Jefferson Stratford Hospital — Pricing
641 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 641 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 641
Lowest published price —
Average published price —
Highest published price —
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 641 procedures
Procedures with negotiated rates only
These 641 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 |
|---|---|---|---|
| 005 | LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT | $77,313 – $485,463 · median $100,062 | 52 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $204,035 – $794,678 · median $279,762 | 51 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,630 – $147,395 · median $45,546 | 51 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $94,100 – $401,492 · median $112,313 | 50 plans |
| 784 | CESAREAN SECTION W STERILIZATION W CC | $8,115 – $24,978 · median $9,779 | 50 plans |
| 787 | CESAREAN SECTION W-O STERILIZATION W CC | $7,962 – $33,888 · median $11,149 | 50 plans |
| 788 | CESAREAN SECTION W-O STERILIZATION W-O CC-MCC | $6,826 – $28,233 · median $9,803 | 50 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $11,645 – $54,714 · median $21,176 | 49 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT W-O CC-MCC | $43,384 – $341,724 · median $52,720 | 48 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,190 – $54,442 · median $21,429 | 48 plans |
| 382 | COMPLICATED PEPTIC ULCER W-O CC-MCC | $5,701 – $24,400 · median $7,193 | 48 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION W CC | $14,545 – $51,621 · median $18,450 | 48 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $79,992 – $465,088 · median $113,125 | 47 plans |
| 006 | LIVER TRANSPLANT W-O MCC | $35,358 – $465,088 · median $46,291 | 47 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC | $32,632 – $139,245 · median $41,758 | 47 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,126 – $48,210 · median $15,905 | 47 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $16,291 – $66,008 · median $20,323 | 47 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC MCC | $5,130 – $23,613 · median $6,312 | 47 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,075 – $112,745 · median $29,020 | 47 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,625 – $51,147 · median $15,394 | 47 plans |
| 602 | CELLULITIS WITH MCC | $10,909 – $45,787 · median $13,167 | 47 plans |
| 662 | MINOR BLADDER PROCEDURES W MCC | $22,847 – $93,414 · median $28,362 | 47 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,286 – $20,735 · median $6,328 | 47 plans |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,405 – $21,391 · median $8,108 | 47 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS | $7,637 – $33,778 · median $9,319 | 46 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC-MCC | $5,260 – $23,716 · median $6,313 | 46 plans |
| 089 | CONCUSSION W CC | $8,036 – $29,484 · median $10,134 | 46 plans |
| 116 | INTRAOCULAR PROCEDURES W CC-MCC | $12,351 – $46,411 · median $16,898 | 46 plans |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC MCC | $6,073 – $24,099 · median $7,162 | 46 plans |
| 231 | CORONARY BYPASS W PTCA W MCC | $61,577 – $244,994 · median $77,760 | 46 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC | $21,347 – $83,973 · median $26,294 | 46 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,575 – $85,352 · median $27,603 | 46 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,920 – $116,726 · median $29,225 | 46 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $6,949 – $33,126 · median $8,478 | 46 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W-O CC-MCC | $5,526 – $23,669 · median $6,758 | 46 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES W CC | $11,050 – $28,177 · median $13,519 | 46 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC | $7,727 – $36,778 · median $8,970 | 46 plans |
| 380 | COMPLICATED PEPTIC ULCER W MCC | $14,201 – $60,256 · median $17,238 | 46 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC-MCC | $4,240 – $18,952 · median $4,779 | 46 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS W CC | $8,020 – $28,992 · median $9,871 | 46 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,920 – $67,278 · median $19,256 | 46 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC | $32,721 – $115,617 · median $39,599 | 46 plans |
| 487 | KNEE PROCEDURES W PDX OF INFECTION W-O CC-MCC | $11,712 – $47,693 · median $14,072 | 46 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC | $14,125 – $33,780 · median $16,640 | 46 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,425 – $70,792 · median $25,746 | 46 plans |
| 533 | FRACTURES OF FEMUR W MCC | $11,312 – $43,129 · median $14,085 | 46 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,169 – $23,083 · median $7,533 | 46 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC MCC | $5,914 – $22,071 · median $6,750 | 46 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC-MCC | $7,707 – $42,113 · median $9,551 | 46 plans |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC-MCC | $14,416 – $47,282 · median $18,492 | 46 plans |
| 786 | CESAREAN SECTION W-O STERILIZATION W MCC | $11,645 – $48,737 · median $15,215 | 46 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,952 – $88,336 · median $18,338 | 46 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,777 – $26,459 · median $8,188 | 46 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,405 – $37,424 · median $12,436 | 46 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,085 – $16,109 · median $6,013 | 46 plans |
| 928 | FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC-MCC | $48,593 – $181,004 · median $64,444 | 46 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,674 – $169,444 · median $62,090 | 46 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC MCC | $13,541 – $53,990 · median $17,843 | 45 plans |
| 037 | EXTRACRANIAL PROCEDURES W MCC | $24,303 – $96,047 · median $30,236 | 45 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,670 – $54,595 · median $21,047 | 45 plans |
| 103 | HEADACHES W-O MCC | $6,431 – $20,886 · median $7,347 | 45 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,763 – $28,649 · median $13,440 | 45 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED W MCC | $14,426 – $52,928 · median $18,192 | 45 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS W MCC | $20,040 – $87,631 · median $25,511 | 45 plans |
| 289 | ACUTE & SUBACUTE ENDOCARDITIS W CC | $11,686 – $56,081 · median $15,677 | 45 plans |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $12,133 – $40,791 · median $13,721 | 45 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC MCC | $3,476 – $13,353 · median $4,216 | 45 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,113 – $42,816 · median $14,599 | 45 plans |
| 311 | ANGINA PECTORIS | $5,333 – $17,707 · median $6,446 | 45 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES W-O CC-MCC | $12,224 – $51,345 · median $14,784 | 45 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC MCC | $5,529 – $25,400 · median $6,681 | 45 plans |
| 374 | DIGESTIVE MALIGNANCY W MCC | $15,554 – $65,986 · median $19,643 | 45 plans |
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W-O C.D.E. W-O CC-MCC | $11,501 – $29,731 · median $13,948 | 45 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,626 – $113,498 · median $32,720 | 45 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,956 – $58,097 · median $16,627 | 45 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,245 – $157,526 · median $51,166 | 45 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,198 – $69,322 · median $22,586 | 45 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W-O CC-MCC | $11,757 – $51,110 · median $14,980 | 45 plans |
