Sabine 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $944 – $7,064 · median $6,681 | 50 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $944 – $184,732 · median $174,729 | 46 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $944 – $74,698 · median $70,654 | 46 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $944 – $139,915 · median $132,339 | 46 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $944 – $91,307 · median $86,363 | 46 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $944 – $67,966 · median $64,286 | 46 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $944 – $30,567 · median $28,912 | 46 plans |
| 007 | LUNG TRANSPLANT | $944 – $85,367 · median $80,745 | 46 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $944 – $36,945 · median $34,945 | 46 plans |
| 010 | PANCREAS TRANSPLANT | $944 – $47,302 · median $19,141 | 46 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $944 – $35,953 · median $34,006 | 46 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $944 – $27,792 · median $26,287 | 46 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $944 – $18,997 · median $17,968 | 46 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $944 – $51,871 · median $49,062 | 46 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $944 – $34,896 · median $33,007 | 46 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $944 – $20,945 · median $19,173 | 46 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $944 – $37,774 · median $35,728 | 46 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $944 – $25,787 · median $24,391 | 46 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $944 – $29,972 · median $28,349 | 46 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $944 – $20,496 · median $19,386 | 46 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $944 – $16,631 · median $15,730 | 46 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $944 – $39,606 · median $37,462 | 46 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | $944 – $22,489 · median $21,271 | 46 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $944 – $14,471 · median $13,687 | 46 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $944 – $29,535 · median $27,936 | 46 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $944 – $14,047 · median $13,287 | 46 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $944 – $10,962 · median $10,368 | 46 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $944 – $25,515 · median $24,134 | 46 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $944 – $15,758 · median $14,905 | 46 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $944 – $12,807 · median $12,113 | 46 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $944 – $21,701 · median $20,526 | 46 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $944 – $10,696 · median $10,117 | 46 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $944 – $7,749 · median $7,329 | 46 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $944 – $25,453 · median $24,075 | 46 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $944 – $14,494 · median $13,709 | 46 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $944 – $11,389 · median $10,772 | 46 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $944 – $11,940 · median $11,103 | 46 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $944 – $6,455 · median $6,105 | 46 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $944 – $10,065 · median $9,520 | 46 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $944 – $6,721 · median $6,357 | 46 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,057 – $15,314 · median $14,485 | 46 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,048 – $8,541 · median $8,078 | 46 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $944 – $11,269 · median $10,659 | 46 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $944 – $8,180 · median $7,737 | 46 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $944 – $6,063 · median $5,735 | 46 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $944 – $18,175 · median $17,191 | 46 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $944 – $11,583 · median $10,956 | 46 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $944 – $9,254 · median $8,753 | 46 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $944 – $13,256 · median $12,539 | 46 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $944 – $6,660 · median $6,299 | 46 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $944 – $4,512 · median $4,267 | 46 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $944 – $9,682 · median $9,157 | 46 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT M | $944 – $5,698 · median $5,390 | 46 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $944 – $5,266 · median $4,981 | 46 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $944 – $10,974 · median $10,380 | 46 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $944 – $6,763 · median $6,397 | 46 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $944 – $4,985 · median $4,715 | 46 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $944 – $10,575 · median $10,003 | 46 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $944 – $6,795 · median $6,427 | 46 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $944 – $12,640 · median $11,956 | 46 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $944 – $5,440 · median $4,669 | 46 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,010 – $11,931 · median $11,285 | 46 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,010 – $5,904 · median $5,584 | 46 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $944 – $15,067 · median $14,251 | 46 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $944 – $9,201 · median $8,703 | 46 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $944 – $6,301 · median $5,959 | 46 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $944 – $14,976 · median $14,165 | 46 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $944 – $8,587 · median $8,122 | 46 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $944 – $6,030 · median $5,703 | 46 plans |
| 088 | CONCUSSION WITH MCC | $944 – $8,911 · median $8,428 | 46 plans |
| 089 | CONCUSSION WITH CC | $944 – $7,242 · median $6,850 | 46 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $944 – $5,426 · median $5,133 | 46 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $944 – $11,577 · median $10,950 | 46 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $944 – $6,744 · median $6,378 | 46 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $944 – $5,249 · median $4,965 | 46 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $944 – $23,200 · median $21,943 | 46 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $944 – $17,002 · median $16,081 | 46 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $944 – $17,002 · median $16,081 | 46 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $944 – $23,809 · median $22,520 | 46 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $944 – $15,128 · median $14,309 | 46 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $944 – $8,981 · median $8,495 | 46 plans |
| 100 | SEIZURES WITH MCC | $944 – $12,767 · median $12,076 | 46 plans |
| 101 | SEIZURES WITHOUT MCC | $944 – $5,950 · median $5,628 | 46 plans |
| 102 | HEADACHES WITH MCC | $944 – $7,389 · median $6,989 | 46 plans |
| 103 | HEADACHES WITHOUT MCC | $944 – $5,513 · median $5,214 | 46 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $944 – $15,498 · median $14,659 | 46 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $944 – $8,919 · median $8,436 | 46 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $944 – $10,118 · median $9,570 | 46 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $944 – $11,919 · median $11,274 | 46 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $944 – $7,152 · median $6,764 | 46 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $944 – $7,668 · median $7,253 | 46 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $944 – $5,180 · median $4,899 | 46 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $944 – $5,264 · median $4,979 | 46 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $944 – $8,722 · median $8,250 | 46 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $944 – $5,061 · median $4,787 | 46 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $944 – $14,304 · median $13,188 | 46 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $944 – $6,693 · median $6,330 | 46 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $944 – $9,843 · median $9,310 | 46 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $944 – $5,842 · median $5,525 | 46 plans |
| 139 | SALIVARY GLAND PROCEDURES | $944 – $8,146 · median $7,536 | 46 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $944 – $13,958 · median $13,202 | 46 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $944 – $8,382 · median $7,928 | 46 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $944 – $5,254 · median $4,970 | 46 plans |
| 149 | DYSEQUILIBRIUM | $944 – $4,954 · median $4,686 | 46 plans |
