12,668 · median $7,106 | 149 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,156 – $9,641 · median $5,474 | 149 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $1,156 – $7,342 · median $4,138 | 149 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,156 – $15,032 · median $8,554 | 149 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,156 – $9,216 · median $5,302 | 149 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,156 – $7,188 · median $4,034 | 149 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,156 – $21,582 · median $11,887 | 149 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,156 – $10,854 · median $6,385 | 149 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,156 – $8,190 · median $4,818 | 149 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,156 – $20,174 · median $11,439 | 149 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,156 – $12,572 · median $6,945 | 149 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,156 – $8,178 · median $4,553 | 149 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,156 – $11,107 · median $6,174 | 149 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,156 – $7,662 · median $4,481 | 149 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,156 – $9,233 · median $5,306 | 149 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,156 – $20,939 · median $11,117 | 149 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,156 – $10,762 · median $5,890 | 149 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $1,156 – $73,588 · median $40,838 | 149 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $1,156 – $31,434 · median $17,434 | 149 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $1,156 – $113,869 · median $65,865 | 149 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $111,877 · median $62,580 | 149 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $75,195 · median $41,043 | 149 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $75,195 · median $36,757 | 149 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $87,809 · median $49,722 | 149 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $60,986 · median $33,817 | 149 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $1,156 – $57,640 · median $29,974 | 149 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $1,156 – $56,579 · median $32,490 | 149 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $1,156 – $36,018 · median $20,502 | 149 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,156 – $96,405 · median $52,327 | 149 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,156 – $69,332 · median $38,357 | 149 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $1,156 – $87,431 · median $50,292 | 149 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $1,156 – $62,472 · median $33,516 | 149 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $1,156 – $67,114 · median $37,918 | 149 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $1,156 – $47,903 · median $26,058 | 149 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $1,156 – $56,285 · median $30,994 | 149 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $1,156 – $32,598 · median $18,114 | 149 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $1,156 – $16,022 · median $8,989 | 149 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $1,156 – $36,513 · median $21,478 | 149 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,156 – $24,369 · median $14,335 | 149 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,156 – $20,671 · median $11,797 | 149 plans |
| 245 | AICD GENERATOR PROCEDURES | $1,156 – $52,176 · median $29,218 | 149 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $1,156 – $24,959 · median $14,682 | 149 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $1,156 – $17,091 · median $10,054 | 149 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $1,156 – $39,892 · median $21,625 | 149 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $1,156 – $29,683 · median $16,449 | 149 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,156 – $20,376 · median $11,188 | 149 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $1,156 – $30,848 · median $17,715 | 149 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $1,156 – $19,417 · median $10,573 | 149 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $1,156 – $12,490 · median $6,390 | 149 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,156 – $35,933 · median $17,565 | 149 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,156 – $23,125 · median $12,036 | 149 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $1,156 – $37,199 · median $21,376 | 149 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $1,156 – $21,620 · median $12,134 | 149 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $1,156 – $18,640 · median $10,609 | 149 plans |
| 263 | VEIN LIGATION AND STRIPPING | $1,156 – $34,965 · median $17,401 | 149 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $1,156 – $38,203 · median $21,059 | 149 plans |
| 265 | AICD LEAD PROCEDURES | $1,156 – $41,378 · median $22,788 | 149 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $1,156 – $18,345 · median $10,230 | 149 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $1,156 – $10,511 · median $5,887 | 149 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $1,156 – $8,269 · median $4,630 | 149 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,156 – $22,653 · median $12,712 | 149 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,156 – $7,916 · median $4,656 | 149 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $1,156 – $6,849 · median $3,348 | 149 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $1,156 – $25,306 · median $13,899 | 149 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $1,156 – $12,238 · median $6,974 | 149 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,156 – $30,948 · median $16,720 | 149 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,156 – $19,520 · median $9,542 | 149 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,156 – $10,632 · median $6,254 | 149 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,156 – $14,682 · median $8,279 | 149 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,156 – $9,709 · median $5,523 | 149 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,156 – $6,473 · median $3,621 | 149 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,156 – $14,043 · median $7,052 | 149 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,156 – $9,032 · median $5,140 | 149 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,156 – $17,862 · median $10,337 | 149 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,156 – $7,474 · median $4,265 | 149 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,156 – $5,205 · median $2,835 | 149 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,156 – $18,672 · median $10,163 | 149 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,156 – $12,208 · median $6,880 | 149 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,156 – $8,231 · median $4,577 | 149 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,156 – $13,684 · median $7,229 | 149 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,156 – $7,699 · median $4,243 | 149 plans |
| 304 | HYPERTENSION WITH MCC | $1,156 – $13,609 · median $7,409 | 149 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,156 – $8,635 · median $4,859 | 149 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,156 – $18,021 · median $9,909 | 149 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $1,156 – $10,443 · median $6,078 | 149 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $1,156 – $13,769 · median $7,752 | 149 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $1,156 – $8,414 · median $4,802 | 149 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $1,156 – $6,474 · median $3,566 | 149 plans |