| 483 | MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC-MCC | $18,714 – $83,029 · median $25,458 | 45 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,623 – $63,316 · median $19,712 | 45 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC-MCC | $8,745 – $40,120 · median $10,257 | 45 plans |
| 505 | FOOT PROCEDURES WITHOUT CC MCC | $12,976 – $37,841 · median $16,609 | 45 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W-O CC-MCC | $9,617 – $41,345 · median $13,909 | 45 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,560 – $76,625 · median $21,802 | 45 plans |
| 547 | CONNECTIVE TISSUE DISORDERS W-O CC-MCC | $5,679 – $25,268 · median $7,680 | 45 plans |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,709 – $58,426 · median $16,383 | 45 plans |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $6,747 – $23,619 · median $8,296 | 45 plans |
| 583 | MASTECTOMY FOR MALIGNANCY W-O CC-MCC | $12,164 – $32,291 · median $15,149 | 45 plans |
| 641 | MISC DISORDERS OF NUTRITION METABOLISM FLUIDS-ELECTROLYTES W-O MCC | $5,934 – $21,917 · median $7,209 | 45 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,695 – $96,997 · median $25,710 | 45 plans |
| 663 | MINOR BLADDER PROCEDURES W CC | $11,330 – $49,107 · median $13,355 | 45 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,747 – $35,421 · median $10,938 | 45 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,087 – $24,114 · median $7,435 | 45 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC MCC | $11,005 – $40,524 · median $14,091 | 45 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,192 – $15,191 · median $7,126 | 45 plans |
| 810 | MAJOR HEMATOL-IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W-O CC-MCC | $7,166 – $25,785 · median $9,612 | 45 plans |
| 820 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC | $42,397 – $184,249 · median $54,333 | 45 plans |
| 821 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC | $16,429 – $75,309 · median $20,560 | 45 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,624 – $50,677 · median $14,983 | 45 plans |
| 881 | DEPRESSIVE NEUROSES | $2,405 – $20,503 · median $8,266 | 45 plans |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $2,405 – $14,134 · median $5,715 | 45 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,492 – $102,768 · median $35,766 | 45 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $34,668 – $154,595 · median $41,218 | 45 plans |
| 003 | ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE MOUTH & NECK W MAJ O.R. | $155,305 – $552,846 · median $190,702 | 44 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC | $58,591 – $294,330 · median $72,584 | 44 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC | $40,263 – $202,050 · median $46,506 | 44 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,410 – $72,483 · median $34,777 | 44 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,736 – $68,275 · median $21,478 | 44 plans |
| 063 | ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W-O CC-MCC | $10,443 – $46,032 · median $13,119 | 44 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,674 – $109,630 · median $30,918 | 44 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC MCC | $8,083 – $25,738 · median $9,531 | 44 plans |
| 137 | MOUTH PROCEDURES WITH CC-MCC | $10,398 – $42,245 · median $13,118 | 44 plans |
| 138 | MOUTH PROCEDURES W-O CC-MCC | $6,166 – $26,030 · median $8,175 | 44 plans |
| 146 | EAR NOSE MOUTH & THROAT MALIGNANCY W MCC | $16,579 – $63,952 · median $20,549 | 44 plans |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $9,286 – $38,609 · median $11,475 | 44 plans |
| 149 | DYSEQUILIBRIUM | $5,688 – $14,074 · median $6,753 | 44 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,488 – $81,769 · median $23,588 | 44 plans |
| 185 | MAJOR CHEST TRAUMA W-O CC-MCC | $5,907 – $21,651 · median $6,909 | 44 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,994 – $196,963 · median $60,652 | 44 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W-O CC-MCC | $43,315 – $170,090 · median $59,077 | 44 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,468 – $175,992 · median $54,471 | 44 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,026 – $119,149 · median $39,146 | 44 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC | $14,008 – $54,178 · median $17,439 | 44 plans |
| 293 | HEART FAILURE & SHOCK W-O CC-MCC | $4,250 – $21,074 · median $5,108 | 44 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,712 – $19,359 · median $6,965 | 44 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES W MCC | $19,772 – $112,739 · median $23,824 | 44 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC-MCC | $9,288 – $38,161 · median $10,658 | 44 plans |
| 348 | ANAL & STOMAL PROCEDURES W CC | $9,388 – $42,584 · median $11,498 | 44 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC MCC | $8,257 – $28,961 · median $10,772 | 44 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS W MCC | $12,361 – $58,865 · median $14,684 | 44 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC-MCC | $5,330 – $13,123 · median $6,464 | 44 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC-MCC | $6,669 – $27,390 · median $8,526 | 44 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,159 – $35,104 · median $9,995 | 44 plans |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,926 – $23,180 · median $6,849 | 44 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,590 – $63,234 · median $19,064 | 44 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY W-O C.D.E. W MCC | $17,472 – $77,688 · median $20,965 | 44 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC MCC | $9,812 – $38,364 · median $12,599 | 44 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC | $12,127 – $55,526 · median $15,611 | 44 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC | $8,439 – $36,198 · median $10,208 | 44 plans |
| 444 | DISORDERS OF THE BILIARY TRACT W MCC | $12,465 – $50,342 · median $14,679 | 44 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC-MCC | $6,049 – $23,506 · median $7,433 | 44 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC | $15,886 – $64,222 · median $21,267 | 44 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W-O CC-MCC | $13,127 – $54,354 · median $17,372 | 44 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP FOOT FEMUR W MCC | $25,969 – $99,777 · median $34,166 | 44 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $17,649 – $62,601 · median $22,280 | 44 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,564 – $37,744 · median $12,609 | 44 plans |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC-MCC | $7,657 – $27,525 · median $9,554 | 44 plans |
| 546 | CONNECTIVE TISSUE DISORDERS W CC | $8,656 – $36,709 · median $10,639 | 44 plans |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC MCC | $6,195 – $20,087 · median $7,062 | 44 plans |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC MCC | $15,091 – $53,282 · median $20,006 | 44 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,988 – $53,489 · median $14,978 | 44 plans |
| 603 | CELLULITIS W-O MCC | $6,653 – $26,337 · median $7,825 | 44 plans |
| 652 | KIDNEY TRANSPLANT | $22,498 – $223,350 · median $31,342 | 44 plans |
| 664 | MINOR BLADDER PROCEDURES W-O CC-MCC | $8,092 – $19,604 · median $9,406 | 44 plans |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $12,787 – $50,251 · median $16,260 | 44 plans |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,311 – $34,104 · median $10,034 | 44 plans |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC | $7,189 – $17,986 · median $8,630 | 44 plans |