| 150 | EPISTAXIS WITH MCC | $944 – $8,777 · median $8,302 | 46 plans |
| 151 | EPISTAXIS WITHOUT MCC | $944 – $4,838 · median $4,576 | 46 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $944 – $7,793 · median $7,371 | 46 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $944 – $4,866 · median $4,603 | 46 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | $944 – $10,306 · median $9,748 | 46 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $944 – $6,042 · median $5,714 | 46 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $944 – $4,556 · median $4,309 | 46 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $944 – $11,317 · median $10,704 | 46 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $944 – $5,997 · median $5,673 | 46 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $944 – $4,670 · median $4,418 | 46 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $944 – $29,544 · median $27,944 | 46 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $944 – $16,638 · median $15,737 | 46 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $944 – $12,618 · median $11,935 | 46 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $944 – $24,639 · median $23,305 | 46 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $944 – $11,888 · median $11,244 | 46 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | $944 – $9,007 · median $8,520 | 46 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $944 – $9,055 · median $8,564 | 46 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $944 – $5,307 · median $5,019 | 46 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $944 – $10,301 · median $9,743 | 46 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $944 – $6,434 · median $6,085 | 46 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $944 – $4,977 · median $4,707 | 46 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $944 – $11,641 · median $11,011 | 46 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $944 – $7,060 · median $6,678 | 46 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $944 – $4,969 · median $4,639 | 46 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $944 – $10,085 · median $9,539 | 46 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $944 – $7,014 · median $6,635 | 46 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $944 – $5,185 · median $4,904 | 46 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $944 – $10,274 · median $9,717 | 46 plans |
| 187 | PLEURAL EFFUSION WITH CC | $944 – $6,520 · median $6,167 | 46 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $944 – $4,728 · median $4,472 | 46 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $944 – $8,144 · median $7,703 | 46 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $944 – $7,302 · median $6,907 | 46 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $944 – $5,557 · median $5,256 | 46 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $944 – $4,232 · median $4,003 | 46 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $944 – $8,664 · median $8,195 | 46 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $944 – $5,312 · median $5,025 | 46 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $944 – $4,143 · median $3,919 | 46 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $944 – $12,440 · median $11,767 | 46 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $944 – $6,256 · median $5,918 | 46 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $944 – $4,721 · median $4,466 | 46 plans |
| 199 | PNEUMOTHORAX WITH MCC | $944 – $11,629 · median $10,999 | 46 plans |
| 200 | PNEUMOTHORAX WITH CC | $944 – $7,247 · median $6,854 | 46 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $944 – $4,714 · median $4,459 | 46 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $944 – $6,402 · median $6,055 | 46 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $944 – $4,417 · median $4,177 | 46 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $944 – $5,322 · median $5,034 | 46 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $944 – $12,070 · median $11,416 | 46 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $944 – $6,204 · median $5,868 | 46 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $944 – $42,417 · median $40,120 | 46 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $944 – $18,119 · median $17,138 | 46 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $944 – $65,636 · median $62,082 | 46 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $64,488 · median $60,996 | 46 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $43,344 · median $40,997 | 46 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $43,344 · median $40,997 | 46 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $50,615 · median $47,874 | 46 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $35,153 · median $33,250 | 46 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $944 – $33,225 · median $31,426 | 46 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $944 – $32,613 · median $30,847 | 46 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $944 – $20,761 · median $19,637 | 46 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $944 – $55,569 · median $52,560 | 46 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $944 – $39,964 · median $37,800 | 46 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $944 – $50,397 · median $47,668 | 46 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $944 – $36,010 · median $34,060 | 46 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $944 – $38,685 · median $36,591 | 46 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $944 – $27,612 · median $26,117 | 46 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $944 – $32,444 · median $30,687 | 46 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $944 – $18,790 · median $17,773 | 46 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $944 – $9,126 · median $8,632 | 46 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $944 – $21,047 · median $19,907 | 46 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $944 – $14,047 · median $13,286 | 46 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $944 – $11,915 · median $11,270 | 46 plans |
| 245 | AICD GENERATOR PROCEDURES | $944 – $30,075 · median $28,447 | 46 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $944 – $14,387 · median $13,608 | 46 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $944 – $9,852 · median $9,318 | 46 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $944 – $22,995 · median $21,750 | 46 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $944 – $17,110 · median $16,184 | 46 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $944 – $11,745 · median $11,109 | 46 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $944 – $17,781 · median $16,818 | 46 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $944 – $11,192 · median $10,586 | 46 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $944 – $7,200 · median $6,810 | 46 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $944 – $20,713 · median $19,591 | 46 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $944 – $13,330 · median $12,608 | 46 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $944 – $21,442 · median $20,281 | 46 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $944 – $12,462 · median $11,787 | 46 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $944 – $10,744 · median $10,162 | 46 plans |
| 263 | VEIN LIGATION AND STRIPPING | $944 – $20,154 · median $19,063 | 46 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $944 – $22,021 · median $20,829 | 46 plans |
| 265 | AICD LEAD PROCEDURES | $944 – $23,851 · median $22,559 | 46 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $944 – $10,574 · median $10,002 | 46 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $944 – $6,059 · median $5,731 | 46 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $944 – $4,767 · median $4,509 | 46 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $944 – $13,057 · median $12,350 | 46 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $944 – $4,563 · median $4,316 | 46 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $944 – $3,948 · median $3,734 | 46 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $944 – $14,587 · median $13,797 | 46 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $944 – $7,054 · median $6,672 | 46 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $944 – $17,839 · median $16,873 | 46 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $944 – $11,252 · median $10,643 | 46 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $944 – $6,129 · median $5,797 | 46 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $944 – $8,463 · median $8,004 | 46 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $944 – $5,597 · median $5,294 | 46 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $944 – $3,731 · median $3,529 | 46 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $944 – $10,296 · median $9,738 | 46 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $944 – $4,179 · median $3,888 | 46 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $944 – $3,000 · median $2,838 | 46 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $944 – $10,763 · median $10,180 | 46 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $944 – $7,037 · median $6,656 | 46 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $944 – $4,744 · median $4,487 | 46 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $944 – $7,888 · median $7,461 | 46 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $944 – $4,438 · median $4,197 | 46 plans |
