Northern Louisiana Medical Center (Acute Care) — Pricing
820 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 820 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 820 procedures
Procedures with negotiated rates only
These 820 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 | $147,940 – $351,357 · median $184,925 | 62 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $59,821 – $142,075 · median $74,777 | 62 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $112,049 – $266,116 · median $140,061 | 62 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $73,122 – $174,449 · median $91,403 | 62 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $54,430 – $131,477 · median $68,037 | 62 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $24,479 – $59,868 · median $30,599 | 62 plans |
| 007 | LUNG TRANSPLANT | $68,365 – $162,366 · median $85,456 | 62 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $29,587 – $70,269 · median $36,984 | 62 plans |
| 010 | PANCREAS TRANSPLANT | $19,340 – $98,435 · median $47,351 | 62 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $28,792 – $68,382 · median $35,991 | 62 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $22,256 – $52,859 · median $27,821 | 62 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $15,213 – $36,131 · median $19,016 | 62 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $63,443 – $161,755 · median $79,304 | 62 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $31,303 – $74,519 · median $39,129 | 62 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $28,677 – $74,519 · median $35,847 | 62 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $227,964 – $541,415 · median $284,956 | 62 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $37,664 – $97,870 · median $47,080 | 62 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $41,540 – $99,522 · median $51,925 | 62 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $27,946 – $66,372 · median $34,933 | 62 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $16,774 – $39,837 · median $20,967 | 62 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $30,251 – $71,845 · median $37,813 | 62 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $20,651 – $49,046 · median $25,814 | 62 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $24,002 – $57,005 · median $30,003 | 62 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $16,414 – $38,982 · median $20,517 | 62 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $13,319 – $31,632 · median $16,648 | 62 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $31,718 – $75,331 · median $39,648 | 62 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | $18,010 – $42,774 · median $22,513 | 62 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $11,589 – $27,523 · median $14,486 | 62 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,653 – $56,175 · median $29,566 | 62 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $11,250 – $26,718 · median $14,062 | 62 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $8,779 – $20,849 · median $10,973 | 62 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $20,434 – $48,530 · median $25,542 | 62 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $12,620 – $29,971 · median $15,774 | 62 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $10,256 – $24,358 · median $12,820 | 62 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $17,379 – $41,276 · median $21,724 | 62 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $8,566 – $20,344 · median $10,707 | 62 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,206 – $14,738 · median $7,757 | 62 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $20,383 – $48,411 · median $25,479 | 62 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $11,607 – $27,880 · median $14,509 | 62 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $9,121 – $21,699 · median $11,401 | 62 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $9,562 – $24,846 · median $11,952 | 62 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,169 – $12,277 · median $6,462 | 62 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $8,061 – $19,144 · median $10,076 | 62 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $5,383 – $13,469 · median $6,728 | 62 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,264 – $30,916 · median $15,330 | 62 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,840 – $16,475 · median $8,549 | 62 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,025 – $22,789 · median $11,281 | 62 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $6,551 – $15,558 · median $8,188 | 62 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $4,856 – $11,532 · median $6,070 | 62 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $14,555 – $34,568 · median $18,194 | 62 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $9,276 – $22,031 · median $11,595 | 62 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $7,411 – $17,600 · median $9,263 | 62 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $10,616 – $25,213 · median $13,270 | 62 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $5,333 – $12,667 · median $6,667 | 62 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $3,613 – $8,581 · median $4,516 | 62 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $7,753 – $18,414 · median $9,692 | 62 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $4,563 – $10,883 · median $5,704 | 62 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,217 – $10,015 · median $5,271 | 62 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $8,789 – $21,467 · median $10,986 | 62 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $5,416 – $13,011 · median $6,770 | 62 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $3,992 – $9,481 · median $4,990 | 62 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $8,469 – $20,114 · median $10,586 | 62 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $5,442 – $12,924 · median $6,802 | 62 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,123 – $24,041 · median $12,653 | 62 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,356 – $11,320 · median $5,445 | 62 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $9,555 – $24,309 · median $11,944 | 62 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $4,728 – $11,229 · median $5,910 | 62 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,066 – $28,656 · median $15,082 | 62 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $7,369 – $17,500 · median $9,211 | 62 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,046 – $11,984 · median $6,307 | 62 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,993 – $28,485 · median $14,992 | 62 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $6,877 – $16,333 · median $8,596 | 62 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $4,829 – $11,468 · median $6,036 | 62 plans |
| 088 | CONCUSSION WITH MCC | $7,136 – $17,417 · median $8,920 | 62 plans |
| 089 | CONCUSSION WITH CC | $5,800 – $13,774 · median $7,249 | 62 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,346 – $10,584 · median $5,432 | 62 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $9,271 – $22,506 · median $11,589 | 62 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $5,400 – $13,071 · median $6,751 | 62 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,204 – $9,984 · median $5,255 | 62 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $18,579 – $45,047 · median $23,224 | 62 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $13,616 – $32,337 · median $17,020 | 62 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $13,616 – $32,337 · median $17,020 | 62 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $19,067 – $45,284 · median $23,834 | 62 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $12,115 – $28,773 · median $15,144 | 62 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $7,192 – $17,202 · median $8,990 | 62 plans |
| 100 | SEIZURES WITH MCC | $10,224 – $24,511 · median $12,781 | 62 plans |
| 101 | SEIZURES WITHOUT MCC | $4,765 – $11,379 · median $5,956 | 62 plans |
| 102 | HEADACHES WITH MCC | $5,917 – $14,315 · median $7,397 | 62 plans |