| 311 | ANGINA PECTORIS | $1,156 – $8,027 · median $4,501 | 149 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,156 – $9,968 · median $5,568 | 149 plans |
| 313 | CHEST PAIN | $1,156 – $8,234 · median $4,666 | 149 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,156 – $23,846 · median $13,499 | 149 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,156 – $11,016 · median $6,237 | 149 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,156 – $7,801 · median $4,467 | 149 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $1,156 – $57,036 · median $32,749 | 149 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | $1,156 – $27,952 · median $15,757 | 149 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | $1,156 – $18,324 · median $10,299 | 149 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,156 – $52,566 · median $29,124 | 149 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,156 – $27,415 · median $15,295 | 149 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $1,156 – $19,246 · median $10,781 | 149 plans |
| 332 | RECTAL RESECTION WITH MCC | $1,156 – $41,407 · median $23,563 | 149 plans |
| 333 | RECTAL RESECTION WITH CC | $1,156 – $26,786 · median $13,409 | 149 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,156 – $18,731 · median $9,657 | 149 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,156 – $40,837 · median $23,052 | 149 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,156 – $24,115 · median $13,575 | 149 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,156 – $17,554 · median $9,649 | 149 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,156 – $29,537 · median $17,375 | 149 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,156 – $17,208 · median $9,934 | 149 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $1,156 – $13,565 · median $7,980 | 149 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,156 – $26,253 · median $15,443 | 149 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,156 – $14,967 · median $8,391 | 149 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,156 – $9,956 · median $5,857 | 149 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,156 – $28,497 · median $15,475 | 149 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,156 – $17,434 · median $9,386 | 149 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $1,156 – $13,355 · median $7,151 | 149 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $1,156 – $33,187 · median $18,856 | 149 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $1,156 – $19,240 · median $11,076 | 149 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $1,156 – $15,381 · median $8,786 | 149 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,156 – $50,236 · median $27,589 | 149 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,156 – $26,595 · median $14,165 | 149 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | $1,156 – $15,986 · median $8,261 | 149 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,156 – $18,205 · median $10,652 | 149 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,156 – $11,438 · median $6,373 | 149 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,156 – $8,014 · median $4,714 | 149 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $1,156 – $20,277 · median $11,269 | 149 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $1,156 – $11,676 · median $6,721 | 149 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $1,156 – $8,319 · median $4,620 | 149 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,156 – $24,458 · median $13,534 | 149 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,156 – $13,833 · median $7,727 | 149 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,156 – $10,570 · median $5,748 | 149 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,156 – $20,905 · median $11,544 | 149 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,156 – $11,215 · median $6,344 | 149 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,156 – $7,209 · median $4,083 | 149 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,156 – $22,440 · median $12,564 | 149 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,156 – $12,391 · median $6,919 | 149 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,156 – $9,156 · median $4,882 | 149 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,156 – $15,790 · median $9,016 | 149 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,156 – $9,776 · median $5,647 | 149 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,156 – $18,095 · median $10,103 | 149 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,156 – $11,165 · median $6,265 | 149 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,156 – $7,791 · median $4,411 | 149 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,156 – $16,889 · median $9,372 | 149 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,156 – $9,032 · median $5,135 | 149 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,156 – $6,221 · median $3,604 | 149 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $1,156 – $14,504 · median $8,226 | 149 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $1,156 – $8,916 · median $5,066 | 149 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,156 – $18,290 · median $10,443 | 149 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,156 – $10,701 · median $6,041 | 149 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,156 – $7,422 · median $4,175 | 149 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,156 – $62,561 · median $35,498 | 149 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,156 – $33,167 · median $18,618 | 149 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | $1,156 – $25,383 · median $13,870 | 149 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $1,156 – $40,776 · median $23,986 | 149 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $1,156 – $24,900 · median $12,621 | 149 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $1,156 – $18,157 · median $10,092 | 149 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,156 – $37,777 · median $19,605 | 149 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,156 – $24,044 · median $13,322 | 149 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,156 – $18,990 · median $9,734 | 149 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $1,156 – $40,742 · median $22,730 | 149 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $1,156 – $23,635 · median $12,740 | 149 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $1,156 – $15,591 · median $8,635 | 149 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | $1,156 – $27,291 · median $14,945 | 149 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | $1,156 – $19,345 · median $10,541 | 149 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | $1,156 – $15,619 · median $8,468 | 149 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,156 – $38,964 · median $20,639 | 149 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,156 – $19,870 · median $11,024 | 149 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,156 – $16,005 · median $9,098 | 149 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $1,156 – $47,494 · median $25,217 | 149 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $1,156 – $25,021 · median $13,745 | 149 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $1,156 – $17,158 · median $10,093 | 149 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,156 – $22,508 · median $12,354 | 149 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,156 – $12,079 · median $6,648 | 149 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,156 – $8,148 · median $4,317 | 149 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $1,156 – $21,005 · median $11,348 | 149 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $1,156 – $12,935 · median $7,097 | 149 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $1,156 – $9,758 · median $5,359 | 149 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,156 – $18,643 · median $10,760 | 149 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,156 – $9,620 · median $5,514 | 149 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $1,156 – $7,106 · median $3,969 | 149 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $1,156 – $20,524 · median $11,788 | 149 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $1,156 – $11,039 · median $6,135 | 149 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $1,156 – $8,002 · median $4,608 | 149 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,156 – $19,108 · median $10,531 | 149 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,156 – $12,516 · median $7,008 | 149 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,156 – $9,461 · median $5,168 | 149 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $1,156 – $96,102 · median $54,353 | 149 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $1,156 – $68,194 · median $39,174 | 149 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $1,156 – $47,718 · median $28,069 | 149 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $1,156 – $63,568 · median $36,430 | 149 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $1,156 – $30,420 · median $17,894 | 149 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $1,156 – $65,180 · median $36,520 | 149 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $1,156 – $35,620 · median $19,353 | 149 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $1,156 – $20,856 · median $12,063 | 149 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $1,156 – $59,529 · median $33,443 | 149 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $1,156 – $40,330 · median $22,480 | 149 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,156 – $31,426 · median $17,214 | 149 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $1,156 – $34,688 · median $20,405 | 149 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $1,156 – $22,059 · median $12,133 | 149 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $1,156 – $55,221 · median $31,718 | 149 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $1,156 – $33,692 · median $19,056 | 149 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $1,156 – $27,919 · median $15,866 | 149 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $1,156 – $49,094 · median $27,744 | 149 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $1,156 – $26,025 · median $13,829 | 149 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $1,156 – $13,497 · median $7,589 | 149 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $1,156 – $39,507 · median $21,723 | 149 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $1,156 – $28,124 · median $15,370 | 149 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $1,156 – $21,258 · median $12,019 | 149 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | $1,156 – $33,305 · median $19,015 | 149 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | $1,156 – $23,953 · median $13,379 | 149 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | $1,156 – $18,652 · median $10,242 | 149 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | $1,156 – $31,700 · median $16,018 | 149 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $1,156 – $36,905 · median $21,240 | 149 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $1,156 – $23,914 · median $12,950 | 149 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $1,156 – $17,911 · median $9,962 | 149 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $1,156 – $20,855 · median $11,900 | 149 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $1,156 – $13,141 · median $7,513 | 149 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $1,156 – $41,989 · median $22,324 | 149 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $1,156 – $29,003 · median $15,486 | 149 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $1,156 – $22,946 · median $12,053 | 149 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $1,156 – $41,464 · median $22,428 | 149 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $1,156 – $20,936 · median $12,135 | 149 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $1,156 – $14,246 · median $8,128 | 149 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $1,156 – $34,500 · median $16,864 | 149 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $1,156 – $23,041 · median $11,131 | 149 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,156 – $36,193 · median $20,910 | 149 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,156 – $19,991 · median $11,192 | 149 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,156 – $15,392 · median $8,916 | 149 plans |
| 503 | FOOT PROCEDURES WITH MCC | $1,156 – $31,919 · median $17,293 | 149 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,156 – $21,376 · median $11,136 | 149 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,156 – $20,503 · median $10,998 | 149 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $1,156 – $15,907 · median $9,076 | 149 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | $1,156 – $20,658 · median $12,152 | 149 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | $1,156 – $17,319 · median $9,246 | 149 plans |
| 509 | ARTHROSCOPY | $1,156 – $20,090 · median $9,820 | 149 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $1,156 – $34,543 · median $17,542 | 149 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $1,156 – $23,780 · median $12,856 | 149 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $1,156 – $18,931 · median $10,406 | 149 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $1,156 – $18,004 · median $10,452 | 149 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $1,156 – $11,691 · median $6,716 | 149 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $36,446 · median $20,385 | 149 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $23,765 · median $13,159 | 149 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $17,574 · median $9,636 | 149 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,156 – $17,928 · median $10,519 | 149 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,156 – $9,219 · median $5,223 | 149 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,156 – $14,661 · median $8,361 | 149 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,156 – $9,236 · median $5,075 | 149 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $1,156 – $10,913 · median $6,235 | 149 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $1,156 – $8,237 · median $4,572 | 149 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,156 – $22,526 · median $12,795 | 149 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,156 – $14,825 · median $8,371 | 149 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,156 – $9,284 · median $5,297 | 149 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $1,156 – $20,202 · median $11,759 | 149 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $1,156 – $11,756 · median $6,915 | 149 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $1,156 – $8,630 · median $4,949 | 149 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,156 – $28,381 · median $16,076 | 149 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,156 – $13,190 · median $7,733 | 149 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,156 – $9,563 · median $5,309 | 149 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,156 – $22,082 · median $12,572 | 149 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,156 – $13,806 · median $7,778 | 149 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,156 – $9,996 · median $5,880 | 149 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,156 – $19,168 · median $10,974 | 149 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,156 – $10,993 · median $6,231 | 149 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,156 – $14,825 · median $8,714 | 149 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,156 – $9,493 · median $5,299 | 149 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $1,156 – $15,116 · median $8,892 | 149 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $1,156 – $9,499 · median $5,316 | 149 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,156 – $17,004 · median $10,003 | 149 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,156 – $10,215 · median $5,664 | 149 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $1,156 – $21,327 · median $11,932 | 149 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $1,156 – $12,878 · median $7,300 | 149 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $1,156 – $9,193 · median $5,031 | 149 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $1,156 – $16,294 · median $9,585 | 149 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $1,156 – $10,241 · median $5,775 | 149 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $17,653 · median $10,071 | 149 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $11,143 · median $6,444 | 149 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $1,156 – $8,569 · median $4,839 | 149 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,156 – $74,922 · median $36,623 | 149 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,156 – $39,699 · median $21,961 | 149 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | $1,156 – $21,187 · median $12,089 | 149 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $1,156 – $57,250 · median $32,971 | 149 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $1,156 – $30,314 · median $17,081 | 149 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $1,156 – $18,371 · median $10,385 | 149 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $1,156 – $37,036 · median $19,811 | 149 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $1,156 – $19,761 · median $11,262 | 149 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $1,156 – $16,503 · median $8,684 | 149 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,156 – $22,033 · median $11,036 | 149 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,156 – $19,720 · median $9,813 | 149 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $1,156 – $24,481 · median $12,629 | 149 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $1,156 – $22,061 · median $10,858 | 149 plans |
| 592 | SKIN ULCERS WITH MCC | $1,156 – $22,132 · median $11,033 | 149 plans |
| 593 | SKIN ULCERS WITH CC | $1,156 – $13,567 · median $7,788 | 149 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,156 – $9,913 · median $5,077 | 149 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,156 – $24,252 · median $14,024 | 149 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,156 – $12,380 · median $6,506 | 149 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,156 – $19,065 · median $10,320 | 149 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,156 – $12,938 · median $7,610 | 149 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,156 – $9,071 · median $4,338 | 149 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,156 – $11,912 · median $6,612 | 149 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,156 – $6,919 · median $4,070 | 149 plans |
| 602 | CELLULITIS WITH MCC | $1,156 – $16,254 · median $9,561 | 149 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,156 – $9,960 · median $5,705 | 149 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $1,156 – $16,835 · median $9,712 | 149 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $1,156 – $10,475 · median $5,860 | 149 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,156 – $17,305 · median $10,179 | 149 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,156 – $10,366 · median $5,761 | 149 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,156 – $25,066 · median $14,523 | 149 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,156 – $16,002 · median $9,413 | 149 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $1,156 – $41,012 · median $23,460 | 149 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $1,156 – $21,389 · median $12,582 | 149 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $1,156 – $16,220 · median $7,928 | 149 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,156 – $33,020 · median $16,781 | 149 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,156 – $18,301 · median $10,460 | 149 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,156 – $17,250 · median $9,784 | 149 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $1,156 – $40,703 · median $23,943 | 149 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $1,156 – $20,515 · median $12,002 | 149 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $1,156 – $14,317 · median $7,186 | 149 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $1,156 – $34,538 · median $18,836 | 149 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $1,156 – $17,147 · median $9,620 | 149 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $1,156 – $15,191 · median $7,897 | 149 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $1,156 – $42,620 · median $25,071 | 149 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $1,156 – $24,917 · median $14,591 | 149 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $1,156 – $16,691 · median $9,003 | 149 plans |
| 637 | DIABETES WITH MCC | $1,156 – $16,430 · median $9,345 | 149 plans |
| 638 | DIABETES WITH CC | $1,156 – $10,249 · median $5,799 | 149 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,156 – $7,104 · median $4,014 | 149 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $1,156 – $15,274 · median $8,480 | 149 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $1,156 – $8,900 · median $5,038 | 149 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,156 – $16,263 · median $8,404 | 149 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,156 – $18,825 · median $10,608 | 149 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,156 – $11,722 · median $6,846 | 149 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,156 – $8,786 · median $4,906 | 149 plans |
| 652 | KIDNEY TRANSPLANT | $1,156 – $36,933 · median $19,372 | 149 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $1,156 – $59,426 · median $34,907 | 149 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $1,156 – $32,013 · median $17,651 | 149 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,156 – $24,206 · median $13,591 | 149 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,156 – $36,410 · median $20,231 | 149 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,156 – $20,928 · median $11,891 | 149 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | $1,156 – $17,746 · median $9,546 | 149 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $1,156 – $29,058 · median $16,693 | 149 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $1,156 – $15,115 · median $8,678 | 149 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $1,156 – $11,841 · median $6,760 | 149 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,156 – $35,011 · median $19,323 | 149 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,156 – $17,385 · median $9,408 | 149 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,156 – $11,972 · median $6,845 | 149 plans |
| 665 | PROSTATECTOMY WITH MCC | $1,156 – $36,434 · median $19,919 | 149 plans |