| 304 | HYPERTENSION WITH MCC | $944 – $7,844 · median $7,420 | 46 plans |
| 305 | HYPERTENSION WITHOUT MCC | $944 – $4,978 · median $4,708 | 46 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $944 – $10,388 · median $9,825 | 46 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $944 – $6,020 · median $5,694 | 46 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $944 – $7,937 · median $7,507 | 46 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $944 – $4,850 · median $4,587 | 46 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $944 – $3,732 · median $3,530 | 46 plans |
| 311 | ANGINA PECTORIS | $944 – $4,627 · median $4,376 | 46 plans |
| 312 | SYNCOPE AND COLLAPSE | $944 – $5,746 · median $5,434 | 46 plans |
| 313 | CHEST PAIN | $944 – $4,746 · median $4,489 | 46 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $944 – $13,745 · median $13,001 | 46 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $944 – $6,350 · median $6,006 | 46 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $944 – $4,496 · median $4,253 | 46 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $944 – $32,877 · median $31,096 | 46 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | $944 – $16,112 · median $15,240 | 46 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | $944 – $10,562 · median $9,990 | 46 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $944 – $30,300 · median $28,659 | 46 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $944 – $15,802 · median $14,947 | 46 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $944 – $11,094 · median $10,493 | 46 plans |
| 332 | RECTAL RESECTION WITH MCC | $944 – $23,867 · median $22,575 | 46 plans |
| 333 | RECTAL RESECTION WITH CC | $944 – $15,440 · median $14,604 | 46 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $944 – $10,797 · median $10,212 | 46 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $944 – $23,539 · median $22,265 | 46 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $944 – $13,900 · median $13,148 | 46 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $944 – $10,119 · median $9,571 | 46 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $944 – $17,026 · median $16,104 | 46 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $944 – $9,919 · median $9,382 | 46 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $944 – $7,819 · median $7,396 | 46 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $944 – $15,132 · median $14,313 | 46 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $944 – $8,628 · median $8,160 | 46 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $944 – $5,739 · median $5,428 | 46 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $944 – $16,426 · median $15,537 | 46 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $944 – $10,049 · median $9,505 | 46 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $944 – $7,698 · median $7,281 | 46 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $944 – $19,130 · median $18,094 | 46 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $944 – $11,090 · median $10,490 | 46 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $944 – $8,866 · median $8,386 | 46 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $944 – $28,957 · median $27,389 | 46 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $944 – $15,330 · median $14,499 | 46 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | $944 – $9,215 · median $8,716 | 46 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $944 – $10,494 · median $9,926 | 46 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $944 – $6,593 · median $6,236 | 46 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $944 – $4,620 · median $4,369 | 46 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $944 – $11,688 · median $11,055 | 46 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $944 – $6,730 · median $6,366 | 46 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $944 – $4,795 · median $4,535 | 46 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $944 – $14,098 · median $13,335 | 46 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $944 – $7,974 · median $7,542 | 46 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $944 – $6,093 · median $5,763 | 46 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $944 – $12,050 · median $11,398 | 46 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $944 – $6,465 · median $6,115 | 46 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $944 – $4,156 · median $3,931 | 46 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $944 – $12,935 · median $12,234 | 46 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $944 – $7,142 · median $6,756 | 46 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $944 – $5,277 · median $4,992 | 46 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $944 – $9,101 · median $8,609 | 46 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $944 – $5,635 · median $5,330 | 46 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $944 – $10,430 · median $9,866 | 46 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $944 – $6,436 · median $6,087 | 46 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $944 – $4,491 · median $4,248 | 46 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $944 – $9,735 · median $9,208 | 46 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $944 – $5,206 · median $4,924 | 46 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $944 – $3,586 · median $3,392 | 46 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $944 – $8,361 · median $7,908 | 46 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $944 – $5,139 · median $4,861 | 46 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $944 – $10,542 · median $9,972 | 46 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $944 – $6,168 · median $5,834 | 46 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $944 – $4,278 · median $4,047 | 46 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $944 – $36,061 · median $34,109 | 46 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $944 – $19,118 · median $18,083 | 46 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | $944 – $14,631 · median $13,839 | 46 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $944 – $23,504 · median $22,232 | 46 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $944 – $14,353 · median $13,575 | 46 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $944 – $10,466 · median $9,899 | 46 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $944 – $21,775 · median $20,596 | 46 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $944 – $13,860 · median $13,109 | 46 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $944 – $10,946 · median $10,353 | 46 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $944 – $23,484 · median $22,213 | 46 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $944 – $13,624 · median $12,886 | 46 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $944 – $8,987 · median $8,500 | 46 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | $944 – $15,731 · median $14,879 | 46 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | $944 – $11,151 · median $10,547 | 46 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | $944 – $9,003 · median $8,516 | 46 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $944 – $22,459 · median $21,243 | 46 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $944 – $11,453 · median $10,833 | 46 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $944 – $9,225 · median $8,726 | 46 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $944 – $27,376 · median $25,894 | 46 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $944 – $14,422 · median $13,642 | 46 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $944 – $9,890 · median $9,354 | 46 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $944 – $12,974 · median $12,272 | 46 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $944 – $6,962 · median $6,585 | 46 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $944 – $4,697 · median $4,442 | 46 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $944 – $12,107 · median $11,452 | 46 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $944 – $7,456 · median $7,052 | 46 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $944 – $5,625 · median $5,320 | 46 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $944 – $10,746 · median $10,164 | 46 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $944 – $5,545 · median $5,245 | 46 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $944 – $4,096 · median $3,874 | 46 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $944 – $11,831 · median $11,190 | 46 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $944 – $6,363 · median $6,019 | 46 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $944 – $4,612 · median $4,363 | 46 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $944 – $11,014 · median $10,418 | 46 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $944 – $7,214 · median $6,824 | 46 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $944 – $5,454 · median $5,158 | 46 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $944 – $55,395 · median $52,395 | 46 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $944 – $39,308 · median $37,180 | 46 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $944 – $27,505 · median $26,016 | 46 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $944 – $36,407 · median $33,423 | 46 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $944 – $17,535 · median $16,585 | 46 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $944 – $37,571 · median $35,536 | 46 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $944 – $20,532 · median $19,420 | 46 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $944 – $12,022 · median $11,371 | 46 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $944 – $34,314 · median $32,456 | 46 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $944 – $23,247 · median $21,988 | 46 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $944 – $18,115 · median $17,134 | 46 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $944 – $19,995 · median $18,912 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $944 – $12,715 · median $12,027 | 46 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $944 – $31,830 · median $30,107 | 46 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $944 – $19,420 · median $18,369 | 46 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $944 – $16,093 · median $15,222 | 46 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $944 – $28,298 · median $26,766 | 46 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $944 – $15,001 · median $14,189 | 46 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $944 – $7,780 · median $7,359 | 46 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $944 – $22,772 · median $21,539 | 46 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $944 – $16,211 · median $15,333 | 46 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $944 – $12,254 · median $11,590 | 46 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | $944 – $19,198 · median $18,158 | 46 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | $944 – $13,807 · median $13,059 | 46 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | $944 – $10,751 · median $10,169 | 46 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | $944 – $18,272 · median $17,283 | 46 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $944 – $21,273 · median $20,121 | 46 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $944 – $13,784 · median $13,038 | 46 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $944 – $10,324 · median $9,765 | 46 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $944 – $11,660 · median $9,500 | 46 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $944 – $7,362 · median $6,963 | 46 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $944 – $24,203 · median $22,892 | 46 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $944 – $16,718 · median $15,813 | 46 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $944 – $13,227 · median $12,511 | 46 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $944 – $23,900 · median $22,606 | 46 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $944 – $11,891 · median $11,247 | 46 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $944 – $7,965 · median $7,181 | 46 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $944 – $19,887 · median $18,810 | 46 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $944 – $13,281 · median $12,562 | 46 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $944 – $20,862 · median $19,733 | 46 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $944 – $11,523 · median $10,899 | 46 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $944 – $8,872 · median $8,392 | 46 plans |
| 503 | FOOT PROCEDURES WITH MCC | $944 – $18,399 · median $17,403 | 46 plans |
| 504 | FOOT PROCEDURES WITH CC | $944 – $12,322 · median $11,654 | 46 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $944 – $11,818 · median $11,178 | 46 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $944 – $8,894 · median $7,480 | 46 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | $944 – $11,908 · median $11,263 | 46 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | $944 – $9,983 · median $9,442 | 46 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $944 – $19,911 · median $18,833 | 46 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $944 – $13,707 · median $12,965 | 46 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $944 – $10,912 · median $10,321 | 46 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $944 – $10,378 · median $9,816 | 46 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $944 – $6,739 · median $6,374 | 46 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $21,008 · median $19,870 | 46 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $13,699 · median $12,957 | 46 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $10,130 · median $9,581 | 46 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $944 – $10,334 · median $9,775 | 46 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $944 – $5,314 · median $5,026 | 46 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $944 – $8,451 · median $7,993 | 46 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $944 – $5,324 · median $5,035 | 46 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $944 – $6,291 · median $5,950 | 46 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $944 – $4,748 · median $4,491 | 46 plans |
| 539 | OSTEOMYELITIS WITH MCC | $944 – $12,984 · median $12,281 | 46 plans |
| 540 | OSTEOMYELITIS WITH CC | $944 – $8,545 · median $8,082 | 46 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $944 – $5,190 · median $4,810 | 46 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $944 – $11,645 · median $11,014 | 46 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $944 – $6,777 · median $6,410 | 46 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $944 – $4,974 · median $4,705 | 46 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $944 – $16,359 · median $15,473 | 46 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $944 – $7,603 · median $7,191 | 46 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $944 – $5,512 · median $5,214 | 46 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $944 – $12,728 · median $12,039 | 46 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $944 – $7,958 · median $7,527 | 46 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $944 – $5,762 · median $5,450 | 46 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $944 – $11,049 · median $10,450 | 46 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $944 – $6,337 · median $5,994 | 46 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $944 – $8,545 · median $8,082 | 46 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $944 – $5,472 · median $5,176 | 46 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $944 – $8,713 · median $8,241 | 46 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $944 – $5,475 · median $5,179 | 46 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $944 – $9,802 · median $9,271 | 46 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $944 – $5,888 · median $5,569 | 46 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $944 – $12,293 · median $11,628 | 46 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $944 – $7,423 · median $7,021 | 46 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $944 – $5,299 · median $5,012 | 46 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $944 – $9,392 · median $8,884 | 46 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $944 – $5,903 · median $5,583 | 46 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $10,175 · median $9,624 | 46 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $6,423 · median $6,075 | 46 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $944 – $4,939 · median $4,672 | 46 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $944 – $43,186 · median $40,848 | 46 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $944 – $22,883 · median $21,644 | 46 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | $944 – $11,846 · median $10,186 | 46 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $944 – $32,308 · median $30,559 | 46 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $944 – $17,473 · median $16,527 | 46 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $944 – $10,589 · median $10,016 | 46 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $944 – $21,348 · median $20,192 | 46 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $944 – $11,391 · median $10,774 | 46 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $944 – $9,513 · median $8,998 | 46 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $944 – $12,700 · median $12,012 | 46 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $944 – $11,367 · median $10,752 | 46 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $944 – $14,111 · median $13,347 | 46 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $944 – $12,716 · median $12,028 | 46 plans |