| 103 | HEADACHES WITHOUT MCC | $4,415 – $10,497 · median $5,519 | 62 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,412 – $29,478 · median $15,514 | 62 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,143 – $16,964 · median $8,928 | 62 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,103 – $19,244 · median $10,129 | 62 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $9,545 – $22,670 · median $11,931 | 62 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,727 – $13,602 · median $7,159 | 62 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,141 – $14,585 · median $7,676 | 62 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,148 – $9,852 · median $5,185 | 62 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,216 – $10,013 · median $5,270 | 62 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $6,985 – $16,589 · median $8,731 | 62 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,053 – $10,194 · median $5,067 | 62 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,456 – $29,767 · median $14,319 | 62 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,360 – $12,730 · median $6,700 | 62 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $7,883 – $18,721 · median $9,853 | 62 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,678 – $11,111 · median $5,848 | 62 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,523 – $16,951 · median $8,154 | 62 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,517 – $53,477 · median $28,146 | 62 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $11,514 – $27,346 · median $14,393 | 62 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $8,427 – $20,015 · median $10,534 | 62 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $19,779 – $46,974 · median $24,723 | 62 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $9,148 – $21,727 · median $11,435 | 62 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $6,347 – $15,074 · median $7,934 | 62 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $11,178 – $28,323 · median $13,972 | 62 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $6,712 – $15,942 · median $8,390 | 62 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $4,208 – $9,994 · median $5,260 | 62 plans |
| 149 | DYSEQUILIBRIUM | $3,968 – $9,423 · median $4,960 | 62 plans |
| 150 | EPISTAXIS WITH MCC | $7,029 – $17,065 · median $8,786 | 62 plans |
| 151 | EPISTAXIS WITHOUT MCC | $3,875 – $9,358 · median $4,844 | 62 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $6,241 – $14,822 · median $7,801 | 62 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $3,897 – $9,255 · median $4,871 | 62 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | $8,254 – $20,078 · median $10,317 | 62 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $4,838 – $11,526 · median $6,048 | 62 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $3,648 – $8,665 · median $4,560 | 62 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $9,063 – $21,525 · median $11,329 | 62 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $4,803 – $11,613 · median $6,004 | 62 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $3,740 – $8,883 · median $4,675 | 62 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,660 – $56,905 · median $29,575 | 62 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $13,324 – $31,645 · median $16,655 | 62 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $10,105 – $24,000 · median $12,631 | 62 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $19,732 – $47,536 · median $24,664 | 62 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,520 – $22,611 · median $11,900 | 62 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | $7,213 – $17,132 · median $9,017 | 62 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $15,713 – $37,885 · median $19,641 | 62 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $7,251 – $17,397 · median $9,064 | 62 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $4,250 – $10,093 · median $5,312 | 62 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $8,250 – $19,957 · median $10,312 | 62 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $5,152 – $12,248 · median $6,440 | 62 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $3,986 – $9,503 · median $4,982 | 62 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $9,323 – $22,142 · median $11,654 | 62 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $5,654 – $13,708 · median $7,067 | 62 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $3,979 – $10,340 · median $4,974 | 62 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $8,076 – $19,597 · median $10,096 | 62 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $5,617 – $13,341 · median $7,022 | 62 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,152 – $9,861 · median $5,190 | 62 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $8,227 – $19,540 · median $10,284 | 62 plans |
| 187 | PLEURAL EFFUSION WITH CC | $5,222 – $12,401 · median $6,527 | 62 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $3,786 – $9,064 · median $4,733 | 62 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $6,522 – $15,489 · median $8,152 | 62 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $5,848 – $13,888 · median $7,310 | 62 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $4,450 – $10,606 · median $5,563 | 62 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $3,389 – $8,049 · median $4,236 | 62 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $6,939 – $16,480 · median $8,673 | 62 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,254 – $10,124 · median $5,318 | 62 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,318 – $7,880 · median $4,147 | 62 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $9,963 – $23,661 · median $12,453 | 62 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,010 – $12,223 · median $6,263 | 62 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $3,781 – $8,980 · median $4,726 | 62 plans |
| 199 | PNEUMOTHORAX WITH MCC | $9,313 – $22,118 · median $11,641 | 62 plans |
| 200 | PNEUMOTHORAX WITH CC | $5,803 – $13,783 · median $7,254 | 62 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $3,775 – $8,966 · median $4,719 | 62 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,127 – $12,177 · median $6,409 | 62 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $3,537 – $8,600 · median $4,421 | 62 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $4,262 – $10,123 · median $5,328 | 62 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $9,666 – $23,307 · median $12,082 | 62 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $4,968 – $11,799 · median $6,210 | 62 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $33,969 – $80,677 · median $42,461 | 62 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $14,511 – $34,463 · median $18,138 | 62 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $57,405 – $136,337 · median $71,756 | 62 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $52,564 – $130,803 · median $65,704 | 62 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $51,644 – $122,654 · median $64,555 | 62 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $34,711 – $82,440 · median $43,389 | 62 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $34,711 – $82,440 · median $43,389 | 62 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $40,534 – $96,269 · median $50,668 | 62 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $28,152 – $66,861 · median $35,190 | 62 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $26,607 – $63,193 · median $33,259 | 62 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $26,118 – $62,029 · median $32,647 | 62 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $16,626 – $39,488 · median $20,783 | 62 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $44,502 – $105,692 · median $55,627 | 62 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $32,005 – $76,011 · median $40,006 | 62 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $40,359 – $96,501 · median $50,449 | 62 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $28,838 – $68,490 · median $36,047 | 62 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $30,981 – $73,579 · median $38,726 | 62 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $22,113 – $52,518 · median $27,641 | 62 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $25,982 – $62,186 · median $32,477 | 62 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $15,048 – $35,954 · median $18,810 | 62 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $7,308 – $18,641 · median $9,135 | 62 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $16,855 – $41,878 · median $21,069 | 62 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $11,249 – $27,813 · median $14,061 | 62 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $9,542 – $22,662 · median $11,927 | 62 plans |
| 245 | AICD GENERATOR PROCEDURES | $24,085 – $60,332 · median $30,106 | 62 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $11,522 – $28,551 · median $14,402 | 62 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $7,890 – $19,292 · median $9,862 | 62 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $18,415 – $43,735 · median $23,019 | 62 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $13,702 – $32,543 · median $17,128 | 62 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $9,406 – $22,339 · median $11,757 | 62 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $14,240 – $33,819 · median $17,800 | 62 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $8,963 – $21,288 · median $11,204 | 62 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $5,766 – $13,694 · median $7,207 | 62 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,587 – $39,395 · median $20,734 | 62 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $10,675 – $25,353 · median $13,343 | 62 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $17,172 – $42,053 · median $21,465 | 62 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $9,980 – $23,703 · median $12,475 | 62 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $8,604 – $20,435 · median $10,755 | 62 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,140 – $38,333 · median $20,175 | 62 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $17,635 – $43,151 · median $22,044 | 62 plans |