| 666 | PROSTATECTOMY WITH CC | $1,156 – $20,005 · median $11,074 | 149 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,156 – $12,651 · median $6,768 | 149 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,156 – $33,393 · median $18,170 | 149 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,156 – $17,749 · median $9,895 | 149 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,156 – $11,176 · median $6,207 | 149 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,156 – $20,528 · median $11,038 | 149 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,156 – $12,345 · median $6,045 | 149 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $1,156 – $48,050 · median $23,845 | 149 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $1,156 – $26,744 · median $15,360 | 149 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | $1,156 – $18,771 · median $10,230 | 149 plans |
| 682 | RENAL FAILURE WITH MCC | $1,156 – $16,937 · median $9,677 | 149 plans |
| 683 | RENAL FAILURE WITH CC | $1,156 – $10,016 · median $5,808 | 149 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,156 – $6,865 · median $3,924 | 149 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,156 – $20,627 · median $11,860 | 149 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,156 – $11,983 · median $6,740 | 149 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,156 – $9,038 · median $5,035 | 149 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,156 – $13,269 · median $7,573 | 149 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,156 – $9,257 · median $5,203 | 149 plans |
| 693 | URINARY STONES WITH MCC | $1,156 – $15,602 · median $9,045 | 149 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,156 – $8,940 · median $5,047 | 149 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $1,156 – $13,081 · median $7,694 | 149 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $1,156 – $7,879 · median $4,463 | 149 plans |
| 697 | URETHRAL STRICTURE | $1,156 – $12,326 · median $7,177 | 149 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,156 – $18,920 · median $10,668 | 149 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,156 – $11,608 · median $6,582 | 149 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $1,156 – $7,890 · median $4,567 | 149 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,156 – $22,876 · median $12,650 | 149 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,156 – $17,545 · median $9,404 | 149 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,156 – $26,613 · median $13,997 | 149 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,156 – $16,024 · median $8,365 | 149 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,156 – $23,830 · median $13,688 | 149 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,156 – $12,576 · median $6,924 | 149 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,156 – $17,193 · median $9,354 | 149 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,156 – $12,092 · median $6,180 | 149 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $1,156 – $25,586 · median $14,234 | 149 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $1,156 – $16,822 · median $9,170 | 149 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $1,156 – $21,620 · median $11,695 | 149 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $1,156 – $15,360 · median $7,582 | 149 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,156 – $20,696 · median $12,089 | 149 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,156 – $13,068 · median $7,185 | 149 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $1,156 – $7,499 · median $4,411 | 149 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,156 – $13,397 · median $7,872 | 149 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,156 – $8,257 · median $4,713 | 149 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | $1,156 – $16,959 · median $9,976 | 149 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $1,156 – $9,277 · median $5,159 | 149 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $1,156 – $12,107 · median $6,473 | 149 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $1,156 – $7,685 · median $4,008 | 149 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $1,156 – $24,359 · median $14,015 | 149 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $1,156 – $15,387 · median $8,126 | 149 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $1,156 – $41,782 · median $24,046 | 149 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $1,156 – $23,565 · median $12,727 | 149 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $1,156 – $16,794 · median $8,799 | 149 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $1,156 – $42,241 · median $23,318 | 149 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $1,156 – $20,695 · median $11,523 | 149 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $1,156 – $16,309 · median $8,378 | 149 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $1,156 – $20,983 · median $11,490 | 149 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $1,156 – $14,189 · median $7,493 | 149 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $1,156 – $23,434 · median $12,138 | 149 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $1,156 – $13,009 · median $6,679 | 149 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,156 – $19,866 · median $10,807 | 149 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,156 – $10,136 · median $5,721 | 149 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | $1,156 – $15,865 · median $9,059 | 149 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $1,156 – $29,363 · median $16,231 | 149 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $1,156 – $16,877 · median $8,769 | 149 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,156 – $21,062 · median $11,945 | 149 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,156 – $12,440 · median $6,994 | 149 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $1,156 – $10,984 · median $5,369 | 149 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,156 – $16,375 · median $9,618 | 149 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,156 – $11,196 · median $6,400 | 149 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $1,156 – $7,589 · median $4,167 | 149 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $1,156 – $11,522 · median $6,393 | 149 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $1,156 – $6,726 · median $3,838 | 149 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | $1,156 – $19,325 · median $9,955 | 149 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $1,156 – $11,467 · median $5,605 | 149 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $1,156 – $7,571 · median $4,404 | 149 plans |
| 779 | ABORTION WITHOUT D&C | $1,156 – $9,919 · median $5,015 | 149 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $1,156 – $20,610 · median $11,731 | 149 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $1,156 – $67,970 · median $38,689 | 149 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,156 – $46,419 · median $26,422 | 149 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,156 – $28,009 · median $15,943 | 149 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,156 – $47,684 · median $27,142 | 149 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,156 – $16,878 · median $9,607 | 149 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $1,156 – $51,793 · median $30,466 | 149 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $1,156 – $32,128 · median $18,169 | 149 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $1,156 – $21,830 · median $11,540 | 149 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $1,156 – $45,562 · median $22,271 | 149 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $1,156 – $21,258 · median $11,982 | 149 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $1,156 – $15,507 · median $7,805 | 149 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $1,156 – $25,250 · median $14,122 | 149 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $1,156 – $14,477 · median $7,766 | 149 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $1,156 – $11,969 · median $6,477 | 149 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,156 – $16,060 · median $9,050 | 149 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,156 – $10,501 · median $5,808 | 149 plans |