| 592 | SKIN ULCERS WITH MCC | $944 – $12,757 · median $12,067 | 46 plans |
| 593 | SKIN ULCERS WITH CC | $944 – $7,820 · median $7,397 | 46 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $944 – $5,714 · median $5,405 | 46 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $944 – $13,980 · median $13,223 | 46 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $944 – $7,136 · median $6,749 | 46 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $944 – $10,989 · median $10,394 | 46 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $944 – $7,457 · median $7,054 | 46 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $944 – $5,072 · median $4,572 | 46 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $944 – $6,866 · median $6,494 | 46 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $944 – $3,988 · median $3,772 | 46 plans |
| 602 | CELLULITIS WITH MCC | $944 – $9,369 · median $8,862 | 46 plans |
| 603 | CELLULITIS WITHOUT MCC | $944 – $5,741 · median $5,430 | 46 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $944 – $9,704 · median $9,179 | 46 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $944 – $6,038 · median $5,711 | 46 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $944 – $9,975 · median $9,435 | 46 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $944 – $5,975 · median $5,651 | 46 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $944 – $14,448 · median $13,666 | 46 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $944 – $9,224 · median $8,725 | 46 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $944 – $22,989 · median $21,744 | 46 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $944 – $12,329 · median $11,661 | 46 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $944 – $9,349 · median $8,843 | 46 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $944 – $19,034 · median $18,003 | 46 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $944 – $10,549 · median $9,978 | 46 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $944 – $9,943 · median $9,405 | 46 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $944 – $23,462 · median $22,192 | 46 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $944 – $11,825 · median $11,185 | 46 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $944 – $8,252 · median $7,806 | 46 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $944 – $19,908 · median $18,830 | 46 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $944 – $9,884 · median $9,349 | 46 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $944 – $8,756 · median $8,282 | 46 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $944 – $24,567 · median $23,237 | 46 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $944 – $14,362 · median $13,585 | 46 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $944 – $9,621 · median $9,100 | 46 plans |
| 637 | DIABETES WITH MCC | $944 – $9,471 · median $8,958 | 46 plans |
| 638 | DIABETES WITH CC | $944 – $5,908 · median $5,588 | 46 plans |
| 639 | DIABETES WITHOUT CC/MCC | $944 – $4,095 · median $3,873 | 46 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $944 – $8,804 · median $8,327 | 46 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $944 – $5,130 · median $4,852 | 46 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $944 – $9,374 · median $8,867 | 46 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $944 – $10,851 · median $10,263 | 46 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $944 – $6,757 · median $6,391 | 46 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $944 – $5,065 · median $4,790 | 46 plans |
| 652 | KIDNEY TRANSPLANT | $944 – $21,289 · median $20,136 | 46 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $944 – $34,254 · median $32,400 | 46 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $944 – $18,453 · median $17,454 | 46 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $944 – $13,952 · median $13,197 | 46 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $944 – $20,987 · median $19,851 | 46 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $944 – $12,063 · median $11,410 | 46 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | $944 – $10,229 · median $9,675 | 46 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $944 – $16,749 · median $15,843 | 46 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $944 – $8,713 · median $8,241 | 46 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $944 – $6,825 · median $6,456 | 46 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $944 – $20,181 · median $19,088 | 46 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $944 – $10,021 · median $9,478 | 46 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $944 – $6,901 · median $6,527 | 46 plans |
| 665 | PROSTATECTOMY WITH MCC | $944 – $20,575 · median $19,461 | 46 plans |
| 666 | PROSTATECTOMY WITH CC | $944 – $11,531 · median $10,907 | 46 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $944 – $7,292 · median $6,897 | 46 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $944 – $19,248 · median $18,206 | 46 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $944 – $10,231 · median $9,677 | 46 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $944 – $6,442 · median $6,093 | 46 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $944 – $11,833 · median $11,192 | 46 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $944 – $7,116 · median $6,731 | 46 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $944 – $27,697 · median $26,197 | 46 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $944 – $15,416 · median $14,581 | 46 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | $944 – $10,820 · median $10,234 | 46 plans |
| 682 | RENAL FAILURE WITH MCC | $944 – $9,763 · median $9,234 | 46 plans |
| 683 | RENAL FAILURE WITH CC | $944 – $5,773 · median $5,461 | 46 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $944 – $3,957 · median $3,743 | 46 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $944 – $11,890 · median $11,246 | 46 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $944 – $6,907 · median $6,533 | 46 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $944 – $5,210 · median $4,928 | 46 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $944 – $7,649 · median $7,234 | 46 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $944 – $5,336 · median $5,047 | 46 plans |
| 693 | URINARY STONES WITH MCC | $944 – $8,863 · median $8,383 | 46 plans |
| 694 | URINARY STONES WITHOUT MCC | $944 – $5,153 · median $4,874 | 46 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $944 – $7,540 · median $7,132 | 46 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $944 – $4,542 · median $4,296 | 46 plans |
| 697 | URETHRAL STRICTURE | $944 – $7,105 · median $6,720 | 46 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $944 – $10,906 · median $10,315 | 46 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $944 – $6,691 · median $6,329 | 46 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $944 – $4,548 · median $4,302 | 46 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $944 – $13,186 · median $12,472 | 46 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $944 – $10,113 · median $9,566 | 46 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $944 – $15,340 · median $14,509 | 46 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $944 – $9,237 · median $8,736 | 46 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $944 – $13,736 · median $12,992 | 46 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $944 – $7,249 · median $6,857 | 46 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $944 – $9,910 · median $9,374 | 46 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $944 – $6,970 · median $6,593 | 46 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $944 – $14,748 · median $13,950 | 46 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $944 – $9,697 · median $9,172 | 46 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $944 – $12,462 · median $11,787 | 46 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $944 – $8,854 · median $8,374 | 46 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $944 – $11,929 · median $11,283 | 46 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $944 – $7,533 · median $7,125 | 46 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $944 – $4,322 · median $3,814 | 46 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $944 – $7,714 · median $7,296 | 46 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $944 – $4,759 · median $4,502 | 46 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | $944 – $9,775 · median $9,246 | 46 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $944 – $5,347 · median $5,058 | 46 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $944 – $6,979 · median $6,601 | 46 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $944 – $4,430 · median $4,190 | 46 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $944 – $14,041 · median $13,281 | 46 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $944 – $8,869 · median $8,389 | 46 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $944 – $23,563 · median $22,287 | 46 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $944 – $13,583 · median $12,848 | 46 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $944 – $9,680 · median $9,156 | 46 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $944 – $23,618 · median $21,986 | 46 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $944 – $11,929 · median $11,283 | 46 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $944 – $9,401 · median $8,892 | 46 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $944 – $12,095 · median $11,440 | 46 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $944 – $8,179 · median $7,736 | 46 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $944 – $13,508 · median $12,776 | 46 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $944 – $7,498 · median $7,092 | 46 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $944 – $11,451 · median $10,831 | 46 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $944 – $5,667 · median $5,234 | 46 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | $944 – $9,145 · median $8,650 | 46 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $944 – $16,925 · median $16,009 | 46 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $944 – $9,728 · median $9,202 | 46 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $944 – $12,140 · median $11,483 | 46 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $944 – $7,171 · median $6,782 | 46 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $944 – $6,332 · median $5,989 | 46 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $944 – $9,439 · median $8,928 | 46 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $944 – $6,453 · median $6,104 | 46 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $944 – $4,374 · median $4,138 | 46 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $944 – $6,641 · median $6,282 | 46 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $944 – $3,761 · median $3,551 | 46 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | $944 – $11,139 · median $10,536 | 46 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $944 – $6,610 · median $6,252 | 46 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $944 – $4,316 · median $4,082 | 46 plans |
| 779 | ABORTION WITHOUT D&C | $944 – $5,546 · median $4,446 | 46 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $944 – $11,880 · median $11,237 | 46 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $944 – $39,179 · median $37,058 | 46 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $944 – $26,757 · median $25,308 | 46 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $944 – $16,145 · median $15,271 | 46 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $944 – $27,486 · median $25,997 | 46 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $944 – $9,729 · median $9,202 | 46 plans |
| 795 | NORMAL NEWBORN | $944 – $1,317 · median $1,246 | 46 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $944 – $29,854 · median $28,238 | 46 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $944 – $18,519 · median $17,517 | 46 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $944 – $12,583 · median $11,902 | 46 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $944 – $26,263 · median $24,841 | 46 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $944 – $12,254 · median $11,590 | 46 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $944 – $8,939 · median $8,455 | 46 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $944 – $14,554 · median $13,766 | 46 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $944 – $8,345 · median $7,893 | 46 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $944 – $6,899 · median $6,526 | 46 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $944 – $9,257 · median $8,756 | 46 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $944 – $6,053 · median $5,725 | 46 plans |
| 813 | COAGULATION DISORDERS | $944 – $10,055 · median $9,510 | 46 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | $944 – $14,019 · median $13,260 | 46 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $944 – $6,684 · median $6,322 | 46 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $944 – $4,166 · median $3,941 | 46 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $944 – $38,660 · median $36,567 | 46 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $944 – $14,757 · median $13,958 | 46 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $944 – $7,937 · median $7,507 | 46 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $944 – $30,223 · median $28,586 | 46 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $944 – $14,935 · median $14,126 | 46 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $944 – $8,895 · median $8,414 | 46 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $944 – $30,836 · median $29,166 | 46 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $944 – $15,235 · median $14,410 | 46 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $944 – $11,231 · median $10,623 | 46 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $944 – $20,830 · median $19,703 | 46 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $944 – $9,921 · median $9,384 | 46 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $944 – $36,189 · median $34,230 | 46 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $944 – $13,749 · median $13,005 | 46 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $944 – $8,039 · median $7,604 | 46 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $944 – $31,670 · median $29,955 | 46 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $944 – $13,760 · median $13,015 | 46 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $944 – $9,518 · median $9,003 | 46 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $944 – $21,324 · median $20,170 | 46 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $944 – $10,754 · median $10,172 | 46 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $944 – $6,660 · median $6,300 | 46 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $944 – $13,150 · median $12,438 | 46 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $944 – $8,025 · median $7,590 | 46 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $944 – $5,614 · median $5,310 | 46 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $944 – $17,090 · median $16,164 | 46 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $944 – $8,624 · median $8,157 | 46 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $944 – $5,599 · median $5,296 | 46 plans |
| 849 | RADIOTHERAPY | $944 – $17,861 · median $16,894 | 46 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $944 – $32,555 · median $30,792 | 46 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $944 – $13,171 · median $12,458 | 46 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $944 – $9,869 · median $9,335 | 46 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $944 – $29,985 · median $28,361 | 46 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $944 – $14,117 · median $13,352 | 46 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $944 – $9,182 · median $8,685 | 46 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | $944 – $12,022 · median $11,371 | 46 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $944 – $6,578 · median $6,222 | 46 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $944 – $5,852 · median $5,535 | 46 plans |
| 865 | VIRAL ILLNESS WITH MCC | $944 – $9,877 · median $9,342 | 46 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $944 – $5,732 · median $5,422 | 46 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $944 – $13,798 · median $13,051 | 46 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $944 – $6,797 · median $6,429 | 46 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $944 – $4,810 · median $4,550 | 46 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $944 – $45,562 · median $43,095 | 46 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $944 – $12,805 · median $12,111 | 46 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $944 – $6,746 · median $6,380 | 46 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $1,218 – $25,477 · median $24,098 | 46 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $1,020 – $6,330 · median $5,987 | 46 plans |