| 265 | AICD LEAD PROCEDURES | $19,101 – $45,364 · median $23,876 | 62 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $32,352 – $76,836 · median $40,440 | 62 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $25,133 – $59,690 · median $31,416 | 62 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $36,309 – $86,233 · median $45,386 | 62 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $22,295 – $52,949 · median $27,868 | 62 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $27,854 – $66,153 · median $34,817 | 62 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $18,774 – $44,588 · median $23,467 | 62 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $13,477 – $32,009 · median $16,847 | 62 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $21,779 – $51,725 · median $27,223 | 62 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $17,377 – $41,271 · median $21,721 | 62 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $37,642 – $89,399 · median $47,052 | 62 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $31,709 – $76,476 · median $39,636 | 62 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $24,381 – $57,906 · median $30,477 | 62 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $29,384 – $69,788 · median $36,730 | 62 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $19,038 – $45,216 · median $23,798 | 62 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $8,468 – $20,265 · median $10,585 | 62 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $4,852 – $11,523 · median $6,065 | 62 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $3,817 – $9,066 · median $4,772 | 62 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $10,457 – $24,835 · median $13,071 | 62 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,654 – $9,148 · median $4,568 | 62 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $3,162 – $7,509 · median $3,952 | 62 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $11,681 – $27,744 · median $14,602 | 62 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $5,649 – $13,453 · median $7,061 | 62 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,286 – $33,930 · median $17,858 | 62 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,011 – $21,401 · median $11,264 | 62 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $4,908 – $12,087 · median $6,135 | 62 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $6,777 – $16,109 · median $8,472 | 62 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $4,482 – $10,645 · median $5,602 | 62 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $2,988 – $7,096 · median $3,735 | 62 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,245 – $20,228 · median $10,307 | 62 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,347 – $8,697 · median $4,184 | 62 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,402 – $5,706 · median $3,003 | 62 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,619 – $20,470 · median $10,774 | 62 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $5,635 – $13,384 · median $7,044 | 62 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $3,799 – $9,023 · median $4,749 | 62 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,317 – $15,003 · median $7,896 | 62 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $3,554 – $8,440 · median $4,442 | 62 plans |
| 304 | HYPERTENSION WITH MCC | $6,282 – $14,920 · median $7,853 | 62 plans |
| 305 | HYPERTENSION WITHOUT MCC | $3,986 – $9,467 · median $4,983 | 62 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,319 – $19,757 · median $10,398 | 62 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $4,821 – $11,449 · median $6,026 | 62 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $6,356 – $15,095 · median $7,945 | 62 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $3,884 – $9,224 · median $4,855 | 62 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $2,988 – $7,098 · median $3,736 | 62 plans |
| 311 | ANGINA PECTORIS | $3,705 – $8,800 · median $4,632 | 62 plans |
| 312 | SYNCOPE AND COLLAPSE | $4,601 – $10,928 · median $5,752 | 62 plans |
| 313 | CHEST PAIN | $3,801 – $9,027 · median $4,751 | 62 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,008 – $26,587 · median $13,760 | 62 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,085 – $12,078 · median $6,357 | 62 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,601 – $8,552 · median $4,501 | 62 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $35,298 – $83,834 · median $44,123 | 62 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $23,560 – $55,955 · median $29,450 | 62 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $12,698 – $30,157 · median $15,872 | 62 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $14,363 – $35,147 · median $17,954 | 62 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $9,307 – $22,336 · median $11,634 | 62 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $22,845 – $54,256 · median $28,556 | 62 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $16,634 – $39,506 · median $20,793 | 62 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $16,948 – $40,251 · median $21,185 | 62 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $26,329 – $62,705 · median $32,911 | 62 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | $12,903 – $30,645 · median $16,129 | 62 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | $8,459 – $20,089 · median $10,573 | 62 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $24,265 – $57,630 · median $30,331 | 62 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,655 – $30,056 · median $15,819 | 62 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $8,884 – $21,100 · median $11,105 | 62 plans |
| 332 | RECTAL RESECTION WITH MCC | $19,114 – $45,395 · median $23,892 | 62 plans |
| 333 | RECTAL RESECTION WITH CC | $12,365 – $29,366 · median $15,456 | 62 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $8,647 – $20,536 · median $10,808 | 62 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $18,851 – $44,771 · median $23,564 | 62 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $11,132 – $26,438 · median $13,915 | 62 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $8,103 – $19,245 · median $10,129 | 62 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $13,635 – $33,266 · median $17,043 | 62 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $7,943 – $18,866 · median $9,929 | 62 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $6,262 – $15,374 · median $7,828 | 62 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $12,119 – $29,221 · median $15,148 | 62 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $6,909 – $16,409 · median $8,637 | 62 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,596 – $10,915 · median $5,745 | 62 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,155 – $31,243 · median $16,444 | 62 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $8,048 – $19,114 · median $10,060 | 62 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $6,165 – $14,642 · median $7,706 | 62 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $15,320 – $36,385 · median $19,150 | 62 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $8,881 – $21,094 · median $11,102 | 62 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $7,100 – $16,863 · median $8,875 | 62 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,190 – $55,076 · median $28,987 | 62 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $12,276 – $29,157 · median $15,346 | 62 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | $7,380 – $17,527 · median $9,224 | 62 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $8,404 – $20,618 · median $10,505 | 62 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $5,280 – $12,563 · median $6,600 | 62 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $3,700 – $8,786 · median $4,624 | 62 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $9,360 – $22,231 · median $11,700 | 62 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $5,390 – $12,801 · median $6,737 | 62 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $3,840 – $9,120 · median $4,800 | 62 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,290 – $26,814 · median $14,113 | 62 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $6,386 – $15,170 · median $7,982 | 62 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $4,879 – $11,589 · median $6,099 | 62 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $9,650 – $22,919 · median $12,063 | 62 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $5,177 – $12,296 · median $6,471 | 62 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,328 – $7,904 · median $4,160 | 62 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,359 – $24,602 · median $12,948 | 62 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $5,720 – $13,585 · median $7,150 | 62 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,226 – $10,038 · median $5,283 | 62 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,289 – $17,311 · median $9,111 | 62 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $4,513 – $10,736 · median $5,641 | 62 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $8,353 – $20,060 · median $10,441 | 62 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,154 – $12,253 · median $6,442 | 62 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $3,597 – $8,542 · median $4,496 | 62 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $7,796 – $18,516 · median $9,745 | 62 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,169 – $9,902 · median $5,212 | 62 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $2,872 – $6,821 · median $3,590 | 62 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $6,695 – $15,902 · median $8,369 | 62 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $4,116 – $9,774 · median $5,144 | 62 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $8,443 – $20,445 · median $10,553 | 62 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $4,940 – $11,732 · median $6,175 | 62 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,426 – $8,137 · median $4,283 | 62 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $12,643 – $30,591 · median $15,804 | 62 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $7,990 – $18,977 · median $9,988 | 62 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,043 – $14,352 · median $7,554 | 62 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $21,224 – $50,408 · median $26,531 | 62 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $28,879 – $68,588 · median $36,099 | 62 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $15,310 – $36,362 · median $19,138 | 62 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | $11,717 – $27,829 · median $14,647 | 62 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $18,823 – $44,705 · median $23,529 | 62 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $11,494 – $27,298 · median $14,368 | 62 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $8,382 – $19,906 · median $10,477 | 62 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,438 – $41,416 · median $21,798 | 62 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $11,099 – $26,361 · median $13,874 | 62 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $8,766 – $20,819 · median $10,957 | 62 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $18,807 – $44,667 · median $23,509 | 62 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $10,910 – $25,912 · median $13,638 | 62 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $7,197 – $17,093 · median $8,996 | 62 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | $12,598 – $29,920 · median $15,747 | 62 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | $8,930 – $21,209 · median $11,163 | 62 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | $7,210 – $17,124 · median $9,013 | 62 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,986 – $43,575 · median $22,483 | 62 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $9,172 – $21,784 · median $11,465 | 62 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $7,388 – $18,141 · median $9,235 | 62 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $21,924 – $52,069 · median $27,405 | 62 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $11,550 – $28,190 · median $14,438 | 62 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $7,920 – $19,084 · median $9,900 | 62 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $58,182 – $138,181 · median $72,727 | 62 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $38,107 – $90,505 · median $47,634 | 62 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $29,679 – $70,487 · median $37,099 | 62 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $47,562 – $112,960 · median $59,453 | 62 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $30,445 – $72,306 · median $38,056 | 62 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $10,390 – $24,677 · median $12,988 | 62 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $5,576 – $13,242 · median $6,970 | 62 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $3,761 – $8,933 · median $4,702 | 62 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $9,696 – $23,028 · median $12,120 | 62 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $5,971 – $14,181 · median $7,464 | 62 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $4,505 – $10,698 · median $5,631 | 62 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $8,606 – $20,540 · median $10,757 | 62 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $4,441 – $10,620 · median $5,551 | 62 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $3,280 – $7,791 · median $4,101 | 62 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $9,474 – $23,339 · median $11,843 | 62 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $5,096 – $12,103 · median $6,370 | 62 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $3,694 – $8,773 · median $4,617 | 62 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $8,821 – $20,949 · median $11,026 | 62 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $5,777 – $13,721 · median $7,222 | 62 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,367 – $10,372 · median $5,459 | 62 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $35,273 – $83,772 · median $44,091 | 62 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $22,387 – $53,170 · median $27,984 | 62 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $28,135 – $66,821 · median $35,169 | 62 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $17,053 – $40,502 · median $21,317 | 62 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $44,362 – $105,360 · median $55,453 | 62 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $31,480 – $74,764 · median $39,349 | 62 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $22,027 – $53,310 · median $27,534 | 62 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $29,156 – $73,962 · median $36,445 | 62 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $14,042 – $35,356 · median $17,553 | 62 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $30,088 – $71,459 · median $37,610 | 62 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $16,443 – $39,051 · median $20,553 | 62 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $9,627 – $22,865 · median $12,034 | 62 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $27,480 – $65,264 · median $34,349 | 62 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $18,617 – $44,216 · median $23,271 | 62 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $14,507 – $34,454 · median $18,134 | 62 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $16,012 – $40,355 · median $20,016 | 62 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $10,183 – $24,184 · median $12,728 | 62 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,491 – $60,541 · median $31,864 | 62 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $15,553 – $36,937 · median $19,441 | 62 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $12,888 – $30,608 · median $16,110 | 62 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $22,662 – $55,368 · median $28,328 | 62 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $12,014 – $28,532 · median $15,017 | 62 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $6,230 – $14,797 · median $7,788 | 62 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $18,237 – $43,313 · median $22,796 | 62 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $12,982 – $30,833 · median $16,228 | 62 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $9,813 – $23,306 · median $12,267 | 62 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | $15,374 – $36,514 · median $19,218 | 62 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | $11,057 – $26,260 · median $13,821 | 62 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | $8,610 – $20,449 · median $10,763 | 62 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | $14,633 – $34,753 · median $18,291 | 62 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $17,036 – $40,461 · median $21,295 | 62 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $11,039 – $26,218 · median $13,799 | 62 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $8,268 – $19,637 · median $10,335 | 62 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $9,338 – $24,265 · median $11,673 | 62 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $5,896 – $15,289 · median $7,370 | 62 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $19,383 – $46,034 · median $24,228 | 62 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $13,388 – $31,797 · median $16,735 | 62 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $10,592 – $25,157 · median $13,241 | 62 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $19,140 – $45,458 · median $23,925 | 62 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $9,523 – $24,359 · median $11,904 | 62 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $6,379 – $16,576 · median $7,973 | 62 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $15,926 – $37,824 · median $19,907 | 62 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $10,636 – $25,261 · median $13,295 | 62 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $16,707 – $39,679 · median $20,884 | 62 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $9,228 – $22,034 · median $11,535 | 62 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,105 – $17,250 · median $8,881 | 62 plans |