| 761 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W-O CC-MCC | $4,467 – $15,372 · median $5,262 | 44 plans |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,851 – $22,162 · median $8,809 | 44 plans |
| 809 | MAJOR HEMATOL-IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC | $9,240 – $37,305 · median $11,830 | 44 plans |
| 813 | COAGULATION DISORDERS | $11,479 – $28,563 · median $13,704 | 44 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,731 – $39,059 · median $19,240 | 44 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,501 – $189,596 · median $43,165 | 44 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,381 – $38,330 · median $18,119 | 44 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,472 – $53,934 · median $16,449 | 44 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC MCC | $23,287 – $69,243 · median $28,938 | 44 plans |
| 949 | AFTERCARE WITH CC MCC | $8,086 – $31,465 · median $11,546 | 44 plans |
| 956 | LIMB REATTACHMENT HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $27,931 – $120,121 · median $33,809 | 44 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,461 – $30,042 · median $14,094 | 43 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,621 – $71,428 · median $23,894 | 43 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,356 – $39,317 · median $14,097 | 43 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS W CC-MCC | $8,695 – $32,020 · median $10,684 | 43 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC-MCC | $13,765 – $56,244 · median $17,734 | 43 plans |
| 184 | MAJOR CHEST TRAUMA W CC | $8,007 – $30,819 · median $9,858 | 43 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC-MCC | $33,502 – $94,383 · median $46,291 | 43 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC | $48,511 – $196,875 · median $63,169 | 43 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED W CC | $5,420 – $23,867 · median $6,413 | 43 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED W-O CC-MCC | $4,342 – $16,385 · median $5,501 | 43 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,164 – $34,061 · median $9,401 | 43 plans |
| 290 | ACUTE & SUBACUTE ENDOCARDITIS W-O CC-MCC | $7,280 – $38,741 · median $8,613 | 43 plans |
| 292 | HEART FAILURE & SHOCK W CC | $6,511 – $31,152 · median $7,458 | 43 plans |
| 297 | CARDIAC ARREST UNEXPLAINED W CC | $4,964 – $19,005 · median $5,823 | 43 plans |
| 303 | ATHEROSCLEROSIS W-O MCC | $5,145 – $18,914 · median $6,237 | 43 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,982 – $24,817 · median $8,387 | 43 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,004 – $22,546 · median $11,154 | 43 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC | $5,629 – $24,660 · median $6,463 | 43 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,379 – $80,274 · median $21,060 | 43 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC | $12,926 – $59,642 · median $16,715 | 43 plans |
| 377 | G.I. HEMORRHAGE W MCC | $13,433 – $55,260 · median $16,059 | 43 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,034 – $29,630 · median $14,532 | 43 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,461 – $31,650 · median $8,967 | 43 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,914 – $50,686 · median $13,681 | 43 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,204 – $44,847 · median $21,039 | 43 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC | $25,812 – $115,309 · median $29,931 | 43 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC-MCC | $10,910 – $38,164 · median $12,965 | 43 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,480 – $54,404 · median $16,869 | 43 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,828 – $51,024 · median $24,430 | 43 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,623 – $56,800 · median $27,858 | 43 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,416 – $154,987 · median $44,734 | 43 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,290 – $61,817 · median $19,237 | 43 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC-MCC | $18,545 – $68,723 · median $27,948 | 43 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC MCC | $8,678 – $37,729 · median $17,378 | 43 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,365 – $91,364 · median $25,215 | 43 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,147 – $22,227 · median $7,095 | 43 plans |
| 552 | MEDICAL BACK PROBLEMS W-O MCC | $7,253 – $18,001 · median $8,829 | 43 plans |
| 553 | BONE DISEASES & ARTHROPATHIES W MCC | $9,728 – $38,775 · median $11,388 | 43 plans |
| 554 | BONE DISEASES & ARTHROPATHIES W-O MCC | $6,318 – $22,510 · median $7,624 | 43 plans |
| 606 | MINOR SKIN DISORDERS W MCC | $11,848 – $42,612 · median $14,019 | 43 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,254 – $62,915 · median $17,178 | 43 plans |
| 640 | MISC DISORDERS OF NUTRITION METABOLISM FLUIDS-ELECTROLYTES W MCC | $9,887 – $34,829 · median $12,373 | 43 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,259 – $33,459 · median $13,175 | 43 plans |
| 655 | MAJOR BLADDER PROCEDURES W-O CC-MCC | $15,307 – $39,635 · median $19,440 | 43 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS W CC | $7,896 – $32,728 · median $9,205 | 43 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC MCC | $5,520 – $21,525 · median $7,450 | 43 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC | $8,439 – $40,038 · median $10,782 | 43 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC MCC | $14,319 – $57,253 · median $18,531 | 43 plans |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $8,404 – $33,014 · median $10,495 | 43 plans |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC-MCC | $5,134 – $17,243 · median $5,760 | 43 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY W MCC | $9,163 – $39,634 · median $10,280 | 43 plans |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,654 – $32,763 · median $9,229 | 43 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC MCC | $6,600 – $26,503 · median $9,562 | 43 plans |
| 808 | MAJOR HEMATOL-IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC | $16,848 – $69,641 · median $22,041 | 43 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC-MCC | $8,554 – $38,668 · median $10,577 | 43 plans |
| 825 | LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W-O CC-MCC | $9,184 – $40,546 · median $11,855 | 43 plans |
| 834 | ACUTE LEUKEMIA W-O MAJOR O.R. PROCEDURE W MCC | $40,263 – $168,729 · median $50,421 | 43 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC MCC | $9,473 – $38,368 · median $11,298 | 43 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA W-O CC-MCC | $7,890 – $33,948 · median $9,280 | 43 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC-MCC | $6,205 – $27,067 · median $7,462 | 43 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,458 – $167,673 · median $45,358 | 43 plans |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,405 – $47,477 · median $15,052 | 43 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC MCC | $5,256 – $20,444 · median $6,323 | 43 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,028 – $172,077 · median $53,776 | 43 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W-O CC-MCC | $12,348 – $54,736 · median $15,058 | 43 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,781 – $116,359 · median $36,558 | 42 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC | $22,406 – $93,543 · median $28,680 | 42 plans |
| 102 | HEADACHES W MCC | $8,669 – $32,694 · median $10,339 | 42 plans |
| 151 | EPISTAXIS W-O MCC | $5,747 – $20,554 · median $6,830 | 42 plans |