| 881 | DEPRESSIVE NEUROSES | $1,001 – $6,202 · median $5,867 | 46 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $963 – $7,078 · median $6,695 | 46 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,105 – $12,962 · median $12,260 | 46 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,020 – $10,606 · median $10,031 | 46 plans |
| 885 | PSYCHOSES | $944 – $9,208 · median $8,709 | 46 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,010 – $13,680 · median $12,940 | 46 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $944 – $7,059 · median $6,677 | 46 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $812 – $4,067 · median $3,846 | 46 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $850 – $9,332 · median $8,826 | 46 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $944 – $11,504 · median $10,881 | 46 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $897 – $5,819 · median $5,504 | 46 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $944 – $27,664 · median $26,166 | 46 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $944 – $12,620 · median $11,937 | 46 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $944 – $7,710 · median $7,292 | 46 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $944 – $24,213 · median $22,902 | 46 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $944 – $9,778 · median $8,927 | 46 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $944 – $12,949 · median $10,989 | 46 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $944 – $25,308 · median $23,938 | 46 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $944 – $13,152 · median $12,440 | 46 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $944 – $8,653 · median $8,185 | 46 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $944 – $10,775 · median $10,192 | 46 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $944 – $5,837 · median $5,521 | 46 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $944 – $11,085 · median $10,485 | 46 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $944 – $4,392 · median $4,154 | 46 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,124 – $10,339 · median $9,779 | 46 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,057 – $5,650 · median $5,344 | 46 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $944 – $12,069 · median $11,415 | 46 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $944 – $6,607 · median $6,249 | 46 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $944 – $4,538 · median $4,292 | 46 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $944 – $11,532 · median $10,908 | 46 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $944 – $6,709 · median $6,345 | 46 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $944 – $140,741 · median $114,912 | 46 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $944 – $47,282 · median $44,722 | 46 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $944 – $21,231 · median $20,082 | 46 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $944 – $25,670 · median $23,797 | 46 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $944 – $14,572 · median $13,783 | 46 plans |
| 935 | NON-EXTENSIVE BURNS | $944 – $13,579 · median $12,844 | 46 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $944 – $23,919 · median $22,624 | 46 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $944 – $15,405 · median $14,571 | 46 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $944 – $13,366 · median $12,643 | 46 plans |
| 945 | REHABILITATION WITH CC/MCC | $944 – $10,208 · median $9,656 | 46 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $944 – $7,560 · median $7,150 | 46 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,057 – $8,368 · median $7,915 | 46 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,029 – $5,277 · median $4,991 | 46 plans |
| 949 | AFTERCARE WITH CC/MCC | $944 – $7,842 · median $7,418 | 46 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $944 – $4,138 · median $3,914 | 46 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $944 – $3,665 · median $3,467 | 46 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $944 – $44,371 · median $41,968 | 46 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | $944 – $24,805 · median $23,462 | 46 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $944 – $50,230 · median $47,510 | 46 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $944 – $27,778 · median $26,274 | 46 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $944 – $19,407 · median $18,356 | 46 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $944 – $18,021 · median $17,045 | 46 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $944 – $10,103 · median $9,556 | 46 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $944 – $6,200 · median $5,864 | 46 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $944 – $40,351 · median $38,166 | 46 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $944 – $17,386 · median $16,444 | 46 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $944 – $19,024 · median $17,994 | 46 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $944 – $8,537 · median $8,074 | 46 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $944 – $5,951 · median $5,577 | 46 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $944 – $8,554 · median $7,903 | 46 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $944 – $30,928 · median $29,253 | 46 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $944 – $16,206 · median $15,329 | 46 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $944 – $11,299 · median $10,687 | 46 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $944 – $22,600 · median $21,376 | 46 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $944 – $10,834 · median $10,248 | 46 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $944 – $7,905 · median $7,477 | 46 plans |
| 765 | CESAREAN SECTION W CC/MCC | $944 – $7,759 · median $1,977 | 40 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $944 – $5,518 · median $1,977 | 40 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $944 – $6,138 · median $1,727 | 40 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $944 – $5,474 · median $1,727 | 40 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $944 – $4,254 · median $1,727 | 40 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $944 – $10,193 · median $954 | 36 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $944 – $6,578 · median $954 | 36 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $944 – $4,395 · median $954 | 36 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | $944 – $15,091 · median $954 | 36 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $944 – $9,529 · median $954 | 36 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $944 – $17,728 · median $954 | 36 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $944 – $10,478 · median $954 | 36 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $944 – $14,152 · median $954 | 36 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $944 – $7,970 · median $954 | 36 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $944 – $50,472 · median $954 | 36 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $944 – $34,401 · median $954 | 36 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $944 – $46,732 · median $954 | 36 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $944 – $33,340 · median $954 | 36 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $944 – $42,194 · median $954 | 36 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $944 – $33,096 · median $954 | 36 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $944 – $28,357 · median $954 | 36 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $944 – $19,745 · median $954 | 36 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $944 – $12,587 · median $954 | 36 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $944 – $19,840 · median $954 | 36 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $944 – $11,976 · median $954 | 36 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $944 – $8,095 · median $954 | 36 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $944 – $5,206 · median $954 | 36 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $944 – $17,511 · median $954 | 36 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $944 – $10,734 · median $954 | 36 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $944 – $7,910 · median $954 | 36 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $944 – $14,891 · median $954 | 36 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $944 – $9,579 · median $954 | 36 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $944 – $7,203 · median $954 | 36 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $944 – $58,414 · median $954 | 36 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $944 – $40,318 · median $954 | 36 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $944 – $30,360 · median $954 | 36 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $944 – $43,720 · median $954 | 36 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $944 – $24,113 · median $954 | 36 plans |