| 503 | FOOT PROCEDURES WITH MCC | $14,734 – $34,994 · median $18,418 | 62 plans |
| 504 | FOOT PROCEDURES WITH CC | $9,868 – $23,436 · median $12,335 | 62 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $9,464 – $22,478 · median $11,830 | 62 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $7,122 – $18,508 · median $8,903 | 62 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | $9,536 – $23,929 · median $11,920 | 62 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | $7,995 – $18,987 · median $9,993 | 62 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $15,945 – $37,870 · median $19,932 | 62 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $10,977 – $26,071 · median $13,722 | 62 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $8,739 – $20,755 · median $10,924 | 62 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $8,311 – $19,738 · median $10,389 | 62 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $5,397 – $12,817 · median $6,746 | 62 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $16,824 – $39,957 · median $21,030 | 62 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $10,970 – $26,055 · median $13,713 | 62 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $8,112 – $19,267 · median $10,140 | 62 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $19,729 – $46,857 · median $24,662 | 62 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $10,559 – $25,078 · median $13,199 | 62 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $7,886 – $18,730 · median $9,858 | 62 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $15,152 – $35,986 · median $18,940 | 62 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $11,179 – $26,551 · median $13,974 | 62 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,276 – $19,655 · median $10,345 | 62 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,255 – $10,107 · median $5,319 | 62 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $6,768 – $16,419 · median $8,460 | 62 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,263 – $10,125 · median $5,329 | 62 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $5,038 – $11,965 · median $6,297 | 62 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $3,803 – $9,031 · median $4,753 | 62 plans |
| 539 | OSTEOMYELITIS WITH MCC | $10,398 – $24,969 · median $12,998 | 62 plans |
| 540 | OSTEOMYELITIS WITH CC | $6,843 – $16,253 · median $8,554 | 62 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,157 – $10,802 · median $5,196 | 62 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $9,325 – $23,027 · median $11,657 | 62 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $5,427 – $13,098 · median $6,784 | 62 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $3,984 – $9,461 · median $4,979 | 62 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,101 – $31,197 · median $16,376 | 62 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $6,089 – $14,461 · median $7,611 | 62 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,414 – $10,484 · median $5,518 | 62 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $10,193 – $24,872 · median $12,742 | 62 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $6,373 – $15,136 · median $7,966 | 62 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $4,614 – $10,959 · median $5,768 | 62 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,848 – $21,067 · median $11,060 | 62 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,075 – $12,053 · median $6,343 | 62 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,843 – $16,253 · median $8,554 | 62 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,382 – $10,408 · median $5,478 | 62 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $6,978 – $16,625 · median $8,722 | 62 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $4,385 – $10,414 · median $5,481 | 62 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $7,849 – $19,133 · median $9,812 | 62 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $4,715 – $11,199 · median $5,894 | 62 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $9,845 – $23,382 · median $12,306 | 62 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $5,945 – $14,119 · median $7,431 | 62 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $4,244 – $10,094 · median $5,305 | 62 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $7,522 – $18,068 · median $9,402 | 62 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $4,727 – $11,228 · median $5,909 | 62 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $8,149 – $19,373 · median $10,186 | 62 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $5,144 – $12,589 · median $6,430 | 62 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $3,956 – $9,395 · median $4,944 | 62 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $15,526 – $37,164 · median $19,408 | 62 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $8,919 – $21,183 · median $11,149 | 62 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,051 – $14,372 · median $7,564 | 62 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,585 – $82,140 · median $43,232 | 62 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,326 – $43,524 · median $22,907 | 62 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | $9,486 – $24,651 · median $11,858 | 62 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $25,874 – $66,610 · median $32,342 | 62 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $13,993 – $33,234 · median $17,491 | 62 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $8,480 – $20,870 · median $10,600 | 62 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $17,096 – $40,604 · median $21,370 | 62 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $9,122 – $21,889 · median $11,403 | 62 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $7,618 – $18,093 · median $9,523 | 62 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,171 – $24,155 · median $12,713 | 62 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,103 – $21,620 · median $11,379 | 62 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $11,301 – $26,840 · median $14,126 | 62 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $10,184 – $24,508 · median $12,730 | 62 plans |
| 592 | SKIN ULCERS WITH MCC | $10,217 – $25,387 · median $12,771 | 62 plans |
| 593 | SKIN ULCERS WITH CC | $6,263 – $15,095 · median $7,828 | 62 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,576 – $10,868 · median $5,720 | 62 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $11,195 – $26,589 · median $13,994 | 62 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,715 – $13,572 · median $7,143 | 62 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $8,801 – $21,688 · median $11,001 | 62 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,972 – $14,184 · median $7,465 | 62 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,062 – $10,555 · median $5,077 | 62 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $5,499 – $13,059 · median $6,873 | 62 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,194 – $7,585 · median $3,992 | 62 plans |
| 602 | CELLULITIS WITH MCC | $7,503 – $18,139 · median $9,379 | 62 plans |
| 603 | CELLULITIS WITHOUT MCC | $4,598 – $10,919 · median $5,747 | 62 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $7,771 – $18,457 · median $9,714 | 62 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $4,836 – $11,485 · median $6,045 | 62 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,988 – $19,881 · median $9,985 | 62 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,785 – $11,364 · median $5,981 | 62 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $11,571 – $28,137 · median $14,463 | 62 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $7,387 – $17,692 · median $9,234 | 62 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $18,410 – $47,717 · median $23,013 | 62 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $9,873 – $23,848 · median $12,342 | 62 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $7,487 – $17,782 · median $9,359 | 62 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,243 – $36,202 · median $19,053 | 62 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $8,448 – $20,064 · median $10,560 | 62 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,963 – $18,912 · median $9,954 | 62 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $18,789 – $46,199 · median $23,487 | 62 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $9,470 – $23,615 · median $11,838 | 62 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $6,609 – $15,696 · median $8,261 | 62 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $15,943 – $37,865 · median $19,929 | 62 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $7,915 – $18,799 · median $9,894 | 62 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $7,012 – $16,654 · median $8,765 | 62 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $19,674 – $48,714 · median $24,592 | 62 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $11,502 – $27,767 · median $14,378 | 62 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $7,705 – $18,299 · median $9,631 | 62 plans |
| 637 | DIABETES WITH MCC | $7,584 – $18,013 · median $9,481 | 62 plans |