| 813 | COAGULATION DISORDERS | $1,156 – $17,443 · median $10,059 | 149 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | $1,156 – $24,321 · median $13,068 | 149 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,156 – $11,596 · median $6,411 | 149 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $1,156 – $7,228 · median $4,252 | 149 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $1,156 – $67,070 · median $38,989 | 149 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $1,156 – $25,601 · median $14,393 | 149 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $1,156 – $13,769 · median $7,988 | 149 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $1,156 – $52,432 · median $29,028 | 149 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $1,156 – $25,910 · median $14,398 | 149 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $1,156 – $15,432 · median $8,327 | 149 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $1,156 – $53,496 · median $29,839 | 149 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $1,156 – $26,431 · median $14,941 | 149 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $1,156 – $19,485 · median $10,577 | 149 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $1,156 – $36,138 · median $20,336 | 149 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $1,156 – $17,211 · median $9,523 | 149 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $1,156 – $62,783 · median $36,102 | 149 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $1,156 – $23,853 · median $14,031 | 149 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $1,156 – $13,946 · median $8,204 | 149 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $1,156 – $54,942 · median $31,234 | 149 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $1,156 – $23,872 · median $12,907 | 149 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $1,156 – $16,513 · median $8,402 | 149 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,156 – $36,994 · median $20,151 | 149 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,156 – $18,657 · median $10,146 | 149 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,156 – $11,555 · median $6,797 | 149 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $1,156 – $22,813 · median $11,997 | 149 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $1,156 – $13,922 · median $7,462 | 149 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $1,156 – $9,739 · median $5,577 | 149 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $1,156 – $29,648 · median $15,759 | 149 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $1,156 – $14,961 · median $7,819 | 149 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $1,156 – $9,714 · median $5,392 | 149 plans |
| 849 | RADIOTHERAPY | $1,156 – $30,986 · median $15,146 | 149 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $1,156 – $56,478 · median $32,235 | 149 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $1,156 – $22,850 · median $13,142 | 149 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $1,156 – $17,249 · median $10,072 | 149 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $1,156 – $52,019 · median $28,554 | 149 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $1,156 – $24,490 · median $13,771 | 149 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $1,156 – $15,929 · median $8,275 | 149 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | $1,156 – $20,856 · median $11,877 | 149 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $1,156 – $11,412 · median $6,483 | 149 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,156 – $10,152 · median $5,692 | 149 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,156 – $17,135 · median $10,079 | 149 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,156 – $9,945 · median $5,850 | 149 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $1,156 – $23,938 · median $13,491 | 149 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $1,156 – $11,792 · median $6,936 | 149 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $1,156 – $8,345 · median $4,454 | 149 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,156 – $79,044 · median $44,910 | 149 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $1,156 – $22,215 · median $12,784 | 149 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $1,156 – $11,703 · median $6,641 | 149 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $1,491 – $44,199 · median $24,061 | 149 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $1,249 – $10,981 · median $6,020 | 149 plans |
| 881 | DEPRESSIVE NEUROSES | $1,226 – $10,760 · median $5,552 | 149 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,179 – $12,280 · median $6,003 | 149 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,353 – $22,487 · median $10,992 | 149 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,249 – $18,399 · median $9,190 | 149 plans |
| 885 | PSYCHOSES | $1,156 – $15,974 · median $8,738 | 149 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,237 – $23,733 · median $11,601 | 149 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,156 – $12,621 · median $7,204 | 149 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $994 – $7,055 · median $3,704 | 149 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $1,041 – $16,189 · median $9,523 | 149 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $1,156 – $19,957 · median $11,465 | 149 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $1,098 – $10,096 · median $5,517 | 149 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $1,156 – $47,993 · median $27,906 | 149 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,156 – $21,894 · median $12,153 | 149 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,156 – $13,376 · median $7,868 | 149 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,156 – $42,006 · median $20,996 | 149 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,156 – $17,489 · median $9,979 | 149 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,156 – $23,159 · median $12,133 | 149 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $1,156 – $43,906 · median $23,983 | 149 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,156 – $22,817 · median $12,922 | 149 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,156 – $15,012 · median $8,745 | 149 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,156 – $18,693 · median $9,637 | 149 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,156 – $10,127 · median $5,853 | 149 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,156 – $19,231 · median $11,312 | 149 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,156 – $7,620 · median $4,248 | 149 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,376 – $17,936 · median $10,290 | 149 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,295 – $9,802 · median $5,551 | 149 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,156 – $20,937 · median $11,766 | 149 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,156 – $11,462 · median $6,666 | 149 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,156 – $7,873 · median $4,499 | 149 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $1,156 – $20,006 · median $11,035 | 149 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $1,156 – $11,638 · median $6,080 | 149 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $1,156 – $244,165 · median $126,119 | 149 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $1,156 – $82,027 · median $42,468 | 149 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $1,156 – $36,833 · median $19,619 | 149 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $1,156 – $45,913 · median $21,769 | 149 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $1,156 – $25,281 · median $12,980 | 149 plans |