| 158 | DENTAL & ORAL DISEASES W CC | $7,085 – $17,037 · median $7,993 | 42 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC MCC | $5,053 – $19,121 · median $6,366 | 42 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,405 – $36,700 · median $10,218 | 42 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,910 – $52,304 · median $16,579 | 42 plans |
| 198 | INTERSTITIAL LUNG DISEASE W-O CC-MCC | $5,348 – $24,945 · median $6,693 | 42 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC-MCC | $7,274 – $27,202 · median $8,726 | 42 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,082 – $341,480 · median $95,529 | 42 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,092 – $297,163 · median $87,895 | 42 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,250 – $248,232 · median $71,757 | 42 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT W-O MCC | $12,996 – $37,866 · median $18,652 | 42 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC MCC | $11,260 – $43,464 · median $15,232 | 42 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC | $43,616 – $281,863 · median $55,062 | 42 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,313 – $211,639 · median $42,774 | 42 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,378 – $122,378 · median $37,944 | 42 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $12,154 – $54,639 · median $14,092 | 42 plans |
| 302 | ATHEROSCLEROSIS W MCC | $8,696 – $22,408 · median $11,038 | 42 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES W MCC | $17,777 – $77,105 · median $23,288 | 42 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,497 – $87,408 · median $26,189 | 42 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC-MCC | $9,925 – $25,186 · median $12,084 | 42 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS W CC | $7,642 – $33,415 · median $9,226 | 42 plans |
| 389 | G.I. OBSTRUCTION W CC | $6,080 – $27,751 · median $7,096 | 42 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,446 – $40,772 · median $19,562 | 42 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,277 – $51,834 · median $15,604 | 42 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC-MCC | $5,961 – $29,095 · median $7,701 | 42 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG CIRR ALC HEPA W CC | $7,270 – $29,089 · median $9,021 | 42 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC MCC | $5,364 – $20,118 · median $6,287 | 42 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC | $25,157 – $102,900 · median $31,038 | 42 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,568 – $102,561 · median $28,994 | 42 plans |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC MCC | $11,172 – $44,267 · median $14,522 | 42 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,206 – $96,007 · median $36,270 | 42 plans |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,518 – $32,161 · median $10,118 | 42 plans |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $10,868 – $42,405 · median $13,143 | 42 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,581 – $61,012 · median $19,562 | 42 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC MCC | $9,288 – $26,559 · median $12,347 | 42 plans |
| 637 | DIABETES WITH MCC | $10,816 – $43,533 · median $12,621 | 42 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,756 – $31,954 · median $9,455 | 42 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,605 – $186,691 · median $48,563 | 42 plans |
| 656 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC | $23,848 – $110,404 · median $27,970 | 42 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS W MCC | $13,922 – $54,031 · median $16,638 | 42 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,910 – $44,217 · median $13,323 | 42 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,130 – $140,587 · median $40,278 | 42 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,191 – $67,971 · median $19,903 | 42 plans |
| 839 | CHEMO W ACUTE LEUKEMIA AS SDX W-O CC-MCC | $10,194 – $41,298 · median $13,436 | 42 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA W MCC | $23,349 – $96,680 · median $31,131 | 42 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,473 – $34,675 · median $11,493 | 42 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $66,915 – $288,756 · median $76,074 | 42 plans |
| 855 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W-O CC-MCC | $11,723 – $49,680 · median $13,811 | 42 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,405 – $39,753 · median $18,138 | 42 plans |
| 915 | ALLERGIC REACTIONS W MCC | $12,852 – $46,144 · median $15,176 | 42 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $167,174 – $515,748 · median $196,943 | 42 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,474 – $71,422 · median $24,328 | 42 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,882 – $82,550 · median $26,856 | 42 plans |
| 975 | HIV W MAJOR RELATED CONDITION W CC | $10,140 – $41,950 · median $11,945 | 42 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC-MCC | $24,879 – $147,680 · median $29,436 | 41 plans |
| 038 | EXTRACRANIAL PROCEDURES W CC | $11,937 – $50,022 · median $15,296 | 41 plans |
| 039 | EXTRACRANIAL PROCEDURES W-O CC-MCC | $8,515 – $32,763 · median $10,796 | 41 plans |
| 062 | ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC | $13,164 – $58,181 · median $16,139 | 41 plans |
| 088 | CONCUSSION W MCC | $10,486 – $25,314 · median $13,495 | 41 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC-MCC | $17,621 – $48,298 · median $23,894 | 41 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC MCC | $5,188 – $19,268 · median $7,280 | 41 plans |
| 150 | EPISTAXIS WITH MCC | $10,280 – $41,684 · median $12,552 | 41 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,431 – $17,773 · median $8,717 | 41 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC MCC | $5,246 – $20,033 · median $5,886 | 41 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,595 – $165,874 · median $53,237 | 41 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,765 – $151,307 · median $50,608 | 41 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,400 – $221,522 · median $65,488 | 41 plans |
| 304 | HYPERTENSION WITH MCC | $8,779 – $32,186 · median $10,929 | 41 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC | $33,497 – $160,717 · median $42,583 | 41 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,402 – $78,936 · median $20,167 | 41 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC | $12,586 – $51,411 · median $14,780 | 41 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,169 – $39,374 · median $11,206 | 41 plans |
| 391 | ESOPHAGITIS GASTROENT & MISC DIGEST DISORDERS W MCC | $9,573 – $37,311 · median $11,750 | 41 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC-MCC | $8,410 – $35,227 · median $10,056 | 41 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,700 – $74,162 · median $19,310 | 41 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,453 – $53,758 · median $18,234 | 41 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS W-O CC-MCC | $5,320 – $19,297 · median $6,544 | 41 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC | $12,316 – $53,946 · median $14,321 | 41 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC | $6,504 – $28,719 · median $7,726 | 41 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC MCC | $4,731 – $20,224 · median $5,757 | 41 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,126 – $32,838 · median $9,614 | 41 plans |
| 473 | CERVICAL SPINAL FUSION W-O CC-MCC | $17,406 – $70,397 · median $21,447 | 41 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC-MCC | $13,851 – $54,476 · median $16,387 | 41 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC-MCC | $13,919 – $47,248 · median $17,627 | 41 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,748 – $91,248 · median $34,178 | 41 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,976 – $50,571 · median $17,167 | 41 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC MCC | $10,648 – $35,722 · median $13,124 | 41 plans |