| 638 | DIABETES WITH CC | $4,731 – $11,324 · median $5,914 | 62 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,279 – $7,788 · median $4,099 | 62 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $7,051 – $16,745 · median $8,813 | 62 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $4,108 – $9,757 · median $5,135 | 62 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,507 – $17,830 · median $9,384 | 62 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $8,690 – $20,638 · median $10,862 | 62 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $5,411 – $12,851 · median $6,764 | 62 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,056 – $9,633 · median $5,070 | 62 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $24,819 – $58,945 · median $31,024 | 62 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $19,563 – $46,462 · median $24,454 | 62 plans |
| 652 | KIDNEY TRANSPLANT | $17,049 – $40,491 · median $21,311 | 62 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $27,432 – $68,824 · median $34,290 | 62 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $14,778 – $35,097 · median $18,472 | 62 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,174 – $26,537 · median $13,967 | 62 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $16,807 – $40,223 · median $21,009 | 62 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $9,661 – $22,944 · median $12,076 | 62 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | $8,192 – $19,456 · median $10,240 | 62 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $13,414 – $31,906 · median $16,767 | 62 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $6,977 – $16,571 · median $8,722 | 62 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $5,466 – $12,982 · median $6,832 | 62 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,162 – $38,515 · median $20,202 | 62 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $8,025 – $19,060 · median $10,032 | 62 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $5,527 – $13,331 · median $6,908 | 62 plans |
| 665 | PROSTATECTOMY WITH MCC | $16,477 – $42,391 · median $20,596 | 62 plans |
| 666 | PROSTATECTOMY WITH CC | $9,235 – $21,932 · median $11,543 | 62 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $5,840 – $13,869 · median $7,300 | 62 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $15,415 – $36,610 · median $19,269 | 62 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $8,193 – $19,459 · median $10,241 | 62 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,159 – $12,253 · median $6,449 | 62 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,476 – $22,505 · median $11,845 | 62 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,699 – $13,534 · median $7,123 | 62 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,180 – $52,679 · median $27,726 | 62 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $12,346 – $29,321 · median $15,432 | 62 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | $8,665 – $20,579 · median $10,831 | 62 plans |
| 682 | RENAL FAILURE WITH MCC | $7,818 – $18,568 · median $9,773 | 62 plans |
| 683 | RENAL FAILURE WITH CC | $4,623 – $10,981 · median $5,779 | 62 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,169 – $7,526 · median $3,961 | 62 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $9,522 – $23,281 · median $11,902 | 62 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $5,531 – $13,137 · median $6,914 | 62 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,172 – $9,909 · median $5,215 | 62 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $6,125 – $14,548 · median $7,657 | 62 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,273 – $10,149 · median $5,342 | 62 plans |
| 693 | URINARY STONES WITH MCC | $7,098 – $18,154 · median $8,872 | 62 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,127 – $9,801 · median $5,158 | 62 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $6,038 – $14,341 · median $7,548 | 62 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $3,637 – $8,639 · median $4,547 | 62 plans |
| 697 | URETHRAL STRICTURE | $5,690 – $13,513 · median $7,112 | 62 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $8,734 – $20,752 · median $10,917 | 62 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $5,358 – $12,726 · median $6,698 | 62 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $3,642 – $8,650 · median $4,553 | 62 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $10,560 – $25,079 · median $13,200 | 62 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,099 – $19,235 · median $10,124 | 62 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $12,285 – $29,177 · median $15,356 | 62 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,397 – $18,536 · median $9,246 | 62 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,000 – $26,126 · median $13,751 | 62 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,805 – $13,788 · median $7,257 | 62 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,937 – $18,849 · median $9,921 | 62 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,582 – $13,257 · median $6,978 | 62 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $11,811 – $28,051 · median $14,764 | 62 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $7,765 – $18,443 · median $9,707 | 62 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $9,980 – $23,703 · median $12,475 | 62 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $7,090 – $16,839 · median $8,863 | 62 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,554 – $22,690 · median $11,942 | 62 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $6,032 – $14,327 · median $7,540 | 62 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $3,461 – $8,221 · median $4,327 | 62 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,178 – $15,588 · median $7,722 | 62 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,811 – $9,190 · median $4,764 | 62 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | $7,828 – $18,592 · median $9,785 | 62 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $4,282 – $10,171 · median $5,353 | 62 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $5,589 – $13,592 · median $6,986 | 62 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $3,548 – $8,425 · median $4,434 | 62 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $11,244 – $26,705 · median $14,055 | 62 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $7,103 – $16,870 · median $8,879 | 62 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $18,870 – $48,614 · median $23,587 | 62 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $10,878 – $25,835 · median $13,598 | 62 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $7,752 – $18,728 · median $9,690 | 62 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $18,914 – $49,148 · median $23,642 | 62 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $9,553 – $22,688 · median $11,941 | 62 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $7,528 – $17,880 · median $9,411 | 62 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $9,686 – $23,004 · median $12,108 | 62 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $6,550 – $15,556 · median $8,187 | 62 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $10,817 – $25,691 · median $13,522 | 62 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $6,005 – $14,262 · median $7,506 | 62 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $9,170 – $21,779 · median $11,463 | 62 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,538 – $11,793 · median $5,673 | 62 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | $7,324 – $17,394 · median $9,155 | 62 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $13,555 – $32,192 · median $16,943 | 62 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $7,791 – $18,503 · median $9,739 | 62 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,722 – $23,091 · median $12,153 | 62 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,743 – $13,705 · median $7,178 | 62 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $5,071 – $12,043 · median $6,338 | 62 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,559 – $17,953 · median $9,449 | 62 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,168 – $12,584 · median $6,460 | 62 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $3,503 – $8,320 · median $4,379 | 62 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $5,319 – $12,632 · median $6,648 | 62 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $3,012 – $7,826 · median $3,765 | 62 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $5,657 – $13,435 · median $7,071 | 62 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | $8,921 – $21,186 · median $11,151 | 62 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $5,293 – $13,284 · median $6,617 | 62 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $3,456 – $8,809 · median $4,320 | 62 plans |