| 935 | NON-EXTENSIVE BURNS | $1,156 – $23,558 · median $12,568 | 149 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $1,156 – $41,496 · median $20,732 | 149 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $1,156 – $26,725 · median $13,970 | 149 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $1,156 – $23,189 · median $11,967 | 149 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,156 – $17,710 · median $9,337 | 149 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,156 – $13,115 · median $6,530 | 149 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,295 – $14,517 · median $8,070 | 149 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,260 – $9,155 · median $5,165 | 149 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,156 – $13,605 · median $6,917 | 149 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,156 – $7,178 · median $4,118 | 149 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,156 – $6,358 · median $3,740 | 149 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $1,156 – $76,977 · median $39,270 | 149 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | $1,156 – $43,034 · median $25,007 | 149 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $1,156 – $87,142 · median $46,635 | 149 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $1,156 – $48,190 · median $26,081 | 149 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $1,156 – $33,669 · median $16,458 | 149 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,156 – $31,264 · median $17,631 | 149 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,156 – $17,527 · median $9,678 | 149 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,156 – $10,756 · median $6,164 | 149 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $1,156 – $70,004 · median $40,536 | 149 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,156 – $30,161 · median $17,742 | 149 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,156 – $33,004 · median $18,806 | 149 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,156 – $15,082 · median $8,712 | 149 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,156 – $10,643 · median $5,450 | 149 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,156 – $15,300 · median $8,730 | 149 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $1,156 – $53,656 · median $30,566 | 149 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $1,156 – $28,116 · median $16,030 | 149 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $1,156 – $19,601 · median $10,544 | 149 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $1,156 – $39,207 · median $21,773 | 149 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $1,156 – $18,796 · median $10,942 | 149 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $1,156 – $13,714 · median $6,966 | 149 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $1,156 – $12,255 · median $7,209 | 143 plans |
| 795 | NORMAL NEWBORN | $1,117 – $2,285 · median $1,344 | 143 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | $1,156 – $26,181 · median $12,797 | 128 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $1,156 – $16,532 · median $8,081 | 128 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $1,156 – $30,755 · median $15,033 | 128 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $1,156 – $18,178 · median $8,885 | 128 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $1,156 – $24,552 · median $12,001 | 128 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $1,156 – $13,827 · median $6,759 | 128 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $1,156 – $87,561 · median $42,801 | 128 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $1,156 – $59,681 · median $29,173 | 128 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $1,156 – $81,072 · median $39,629 | 128 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $1,156 – $57,840 · median $28,273 | 128 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $1,156 – $73,201 · median $35,782 | 128 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $1,156 – $57,417 · median $28,066 | 128 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $1,156 – $34,256 · median $16,745 | 128 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $1,156 – $21,837 · median $10,674 | 128 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $1,156 – $34,420 · median $16,825 | 128 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $1,156 – $20,776 · median $10,156 | 128 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $1,156 – $30,380 · median $14,850 | 128 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $1,156 – $18,622 · median $9,103 | 128 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $1,156 – $13,722 · median $6,708 | 128 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $1,156 – $25,834 · median $12,628 | 128 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $1,156 – $16,619 · median $8,124 | 128 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $1,156 – $12,496 · median $6,108 | 128 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $1,156 – $101,339 · median $49,536 | 128 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $1,156 – $69,946 · median $34,191 | 128 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $1,156 – $52,670 · median $25,746 | 128 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $1,156 – $75,847 · median $37,075 | 128 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,156 – $41,832 · median $20,448 | 128 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $1,156 – $18,574 · median $9,079 | 128 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $1,156 – $12,930 · median $6,320 | 128 plans |
| 765 | CESAREAN SECTION W CC/MCC | $1,156 – $13,460 · median $6,580 | 126 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $1,156 – $9,573 · median $4,679 | 126 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $1,156 – $49,196 · median $24,047 | 122 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $1,156 – $12,065 · median $5,898 | 122 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $1,156 – $10,648 · median $5,205 | 122 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $1,156 – $9,496 · median $4,642 | 122 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $1,156 – $7,381 · median $3,608 | 122 plans |
| 777 | ECTOPIC PREGNANCY | $1,156 – $10,042 · median $4,909 | 122 plans |
| 778 | THREATENED ABORTION | $1,156 – $6,960 · median $3,402 | 122 plans |