| 582 | MASTECTOMY FOR MALIGNANCY W CC-MCC | $12,949 – $37,342 · median $16,925 | 41 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,086 – $33,907 · median $10,390 | 41 plans |
| 599 | MALIGNANT BREAST DISORDERS W-O CC-MCC | $6,024 – $20,522 · median $7,066 | 41 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC-MCC | $10,647 – $45,699 · median $12,852 | 41 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE NUTRIT & METABOL DIS W MCC | $27,852 – $127,807 · median $32,308 | 41 plans |
| 639 | DIABETES WITHOUT CC MCC | $4,814 – $11,633 · median $5,457 | 41 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,974 – $59,015 · median $12,139 | 41 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY W-O MCC | $5,653 – $22,441 · median $6,631 | 41 plans |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,519 – $47,934 · median $12,579 | 41 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC MCC | $7,411 – $25,274 · median $9,497 | 41 plans |
| 779 | ABORTION WITHOUT D&C | $6,719 – $18,575 · median $7,391 | 41 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $3,579 – $157,717 · median $54,587 | 41 plans |
| 793 | FULL TERM NEONATE W MAJOR PROBLEMS | $3,579 – $110,648 · median $35,964 | 41 plans |
| 976 | HIV W MAJOR RELATED CONDITION W-O CC-MCC | $7,209 – $27,042 · median $8,509 | 41 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,161 – $35,089 · median $12,022 | 41 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT W CC-MCC OR T-CELL IMMUNOTHERAPY | $43,942 – $400,192 · median $59,196 | 40 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W-O CC-MCC | $18,132 – $70,544 · median $23,272 | 40 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS W-O MCC | $7,822 – $27,541 · median $9,261 | 40 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,716 – $152,345 · median $45,799 | 40 plans |
| 265 | AICD LEAD PROCEDURES | $26,085 – $84,289 · median $35,114 | 40 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,088 – $194,170 · median $53,967 | 40 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC-MCC | $4,329 – $10,601 · median $5,222 | 40 plans |
| 337 | PERITONEAL ADHESIOLYSIS W-O CC-MCC | $11,386 – $49,345 · median $13,485 | 40 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,164 – $43,135 · median $13,393 | 40 plans |
| 378 | G.I. HEMORRHAGE W CC | $7,413 – $31,437 · median $8,615 | 40 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC-MCC | $4,887 – $11,805 · median $5,664 | 40 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,227 – $28,344 · median $13,297 | 40 plans |
| 413 | CHOLECYSTECTOMY W C.D.E. W-O CC-MCC | $12,307 – $31,095 · median $14,919 | 40 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $60,613 – $261,444 · median $80,948 | 40 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,238 – $55,169 · median $25,882 | 40 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC | $21,555 – $96,213 · median $25,585 | 40 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,530 – $66,081 · median $18,604 | 40 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,901 – $41,016 · median $11,160 | 40 plans |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC MCC | $14,641 – $41,258 · median $17,951 | 40 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,102 – $29,102 · median $9,510 | 40 plans |
| 607 | MINOR SKIN DISORDERS W-O MCC | $6,533 – $22,077 · median $9,049 | 40 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,608 – $144,420 · median $41,302 | 40 plans |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,369 – $62,015 · median $16,179 | 40 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,352 – $71,300 · median $20,765 | 40 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,754 – $76,287 · median $25,160 | 40 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC | $14,735 – $78,023 · median $19,947 | 40 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,405 – $20,024 · median $8,435 | 40 plans |
| 886 | BEHAVIORAL & DEVELOPMENTAL DISORDERS | $2,405 – $38,862 · median $18,902 | 40 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,803 – $50,295 · median $20,391 | 40 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,634 – $32,012 · median $15,018 | 39 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W-O CC-MCC | $6,737 – $24,760 · median $8,671 | 39 plans |
| 090 | CONCUSSION WITHOUT CC MCC | $6,446 – $22,381 · median $7,626 | 39 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,873 – $132,569 · median $39,515 | 39 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC MCC | $11,655 – $29,894 · median $14,024 | 39 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W-O CC-MCC | $4,963 – $22,318 · median $5,640 | 39 plans |
| 233 | CORONARY BYPASS W CARDIAC CATH W MCC | $56,821 – $231,606 · median $67,163 | 39 plans |
| 235 | CORONARY BYPASS W-O CARDIAC CATH W MCC | $42,844 – $183,305 · median $51,556 | 39 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC MCC | $10,840 – $44,593 · median $12,715 | 39 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,720 – $47,116 · median $11,791 | 39 plans |
| 313 | CHEST PAIN | $5,442 – $18,783 · median $6,670 | 39 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $45,030 – $193,919 · median $58,741 | 39 plans |
| 349 | ANAL & STOMAL PROCEDURES W-O CC-MCC | $6,653 – $27,691 · median $7,996 | 39 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,608 – $129,089 · median $33,612 | 39 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $39,852 – $171,478 · median $53,428 | 39 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC-MCC | $8,695 – $33,594 · median $10,934 | 39 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC MCC | $9,461 – $23,903 · median $11,097 | 39 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC-MCC | $14,144 – $61,648 · median $15,869 | 39 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,269 – $52,326 · median $14,461 | 39 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,400 – $108,849 · median $32,556 | 39 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,975 – $106,736 · median $25,366 | 39 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W-O CC-MCC | $10,548 – $30,183 · median $13,628 | 39 plans |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC-MCC | $7,694 – $26,688 · median $10,538 | 39 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,630 – $30,653 · median $8,805 | 39 plans |
| 950 | AFTERCARE W-O CC-MCC | $4,521 – $11,754 · median $5,765 | 39 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $17,991 – $89,349 · median $21,598 | 39 plans |
| 007 | LUNG TRANSPLANT | $94,814 – $594,880 · median $119,456 | 38 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $273,074 – $1,182,145 · median $387,984 | 38 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,549 – $161,705 · median $55,612 | 38 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS W-O MCC | $9,934 – $24,261 · median $12,574 | 38 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,823 – $67,347 · median $19,161 | 38 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC | $6,496 – $15,786 · median $7,878 | 38 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,931 – $145,818 · median $40,574 | 38 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,092 – $133,515 · median $38,016 | 38 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,819 – $128,001 · median $37,256 | 38 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC-MCC | $16,766 – $79,791 · median $19,255 | 38 plans |