| 779 | ABORTION WITHOUT D&C | $4,441 – $11,541 · median $5,552 | 62 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $12,961 – $30,781 · median $16,201 | 62 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $5,596 – $13,371 · median $6,995 | 62 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,056 – $12,009 · median $6,320 | 62 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,708 – $20,681 · median $10,885 | 62 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $5,896 – $14,002 · median $7,370 | 62 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $5,062 – $12,021 · median $6,327 | 62 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $9,514 – $22,596 · median $11,892 | 62 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $31,376 – $74,518 · median $39,220 | 62 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $21,428 – $50,891 · median $26,785 | 62 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,929 – $30,707 · median $16,162 | 62 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $22,012 – $52,277 · median $27,514 | 62 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,791 – $18,504 · median $9,739 | 62 plans |
| 795 | NORMAL NEWBORN | $1,055 – $2,505 · median $1,318 | 62 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,161 – $14,632 · median $7,701 | 62 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,281 – $12,543 · median $6,601 | 62 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,053 – $12,000 · median $6,316 | 62 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,908 – $58,703 · median $29,885 | 62 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,831 – $35,974 · median $18,539 | 62 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,077 – $23,933 · median $12,596 | 62 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $21,032 – $49,952 · median $26,290 | 62 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $9,813 – $23,306 · median $12,267 | 62 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $7,158 – $17,001 · median $8,948 | 62 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $5,697 – $13,531 · median $7,121 | 62 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $3,980 – $9,453 · median $4,976 | 62 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $3,559 – $8,453 · median $4,449 | 62 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $11,656 – $28,276 · median $14,570 | 62 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $6,683 – $15,872 · median $8,353 | 62 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $5,525 – $13,122 · median $6,906 | 62 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $7,413 – $17,607 · median $9,267 | 62 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $4,847 – $11,512 · median $6,059 | 62 plans |
| 813 | COAGULATION DISORDERS | $8,052 – $19,124 · median $10,065 | 62 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | $11,227 – $26,664 · median $14,034 | 62 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $5,353 – $12,713 · median $6,691 | 62 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $3,336 – $8,141 · median $4,170 | 62 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $10,634 – $28,606 · median $15,056 | 62 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,119 – $14,534 · median $7,649 | 62 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,539 – $10,781 · median $5,674 | 62 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $30,961 – $73,531 · median $38,701 | 62 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $11,818 – $28,067 · median $14,772 | 62 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $6,356 – $15,095 · median $7,945 | 62 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $24,203 – $57,773 · median $30,254 | 62 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $11,960 – $28,406 · median $14,950 | 62 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $7,124 – $16,918 · median $8,904 | 62 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $24,694 – $58,958 · median $30,868 | 62 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $12,201 – $29,135 · median $15,251 | 62 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $8,994 – $21,362 · median $11,243 | 62 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $16,682 – $39,619 · median $20,852 | 62 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $7,945 – $18,869 · median $9,931 | 62 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $6,348 – $15,077 · median $7,935 | 62 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,809 – $9,227 · median $4,762 | 62 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $2,760 – $6,556 · median $3,451 | 62 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $28,981 – $68,831 · median $36,227 | 62 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $11,011 – $26,370 · median $13,764 | 62 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $6,438 – $15,339 · median $8,047 | 62 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $25,362 – $61,819 · median $31,703 | 62 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $11,019 – $26,171 · median $13,774 | 62 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $7,622 – $18,103 · median $9,528 | 62 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $17,077 – $40,558 · median $21,347 | 62 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $8,612 – $20,454 · median $10,765 | 62 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $5,334 – $12,987 · median $6,667 | 62 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $10,531 – $25,010 · median $13,163 | 62 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $6,427 – $15,263 · median $8,033 | 62 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $4,496 – $10,677 · median $5,620 | 62 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $13,686 – $32,504 · median $17,107 | 62 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $6,906 – $16,402 · median $8,633 | 62 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $4,484 – $10,650 · median $5,605 | 62 plans |
| 849 | RADIOTHERAPY | $14,304 – $33,971 · median $17,880 | 62 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $45,714 – $113,730 · median $57,142 | 62 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $26,071 – $61,919 · median $32,589 | 62 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $10,548 – $25,052 · median $13,185 | 62 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $7,904 – $20,070 · median $9,880 | 62 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $24,013 – $57,030 · median $30,016 | 62 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $11,305 – $26,901 · median $14,131 | 62 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $7,353 – $17,464 · median $9,191 | 62 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | $9,627 – $22,865 · median $12,034 | 62 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $5,268 – $12,511 · median $6,585 | 62 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $4,686 – $11,130 · median $5,858 | 62 plans |
| 865 | VIRAL ILLNESS WITH MCC | $7,910 – $18,785 · median $9,887 | 62 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $4,591 – $10,924 · median $5,738 | 62 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $11,050 – $26,474 · median $13,813 | 62 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $5,443 – $12,965 · median $6,804 | 62 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $3,852 – $9,149 · median $4,815 | 62 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $36,488 – $86,658 · median $45,610 | 62 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $10,255 – $24,355 · median $12,818 | 62 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $5,402 – $12,830 · median $6,753 | 62 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $20,403 – $48,515 · median $25,504 | 62 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $5,069 – $12,039 · median $6,336 | 62 plans |
| 881 | DEPRESSIVE NEUROSES | $4,967 – $11,797 · median $6,209 | 62 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,669 – $13,463 · median $7,086 | 62 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $10,380 – $24,653 · median $12,975 | 62 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,493 – $20,620 · median $10,617 | 62 plans |
| 885 | PSYCHOSES | $7,374 – $17,513 · median $9,217 | 62 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,956 – $26,020 · median $13,695 | 62 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $5,653 – $14,684 · median $7,067 | 62 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,257 – $7,735 · median $4,071 | 62 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $7,473 – $17,748 · median $9,341 | 62 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $9,212 – $21,986 · median $11,516 | 62 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $4,660 – $11,068 · median $5,825 | 62 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $22,154 – $54,699 · median $27,693 | 62 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $10,107 – $24,004 · median $12,633 | 62 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,174 – $15,051 · median $7,718 | 62 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,390 – $47,669 · median $24,238 | 62 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $7,831 – $20,349 · median $9,789 | 62 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,370 – $26,945 · median $12,962 | 62 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $20,268 – $49,183 · median $25,335 | 62 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $10,533 – $25,015 · median $13,166 | 62 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $6,930 – $16,458 · median $8,662 | 62 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,629 – $20,494 · median $10,786 | 62 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,675 – $11,314 · median $5,843 | 62 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $8,877 – $21,456 · median $11,097 | 62 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $3,517 – $8,354 · median $4,397 | 62 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $8,280 – $20,244 · median $10,350 | 62 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $4,525 – $10,921 · median $5,656 | 62 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $9,665 – $22,954 · median $12,081 | 62 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $5,291 – $12,567 · median $6,614 | 62 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $3,634 – $8,631 · median $4,543 | 62 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $9,235 – $21,934 · median $11,544 | 62 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $5,372 – $12,760 · median $6,716 | 62 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $112,710 – $267,687 · median $140,888 | 62 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $37,865 – $89,930 · median $47,331 | 62 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $17,003 – $40,382 · median $21,253 | 62 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $20,558 – $53,420 · median $25,697 | 62 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $11,670 – $27,716 · median $14,587 | 62 plans |
| 935 | NON-EXTENSIVE BURNS | $10,875 – $27,117 · median $13,594 | 62 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $19,155 – $45,493 · median $23,944 | 62 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $12,337 – $29,299 · median $15,421 | 62 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $10,704 – $25,423 · median $13,380 | 62 plans |
| 945 | REHABILITATION WITH CC/MCC | $8,175 – $19,416 · median $10,219 | 62 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,054 – $14,378 · median $7,568 | 62 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $6,701 – $15,915 · median $8,377 | 62 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,226 – $10,036 · median $5,282 | 62 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,280 – $14,916 · median $7,851 | 62 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,314 – $7,870 · median $4,142 | 62 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $2,935 – $7,000 · median $3,669 | 62 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $35,534 – $84,393 · median $44,417 | 62 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | $19,865 – $47,191 · median $24,831 | 62 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $40,226 – $95,536 · median $50,282 | 62 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $22,245 – $52,833 · median $27,807 | 62 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $15,542 – $36,912 · median $19,428 | 62 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $14,432 – $34,276 · median $18,040 | 62 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $8,091 – $19,215 · median $10,113 | 62 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,965 – $11,792 · median $6,206 | 62 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $32,315 – $78,080 · median $40,393 | 62 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $13,923 – $33,067 · median $17,404 | 62 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $15,235 – $36,868 · median $19,044 | 62 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $6,836 – $17,549 · median $8,545 | 62 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $4,765 – $12,383 · median $5,957 | 62 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $6,851 – $17,802 · median $8,563 | 62 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $24,768 – $58,825 · median $30,960 | 62 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $12,979 – $30,824 · median $16,223 | 62 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $9,048 – $21,490 · median $11,310 | 62 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $18,099 – $43,244 · median $22,623 | 62 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $8,677 – $21,186 · median $10,846 | 62 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $6,331 – $15,035 · median $7,913 | 62 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $8,163 – $19,387 · median $10,204 | 54 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $5,268 – $12,511 · median $6,585 | 54 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $3,520 – $8,359 · median $4,399 | 54 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,483 – $15,396 · median $8,103 | 54 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,169 – $9,902 · median $5,212 | 54 plans |
| 509 | ARTHROSCOPY | $9,274 – $22,025 · median $11,592 | 54 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $59,753 – $141,912 · median $74,691 | 52 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $30,127 – $71,552 · median $37,659 | 52 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $12,787 – $30,369 · median $15,984 | 52 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $18,153 – $43,112 · median $22,691 | 52 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $12,745 – $30,270 · median $15,932 | 52 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | $12,085 – $28,703 · median $15,107 | 44 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $7,631 – $18,125 · median $9,539 | 44 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $14,197 – $33,718 · median $17,746 | 44 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $8,391 – $19,929 · median $10,489 | 44 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $11,334 – $26,917 · median $14,167 | 44 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $6,383 – $15,159 · median $7,979 | 44 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $40,420 – $95,997 · median $50,525 | 44 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $27,550 – $65,431 · median $34,437 | 44 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $37,424 – $88,883 · median $46,780 | 44 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $26,700 – $63,412 · median $33,375 | 44 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $33,791 – $80,253 · median $42,238 | 44 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $26,505 – $62,948 · median $33,131 | 44 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $22,709 – $53,935 · median $28,387 | 44 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $15,813 – $37,556 · median $19,766 | 44 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $10,080 – $23,941 · median $12,600 | 44 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $15,889 – $37,736 · median $19,861 | 44 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $9,590 – $22,777 · median $11,988 | 44 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $14,024 – $33,307 · median $17,530 | 44 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $8,596 – $20,416 · median $10,746 | 44 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $6,334 – $15,044 · median $7,918 | 44 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $11,925 – $28,323 · median $14,907 | 44 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $7,672 – $18,220 · median $9,589 | 44 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $5,768 – $13,700 · median $7,211 | 44 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $46,780 – $111,102 · median $58,475 | 44 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $32,288 – $76,685 · median $40,360 | 44 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $24,313 – $57,744 · median $30,392 | 44 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $35,012 – $83,154 · median $43,765 | 44 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,310 – $45,862 · median $24,138 | 44 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $5,569 – $13,227 · median $6,962 | 44 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $8,574 – $20,364 · median $10,718 | 44 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $5,968 – $14,175 · median $7,461 | 44 plans |
| 765 | CESAREAN SECTION W CC/MCC | $6,213 – $14,757 · median $7,767 | 44 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $4,419 – $10,495 · median $5,524 | 44 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $4,915 – $11,674 · median $6,144 | 44 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $4,384 – $10,411 · median $5,480 | 44 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $3,407 – $8,092 · median $4,259 | 44 plans |
| 777 | ECTOPIC PREGNANCY | $4,636 – $11,009 · median $5,794 | 44 plans |
| 778 | THREATENED ABORTION | $3,213 – $7,630 · median $4,016 | 44 plans |
| 780 | FALSE LABOR | $2,576 – $6,117 · median $3,220 | 44 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $4,548 – $10,801 · median $5,685 | 44 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $3,228 – $7,667 · median $4,035 | 44 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $18,006 – $42,765 · median $22,508 | 44 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $9,541 – $22,659 · median $11,926 | 44 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $5,875 – $13,952 · median $7,343 | 44 plans |
No procedures match that keyword.