| 780 | FALSE LABOR | $1,156 – $5,580 · median $2,727 | 122 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $1,156 – $9,852 · median $4,816 | 122 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $1,156 – $6,993 · median $3,418 | 122 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $1,156 – $39,007 · median $19,067 | 122 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $1,156 – $20,668 · median $10,103 | 122 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $1,156 – $12,726 · median $6,221 | 122 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $67,181 – $139,023 · median $80,845 | 95 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $33,148 – $67,812 · median $39,890 | 95 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,367 – $64,047 · median $36,544 | 95 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $34,258 – $70,085 · median $41,226 | 95 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $26,613 – $54,445 · median $32,026 | 95 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $38,448 – $78,656 · median $46,268 | 95 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $23,608 – $48,297 · median $28,410 | 95 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $29,495 – $60,340 · median $35,494 | 95 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $19,880 – $40,670 · median $23,924 | 95 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $14,271 – $29,196 · median $17,174 | 95 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $23,062 – $47,179 · median $27,753 | 95 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $18,401 – $37,644 · median $22,144 | 95 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $24,948 – $51,038 · median $30,022 | 95 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $13,446 – $27,507 · median $16,181 | 95 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $20,892 – $42,740 · median $25,141 | 95 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $11,181 – $22,874 · median $13,456 | 95 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,351 – $17,084 · median $10,050 | 95 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $16,441 – $33,635 · median $19,785 | 95 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $9,444 – $19,321 · median $11,365 | 95 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,408 – $13,109 · median $7,711 | 95 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $12,754 – $26,092 · median $16,883 | 95 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,480 – $13,257 · median $8,578 | 95 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,807 – $9,834 · median $5,850 | 95 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $6,722 – $13,752 · median $8,089 | 95 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $4,034 – $8,252 · median $4,854 | 95 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $2,923 – $5,980 · median $3,518 | 95 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,270 – $28,077 · median $16,516 | 93 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,270 – $12,123 · median $7,131 | 93 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,270 – $10,953 · median $6,443 | 93 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,270 – $18,864 · median $11,096 | 93 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,270 – $12,772 · median $7,513 | 93 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $4,270 – $10,965 · median $6,450 | 93 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,921 – $13,346 · median $7,851 | 93 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,921 – $11,441 · median $6,730 | 93 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $2,921 – $10,945 · median $6,438 | 93 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,921 – $12,342 · median $7,260 | 93 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,921 – $8,623 · median $5,072 | 93 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $2,921 – $7,710 · median $4,535 | 93 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $237,562 – $493,841 · median $290,495 | 89 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $39,883 – $84,117 · median $47,995 | 89 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,843 – $48,778 · median $28,693 | 89 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,193 – $24,943 · median $14,672 | 89 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,924 – $18,257 · median $10,739 | 89 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $20,944 – $42,846 · median $25,204 | 89 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $9,687 – $19,818 · median $11,657 | 89 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $6,721 – $13,750 · median $8,088 | 89 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $16,638 – $34,038 · median $20,023 | 89 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $60,787 – $124,357 · median $73,151 | 89 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $39,860 – $81,544 · median $47,967 | 89 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $33,577 – $68,692 · median $40,407 | 89 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $25,818 – $52,817 · median $31,069 | 89 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $28,761 – $63,655 · median $37,444 | 89 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $20,160 – $41,243 · median $24,261 | 89 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $15,210 – $31,115 · median $18,303 | 89 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $9,855 – $20,162 · median $11,860 | 89 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $24,191 – $49,488 · median $29,111 | 89 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $17,614 – $36,035 · median $21,197 | 89 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $17,050 – $36,714 · median $21,597 | 89 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,388 – $27,388 · median $16,111 | 89 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $8,461 – $17,310 · median $10,182 | 89 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,399 – $13,091 · median $7,700 | 89 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $16,045 – $32,824 · median $19,308 | 89 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $11,838 – $24,218 · median $14,246 | 89 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $26,281 – $53,765 · median $31,627 | 89 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $20,716 – $42,380 · median $24,929 | 89 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $37,378 – $76,467 · median $44,981 | 79 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $22,475 – $45,979 · median $27,046 | 79 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $61,609 – $126,039 · median $74,141 | 79 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $40,353 – $82,552 · median $48,560 | 79 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $31,427 – $64,293 · median $37,820 | 79 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $50,364 – $103,034 · median $60,608 | 79 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $32,239 – $65,953 · median $38,796 | 79 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $37,351 – $76,411 · median $44,948 | 79 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $23,706 – $48,498 · median $28,528 | 79 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $29,793 – $60,950 · median $35,853 | 79 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $18,058 – $36,943 · median $21,731 | 79 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $48,407 – $99,030 · median $58,253 | 79 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $63,273 – $129,442 · median $76,143 | 58 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $31,902 – $65,264 · median $38,391 | 58 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $13,540 – $27,700 · median $16,294 | 58 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $19,222 – $39,324 · median $23,132 | 58 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $13,496 – $27,610 · median $16,241 | 58 plans |
| 009 | BONE MARROW TRANSPLANT | $1,156 – $1,965 · median $1,156 | 54 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORT | $1,156 – $1,965 · median $1,156 | 54 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | $1,156 – $1,965 · median $1,156 | 54 plans |
| 484 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTR | $1,156 – $1,965 · median $1,156 | 54 plans |
| 490 | BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DIS | $1,156 – $1,965 · median $1,156 | 54 plans |
| 491 | BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | $1,156 – $1,965 · median $1,156 | 54 plans |
No procedures match that keyword.