| 509 | ARTHROSCOPY | $944 – $11,580 · median $954 | 36 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $944 – $6,954 · median $954 | 36 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $944 – $10,707 · median $954 | 36 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $944 – $7,453 · median $954 | 36 plans |
| 777 | ECTOPIC PREGNANCY | $944 – $5,788 · median $954 | 36 plans |
| 778 | THREATENED ABORTION | $944 – $4,012 · median $954 | 36 plans |
| 780 | FALSE LABOR | $944 – $3,216 · median $954 | 36 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $944 – $5,679 · median $954 | 36 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $944 – $4,031 · median $954 | 36 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $944 – $22,484 · median $954 | 36 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $944 – $11,914 · median $954 | 36 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $944 – $7,335 · median $954 | 36 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $74,932 – $79,221 · median $79,221 | 26 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $36,972 – $39,088 · median $39,088 | 26 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $30,167 – $35,809 · median $35,809 | 26 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $269,245 – $284,658 · median $284,658 | 26 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $41,321 – $47,031 · median $47,031 | 26 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,594 – $28,117 · median $28,117 | 26 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,599 – $14,378 · median $14,378 | 26 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,954 – $10,523 · median $10,523 | 26 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $23,360 – $24,697 · median $24,697 | 26 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $10,805 – $11,423 · median $11,423 | 26 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $7,496 – $7,925 · median $7,925 | 26 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $18,558 – $19,620 · median $19,620 | 26 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $70,573 – $74,613 · median $74,613 | 26 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $67,800 – $71,681 · median $71,681 | 26 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PRO | $35,583 – $37,619 · median $37,619 | 26 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $38,211 – $40,398 · median $40,398 | 26 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $29,684 – $31,383 · median $31,383 | 26 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $42,884 – $45,339 · median $45,339 | 26 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $26,332 – $27,839 · median $27,839 | 26 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,898 – $34,781 · median $34,781 | 26 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,174 – $23,443 · median $23,443 | 26 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $15,918 – $16,829 · median $16,829 | 26 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $25,722 – $27,195 · median $27,195 | 26 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $20,524 – $21,699 · median $21,699 | 26 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $44,458 – $47,003 · median $47,003 | 26 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $37,451 – $39,595 · median $39,595 | 26 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,796 – $30,445 · median $30,445 | 26 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $34,705 – $36,692 · median $36,692 | 26 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $22,486 – $23,773 · median $23,773 | 26 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $41,690 – $44,077 · median $44,077 | 26 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUM | $15,102 – $15,967 · median $15,967 | 26 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $27,826 – $29,419 · median $29,419 | 26 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $14,997 – $15,856 · median $15,856 | 26 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $16,964 – $17,935 · median $17,935 | 26 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $10,992 – $11,622 · median $11,622 | 26 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $26,981 – $28,526 · median $28,526 | 26 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $19,646 – $20,771 · median $20,771 | 26 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $20,017 – $21,163 · median $21,163 | 26 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $21,440 – $22,667 · median $22,667 | 26 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINA | $15,053 – $15,915 · median $15,915 | 26 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,932 – $15,787 · median $15,787 | 26 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,437 – $9,978 · median $9,978 | 26 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,137 – $7,546 · median $7,546 | 26 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $25,068 – $26,503 · median $26,503 | 26 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $68,717 – $72,651 · median $72,651 | 26 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $45,008 – $47,585 · median $47,585 | 26 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $35,053 – $37,060 · median $37,060 | 26 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $56,175 – $59,391 · median $59,391 | 26 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $35,958 – $38,016 · median $38,016 | 26 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $41,660 – $44,045 · median $44,045 | 26 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $26,441 – $27,955 · median $27,955 | 26 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $33,230 – $35,132 · median $35,132 | 26 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $20,142 – $21,295 · median $21,295 | 26 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $23,302 – $24,636 · median $24,636 | 26 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $12,471 – $13,185 · median $13,185 | 26 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $9,314 – $9,848 · median $9,848 | 26 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $17,896 – $18,920 · median $18,920 | 26 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $13,204 – $13,960 · median $13,960 | 26 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,338 – $19,388 · median $19,388 | 26 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,534 – $11,137 · median $11,137 | 26 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,147 – $7,556 · median $7,556 | 26 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,313 – $30,991 · median $30,991 | 26 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,106 – $24,428 · median $24,428 | 26 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $15,308 – $16,184 · median $16,184 | 26 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,610 – $6,988 · median $6,988 | 26 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,972 – $6,314 · median $6,314 | 26 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,285 – $10,873 · median $10,873 | 26 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,963 – $7,362 · median $7,362 | 26 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $5,978 – $6,320 · median $6,320 | 26 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $7,276 – $7,693 · median $7,693 | 26 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,237 – $6,595 · median $6,595 | 26 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,968 – $6,309 · median $6,309 | 26 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $6,729 – $7,114 · median $7,114 | 26 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,701 – $4,970 · median $4,970 | 26 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,204 – $4,444 · median $4,444 | 26 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $10,525 – $15,040 · median $15,040 | 26 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $6,573 – $7,641 · median $7,641 | 26 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $5,361 – $5,668 · median $5,668 | 26 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $7,498 – $7,927 · median $7,927 | 26 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $4,499 – $4,757 · median $4,757 | 26 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,260 – $3,447 · median $3,447 | 26 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $53,992 – $57,083 · median $57,083 | 26 plans |
| 009 | BONE MARROW TRANSPLANT | $944 – $954 · median $954 | 20 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORT | $944 – $954 · median $954 | 20 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | $944 – $954 · median $954 | 20 plans |
| 484 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTR | $944 – $954 · median $954 | 20 plans |
| 490 | BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DIS | $944 – $954 · median $954 | 20 plans |
| 491 | BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | $944 – $954 · median $954 | 20 plans |
No procedures match that keyword.