| 638 | DIABETES W CC | $6,916 – $25,867 · median $8,052 | 38 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC-MCC | $8,245 – $35,095 · median $9,852 | 38 plans |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM W-O CC-MCC | $4,911 – $21,927 · median $6,175 | 38 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,825 – $154,473 · median $43,149 | 38 plans |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,836 – $51,629 · median $27,524 | 37 plans |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $7,035 – $17,162 · median $8,051 | 37 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,132 – $69,992 · median $34,328 | 37 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC MCC | $4,885 – $20,905 · median $6,012 | 37 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC MCC | $10,193 – $25,529 · median $11,977 | 37 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W-O CC-MCC | $11,463 – $51,395 · median $13,779 | 37 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,779 – $210,166 · median $58,698 | 37 plans |
| 540 | OSTEOMYELITIS W CC | $9,642 – $40,947 · median $11,906 | 37 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W-O CC-MCC | $11,161 – $47,251 · median $13,633 | 37 plans |
| 829 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC-MCC | $22,588 – $99,583 · median $29,023 | 37 plans |
| 830 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W-O CC-MCC | $10,860 – $40,063 · median $15,024 | 37 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,405 – $30,703 · median $9,408 | 37 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $88,626 – $211,956 · median $99,436 | 36 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,984 – $60,118 · median $28,203 | 36 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,658 – $135,176 · median $63,416 | 36 plans |
| 541 | OSTEOMYELITIS W-O CC-MCC | $6,165 – $30,540 · median $7,012 | 36 plans |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,801 – $32,359 · median $15,940 | 36 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC | $13,505 – $63,510 · median $17,760 | 36 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC | $30,587 – $97,643 · median $36,911 | 36 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC MCC | $11,604 – $30,737 · median $14,289 | 36 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC MCC | $13,703 – $54,840 · median $16,986 | 36 plans |
| 828 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W-O CC-MCC | $11,876 – $42,762 · median $14,968 | 36 plans |
| 081 | NONTRAUMATIC STUPOR & COMA W-O MCC | $6,826 – $16,771 · median $8,225 | 35 plans |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC-MCC | $8,852 – $37,139 · median $10,281 | 35 plans |
| 250 | PERC CARDIOVASC PROC W-O CORONARY ARTERY STENT W MCC | $17,010 – $93,665 · median $19,173 | 35 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC MCC | $5,303 – $22,024 · median $6,391 | 35 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W-O CC-MCC | $9,192 – $27,541 · median $12,336 | 35 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,136 – $25,979 · median $12,852 | 35 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC MCC | $8,279 – $36,230 · median $12,454 | 35 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,865 – $79,359 · median $20,044 | 35 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES W-O CC-MCC | $9,456 – $38,085 · median $13,105 | 35 plans |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,659 – $20,751 · median $8,941 | 35 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,132 – $32,597 · median $11,446 | 34 plans |
| 163 | MAJOR CHEST PROCEDURES W MCC | $33,622 – $83,926 · median $39,373 | 34 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,710 – $49,298 · median $13,318 | 34 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC-MCC | $13,336 – $67,732 · median $16,673 | 34 plans |
| 251 | PERC CARDIOVASC PROC W-O CORONARY ARTERY STENT W-O MCC | $11,584 – $32,877 · median $13,786 | 34 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS W-O CC-MCC | $5,442 – $13,477 · median $7,185 | 34 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,242 – $29,885 · median $8,886 | 34 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC-MCC | $40,095 – $172,532 · median $49,389 | 34 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC | $22,650 – $104,508 · median $29,656 | 34 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE | $10,332 – $27,655 · median $14,513 | 34 plans |
| 876 | O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | $30,262 – $72,374 · median $38,583 | 34 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,097 – $122,986 · median $33,422 | 34 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,905 – $19,213 · median $9,672 | 33 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,172 – $38,405 · median $15,901 | 33 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,498 – $33,770 · median $15,843 | 33 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,833 – $16,221 · median $8,048 | 33 plans |
| 254 | OTHER VASCULAR PROCEDURES W-O CC-MCC | $12,936 – $53,326 · median $17,787 | 33 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,139 – $148,420 · median $49,738 | 33 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,393 – $59,006 · median $27,682 | 33 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,571 – $43,547 · median $21,358 | 33 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,630 – $29,092 · median $9,727 | 33 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC MCC | $5,693 – $12,915 · median $7,842 | 33 plans |
| 620 | O.R. PROCEDURES FOR OBESITY W CC | $11,833 – $60,808 · median $15,086 | 33 plans |
| 795 | NORMAL NEWBORN | $1,389 – $3,741 · median $1,755 | 33 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,212 – $74,606 · median $35,000 | 33 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC MCC | $5,487 – $23,215 · median $6,410 | 33 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,872 – $61,078 · median $17,528 | 33 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC-MCC | $14,418 – $37,971 · median $17,813 | 33 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC-MCC | $6,883 – $30,794 · median $8,262 | 33 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC MCC | $8,640 – $20,670 · median $10,344 | 33 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,983 – $18,102 · median $9,161 | 32 plans |
| 099 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W-O CC-MCC | $10,360 – $37,098 · median $12,406 | 32 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,091 – $21,826 · median $7,685 | 32 plans |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,166 – $70,159 · median $32,615 | 32 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,490 – $31,478 · median $10,291 | 32 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,745 – $33,879 · median $8,887 | 32 plans |
| 188 | PLEURAL EFFUSION W-O CC-MCC | $5,616 – $23,409 · median $6,531 | 32 plans |
| 199 | PNEUMOTHORAX W MCC | $14,089 – $56,821 · median $17,611 | 32 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $45,578 – $106,867 · median $50,135 | 32 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,748 – $48,605 · median $22,595 | 32 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,563 – $85,067 · median $29,080 | 32 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,025 – $73,591 · median $21,131 | 32 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W-O CC-MCC | $10,084 – $43,703 · median $12,729 | 32 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC | $29,703 – $132,227 · median $37,479 | 32 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,632 – $46,564 · median $14,426 | 32 plans |
| 621 | O.R. PROCEDURES FOR OBESITY W-O CC-MCC | $10,855 – $49,439 · median $13,914 | 32 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES W CC | $16,979 – $70,146 · median $20,545 | 32 plans |
| 709 | PENIS PROCEDURES WITH CC-MCC | $16,536 – $65,946 · median $20,258 | 32 plans |
| 710 | PENIS PROCEDURES W-O CC-MCC | $11,142 – $42,095 · median $13,598 | 32 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC MCC | $9,609 – $27,636 · median $14,205 | 32 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC | $14,846 – $59,028 · median $17,372 | 32 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,390 – $36,079 · median $18,890 | 32 plans |
| 939 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC | $23,240 – $97,743 · median $34,774 | 32 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,694 – $55,025 · median $15,817 | 32 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC MCC | $8,832 – $32,023 · median $13,507 | 31 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,012 – $14,378 · median $6,745 | 31 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES W-O CC-MCC | $10,075 – $25,587 · median $12,004 | 31 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC | $15,859 – $39,047 · median $19,151 | 31 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,491 – $130,446 · median $31,370 | 31 plans |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $39,550 – $170,312 · median $54,612 | 31 plans |
| 407 | PANCREAS LIVER & SHUNT PROCEDURES W-O CC-MCC | $15,731 – $59,993 · median $20,563 | 31 plans |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,181 – $105,056 · median $45,397 | 31 plans |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC-MCC | $10,418 – $27,331 · median $12,822 | 31 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC MCC | $16,617 – $69,801 · median $20,727 | 31 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES W-O O.R. PROCEDURE W-O CC-MCC | $4,041 – $15,055 · median $5,220 | 31 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,042 – $63,983 · median $18,313 | 31 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,877 – $33,775 · median $9,058 | 31 plans |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,502 – $32,759 · median $15,369 | 31 plans |
| 940 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC | $15,554 – $55,404 · median $21,650 | 31 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,618 – $104,765 · median $31,761 | 31 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC | $26,210 – $100,191 · median $35,052 | 30 plans |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC MCC | $5,145 – $19,309 · median $5,823 | 30 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,292 – $30,381 · median $9,441 | 30 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES W MCC | $36,328 – $102,268 · median $43,068 | 30 plans |
| 252 | OTHER VASCULAR PROCEDURES W MCC | $25,095 – $98,668 · median $31,481 | 30 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,566 – $111,275 · median $36,243 | 30 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS W MCC | $12,784 – $42,778 · median $16,694 | 30 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC | $32,057 – $83,572 · median $41,708 | 30 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES INTRALUMINAL DEVICES | $20,874 – $89,236 · median $25,427 | 30 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,368 – $56,711 · median $15,488 | 30 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,137 – $120,331 · median $40,520 | 30 plans |
| 406 | PANCREAS LIVER & SHUNT PROCEDURES W CC | $20,596 – $54,309 · median $24,908 | 30 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,798 – $40,971 · median $21,842 | 30 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC-MCC | $19,006 – $82,249 · median $22,556 | 30 plans |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $3,579 – $33,748 · median $15,334 | 30 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC-MCC | $6,188 – $26,299 · median $7,932 | 30 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,607 – $32,227 · median $11,572 | 30 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC-MCC | $9,601 – $41,110 · median $11,963 | 30 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,353 – $10,412 · median $5,196 | 30 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC | $54,273 – $142,690 · median $68,462 | 30 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC | $19,933 – $83,797 · median $24,017 | 30 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,125 – $28,593 · median $13,414 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM W MCC | $13,467 – $49,687 · median $16,555 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC-MCC | $6,360 – $14,912 · median $7,949 | 29 plans |
| 113 | ORBITAL PROCEDURES W CC-MCC | $16,604 – $40,525 · median $20,279 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,196 – $66,595 · median $30,106 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES W-O CC-MCC | $5,220 – $12,074 · median $5,992 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES W CC | $7,090 – $30,258 · median $7,921 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,003 – $54,069 · median $26,750 | 29 plans |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,550 – $40,800 · median $20,011 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W-O CC-MCC | $4,671 – $19,641 · median $8,186 | 29 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC MCC | $9,062 – $37,333 · median $11,820 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,229 – $22,177 · median $6,065 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,927 – $22,797 · median $10,695 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,916 – $150,066 · median $39,960 | 29 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,405 – $21,795 · median $10,122 | 29 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC | $15,973 – $42,974 · median $23,464 | 28 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,429 – $13,824 · median $6,899 | 28 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $76,918 – $186,455 · median $96,631 | 28 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,833 – $38,915 · median $19,421 | 28 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC-MCC | $5,748 – $14,131 · median $6,871 | 28 plans |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,858 – $60,644 · median $29,097 | 28 plans |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC-MCC | $10,692 – $27,023 · median $12,509 | 28 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC-MCC | $8,319 – $31,230 · median $10,024 | 28 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,440 – $49,154 · median $14,402 | 28 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC | $7,947 – $31,001 · median $11,494 | 28 plans |
| 734 | PELVIC EVISCERATION RAD HYSTERECTOMY & RAD VULVECTOMY W CC-MCC | $15,492 – $80,080 · median $18,542 | 28 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC | $13,977 – $34,383 · median $18,401 | 28 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,814 – $30,860 · median $8,570 | 28 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $12,363 – $30,128 · median $14,520 | 28 plans |
| 010 | PANCREAS TRANSPLANT | $55,853 – $223,350 · median $66,477 | 27 plans |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,837 – $72,305 · median $38,546 | 27 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,937 – $43,681 · median $16,085 | 27 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,577 – $83,744 · median $21,273 | 27 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,857 – $75,848 · median $28,918 | 27 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,561 – $39,488 · median $18,525 | 27 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,055 – $328,362 · median $101,222 | 27 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC MCC | $11,079 – $52,589 · median $13,500 | 27 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,773 – $33,079 · median $15,519 | 27 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC MCC | $4,618 – $11,329 · median $5,703 | 27 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,976 – $25,439 · median $12,966 | 27 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,258 – $42,584 · median $12,132 | 27 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC | $13,582 – $59,253 · median $16,750 | 27 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS W MCC | $12,142 – $44,176 · median $14,405 | 27 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC MCC | $19,406 – $50,746 · median $25,864 | 27 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,132 – $28,699 · median $14,076 | 27 plans |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,616 – $41,173 · median $19,140 | 26 plans |
| 042 | PERIPH-CRANIAL NERVE & OTHER NERV SYST PROC W-O CC-MCC | $12,995 – $28,276 · median $15,178 | 26 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,859 – $52,012 · median $14,359 | 26 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,939 – $17,633 · median $9,928 | 26 plans |
| 154 | OTHER EAR NOSE MOUTH & THROAT DIAGNOSES W MCC | $12,045 – $29,278 · median $13,298 | 26 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,462 – $64,391 · median $30,208 | 26 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,688 – $22,532 · median $6,339 | 26 plans |
| 935 | NON-EXTENSIVE BURNS | $16,452 – $38,576 · median $19,169 | 26 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC | $30,009 – $121,416 · median $37,019 | 26 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC MCC | $5,708 – $21,688 · median $6,945 | 25 plans |
| 124 | OTHER DISORDERS OF THE EYE W MCC | $9,713 – $24,776 · median $11,201 | 25 plans |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,988 – $55,066 · median $14,947 | 25 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,751 – $58,978 · median $27,668 | 25 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC MCC | $18,381 – $70,554 · median $25,487 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS W CC | $8,026 – $19,990 · median $10,657 | 25 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC | $12,260 – $29,948 · median $20,436 | 25 plans |
| 539 | OSTEOMYELITIS W MCC | $14,910 – $58,401 · median $17,304 | 25 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,955 – $17,603 · median $9,524 | 25 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,680 – $19,892 · median $7,530 | 25 plans |
| 845 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W-O CC-MCC | $6,334 – $15,947 · median $7,413 | 24 plans |
| 201 | PNEUMOTHORAX WITHOUT CC MCC | $5,179 – $13,391 · median $6,282 | 23 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,817 – $117,519 · median $28,049 | 23 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,345 – $45,358 · median $21,859 | 22 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,904 – $39,512 · median $20,646 | 21 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W-O INFARCT W-O MCC | $6,658 – $26,901 · median $13,166 | 9 plans |
| 509 | ARTHROSCOPY | $12,988 – $41,518 · median $22,641 | 9 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY W-O CC-MCC | $5,104 – $22,312 · median $10,475 | 8 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS W CC-MCC | $9,164 – $29,587 · median $18,102 | 8 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS W-O CC-MCC | $5,994 – $19,707 · median $9,950 | 8 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,467 – $25,658 · median $22,379 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY W CC | $7,500 – $16,557 · median $14,207 | 6 plans |
| 247 | PERC CARDIOVASC PROC W DRUG-ELUTING STENT W-O MCC | $28,582 – $63,971 · median $42,666 | 6 plans |
| 765 | CESAREAN SECTION W CC-MCC | $5,040 – $34,872 · median $20,377 | 6 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W-O INFARCT W MCC | $10,805 – $44,424 · median $20,572 | 5 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $41,916 – $99,774 · median $44,569 | 5 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $39,498 – $92,405 · median $43,497 | 5 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC-MCC OR MAJOR DEVICE | $32,158 – $68,726 · median $34,701 | 4 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W-O CC-MCC | $20,307 – $39,769 · median $21,912 | 4 plans |
| 131 | CRANIAL-FACIAL PROCEDURES W CC-MCC | $37,777 – $69,080 · median $40,764 | 4 plans |
| 222 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI-HF-SHOCK W MCC | $117,219 – $276,368 · median $126,486 | 4 plans |
| 223 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI-HF-SHOCK W-O MCC | $84,325 – $201,420 · median $90,991 | 4 plans |
| 224 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W-O AMI-HF-SHOCK W MCC | $103,897 – $242,066 · median $112,111 | 4 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT W-O CARDIAC CATH W MCC | $93,944 – $219,732 · median $101,371 | 4 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT W-O CARDIAC CATH W-O MCC | $73,456 – $173,647 · median $79,264 | 4 plans |
| 338 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC | $40,879 – $97,853 · median $44,111 | 4 plans |
| 342 | APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W CC | $22,620 – $40,649 · median $24,409 | 4 plans |
| 343 | APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W-O CC-MCC | $16,177 – $29,334 · median $17,456 | 4 plans |
| 453 | COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W MCC | $132,143 – $368,168 · median $142,590 | 4 plans |
| 455 | COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W-O CC-MCC | $67,614 – $197,110 · median $72,959 | 4 plans |
| 132 | CRANIAL-FACIAL PROCEDURES W-O CC-MCC | $22,328 – $40,295 · median $25,859 | 3 plans |
| 134 | OTHER EAR NOSE MOUTH & THROAT O.R. PROCEDURES W-O CC-MCC | $16,985 – $30,042 · median $16,985 | 3 plans |
| 225 | CARDIAC DEFIB IMPLANT W CARDIAC CATH W-O AMI-HF-SHOCK W-O MCC | $79,350 – $91,897 · median $79,350 | 3 plans |
| 249 | PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W-O MCC | $26,923 – $39,498 · median $26,923 | 3 plans |
| 339 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC | $24,107 – $53,655 · median $27,918 | 3 plans |
| 340 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W-O CC-MCC | $17,384 – $36,803 · median $20,132 | 3 plans |
| 341 | APPENDECTOMY W-O COMPLICATED PRINCIPAL DIAG W MCC | $35,934 – $68,400 · median $41,616 | 3 plans |
| 454 | COMBINED ANTERIOR-POSTERIOR SPINAL FUSION W CC | $86,040 – $251,395 · median $99,644 | 3 plans |
| 766 | CESAREAN SECTION W-O CC-MCC | $20,377 – $24,978 · median $23,669 | 3 plans |
| 133 | OTHER EAR NOSE MOUTH & THROAT O.R. PROCEDURES W CC-MCC | $30,158 – $34,927 · median $32,542 | 2 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC | $159,745 – $159,745 · median $159,745 | 1 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W-O MCC | $105,247 – $105,247 · median $105,247 | 1 plans |
| 490 | BACK & NECK PROC EXC SPINAL FUSION W CC-MCC OR DISC DEVICE-NEUROSTIM | $59,072 – $59,072 · median $59,072 | 1 plans |
| 491 | BACK & NECK PROC EXC SPINAL FUSION W-O CC-MCC | $34,145 – $34,145 · median $34,145 | 1 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $29,095 – $29,095 · median $29,095 | 1 plans |
| 777 | ECTOPIC PREGNANCY | $29,935 – $29,935 · median $29,935 | 1 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $23,723 – $23,723 · median $23,723 | 1 plans |
No procedures match that keyword.