Richmond University Medical Center — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 2 with a comparable price, 774 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 776
Lowest published price $5,000
Average published price $6,000
Highest published price $7,000
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 776 procedures
Published charges
Showing all 2 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
| DRG | Description | Published price | Cash price | vs. NY median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,000 | $7,000 | $13,884 | −50% | $20,473 | −66% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,000 | $5,000 | $14,778 | −66% | $19,258 | −74% |
Procedures with negotiated rates only
These 774 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $1,657 – $704,208 · median $325,589 | 29 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $1,657 – $289,512 · median $127,895 | 29 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,657 – $535,790 · median $247,927 | 29 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $1,657 – $353,250 · median $163,752 | 29 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,657 – $266,235 · median $123,627 | 29 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $1,657 – $121,230 · median $56,760 | 29 plans |
| 007 | Lung transplant | $1,657 – $326,720 · median $151,518 | 29 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $1,657 – $136,028 · median $63,584 | 29 plans |
| 010 | Pancreas transplant | $1,657 – $199,325 · median $92,772 | 29 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $1,657 – $134,898 · median $63,063 | 29 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $1,657 – $102,593 · median $48,166 | 29 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $1,657 – $66,250 · median $31,407 | 29 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $1,657 – $327,545 · median $151,898 | 29 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $1,657 – $150,898 · median $70,441 | 29 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $1,657 – $150,898 · median $70,441 | 29 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $1,657 – $942,820 · median $435,620 | 29 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $1,657 – $198,183 · median $92,246 | 29 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $1,657 – $201,528 · median $93,788 | 29 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $1,657 – $145,213 · median $64,578 | 29 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $1,657 – $92,752 · median $41,557 | 29 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $1,657 – $142,628 · median $66,627 | 29 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $1,657 – $95,043 · median $44,685 | 29 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $1,657 – $111,808 · median $52,415 | 29 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $1,657 – $76,465 · median $36,118 | 29 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,657 – $61,695 · median $29,307 | 29 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $1,657 – $151,988 · median $70,944 | 29 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $1,657 – $83,918 · median $39,554 | 29 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $1,657 – $55,635 · median $26,513 | 29 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $1,657 – $104,765 · median $49,168 | 29 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $1,657 – $53,390 · median $25,477 | 29 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $1,657 – $39,888 · median $19,251 | 29 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $1,657 – $97,218 · median $45,687 | 29 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $1,657 – $56,870 · median $27,082 | 29 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $1,657 – $45,828 · median $21,990 | 29 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $1,657 – $83,023 · median $39,142 | 29 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $1,657 – $40,283 · median $19,433 | 29 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,657 – $28,455 · median $13,979 | 29 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $1,657 – $94,303 · median $44,343 | 29 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $1,657 – $56,455 · median $26,891 | 29 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $1,657 – $43,940 · median $21,120 | 29 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,657 – $50,313 · median $24,058 | 29 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,657 – $23,262 · median $11,480 | 29 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,657 – $37,478 · median $18,140 | 29 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,657 – $27,275 · median $13,435 | 29 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,740 – $62,603 · median $29,725 | 29 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,740 – $33,360 · median $16,241 | 29 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,657 – $46,148 · median $22,138 | 29 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,657 – $30,590 · median $14,964 | 29 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,657 – $22,310 · median $11,145 | 29 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $1,657 – $67,585 · median $32,023 | 29 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,657 – $44,523 · median $21,388 | 29 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,657 – $35,155 · median $17,052 | 29 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,657 – $49,730 · median $23,790 | 29 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,657 – $25,423 · median $12,581 | 29 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,657 – $17,208 · median $8,792 | 29 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,657 – $36,373 · median $17,630 | 29 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,657 – $22,038 · median $11,020 | 29 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,657 – $20,003 · median $10,081 | 29 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $1,657 – $43,470 · median $20,903 | 29 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $1,657 – $26,348 · median $13,007 | 29 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,657 – $18,755 · median $9,506 | 29 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,657 – $38,640 · median $18,676 | 29 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,657 – $26,060 · median $12,875 | 29 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,657 – $45,252 · median $20,714 | 29 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,657 – $22,923 · median $11,428 | 29 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $1,657 – $38,658 · median $18,684 | 29 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $1,657 – $24,948 · median $12,362 | 29 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $1,657 – $17,516 · median $8,543 | 29 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,773 – $52,225 · median $23,773 | 29 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,773 – $22,620 · median $11,288 | 29 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,657 – $58,005 · median $27,605 | 29 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,657 – $34,760 · median $16,886 | 29 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,657 – $23,903 · median $11,880 | 29 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,657 – $56,650 · median $26,981 | 29 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,657 – $32,790 · median $15,978 | 29 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,657 – $22,100 · median $11,049 | 29 plans |
| 088 | CONCUSSION WITH MCC | $1,657 – $36,267 · median $17,120 | 29 plans |
| 089 | CONCUSSION WITH CC | $1,657 – $27,189 · median $13,217 | 29 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,657 – $22,103 · median $10,741 | 29 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,657 – $45,573 · median $21,872 | 29 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,657 – $26,468 · median $13,063 | 29 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,657 – $19,733 · median $9,957 | 29 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,657 – $91,218 · median $42,921 | 29 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,657 – $59,930 · median $28,493 | 29 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,657 – $59,930 · median $28,493 | 29 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,657 – $89,615 · median $42,182 | 29 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,657 – $54,233 · median $25,866 | 29 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,657 – $34,833 · median $16,920 | 29 plans |
| 100 | SEIZURES WITH MCC | $1,657 – $49,633 · median $23,745 | 29 plans |
| 101 | SEIZURES WITHOUT MCC | $1,657 – $23,043 · median $11,483 | 29 plans |
| 102 | HEADACHES WITH MCC | $1,657 – $28,988 · median $14,225 | 29 plans |
| 103 | HEADACHES WITHOUT MCC | $1,657 – $21,255 · median $10,659 | 29 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $1,657 – $59,285 · median $26,872 | 29 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $1,657 – $29,553 · median $14,485 | 29 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $1,657 – $38,275 · median $18,507 | 29 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $1,657 – $43,289 · median $20,094 | 29 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $1,657 – $28,336 · median $13,292 | 29 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,657 – $30,294 · median $14,267 | 29 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,657 – $17,604 · median $8,677 | 29 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,657 – $20,080 · median $10,117 | 29 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,657 – $32,598 · median $15,889 | 29 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,657 – $20,643 · median $10,376 | 29 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $1,657 – $62,709 · median $28,653 | 29 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $1,657 – $24,692 · median $12,135 | 29 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $1,657 – $35,579 · median $16,981 | 29 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $1,657 – $20,469 · median $10,236 | 29 plans |
| 139 | SALIVARY GLAND PROCEDURES | $1,657 – $34,325 · median $16,686 | 29 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $1,657 – $105,730 · median $49,613 | 29 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $1,657 – $53,713 · median $25,626 | 29 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $1,657 – $39,310 · median $18,985 | 29 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $1,657 – $82,548 · median $38,923 | 29 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $1,657 – $43,918 · median $21,109 | 29 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $29,620 · median $14,516 | 29 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,657 – $57,353 · median $27,305 | 29 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,657 – $31,120 · median $15,208 | 29 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,657 – $21,037 · median $10,088 | 29 plans |
| 149 | DYSEQUILIBRIUM | $1,657 – $18,688 · median $9,475 | 29 plans |
| 150 | EPISTAXIS WITH MCC | $1,657 – $34,555 · median $16,792 | 29 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,657 – $18,950 · median $9,596 | 29 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,657 – $28,370 · median $13,940 | 29 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,657 – $17,793 · median $9,062 | 29 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,657 – $40,658 · median $19,606 | 29 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,657 – $23,340 · median $11,620 | 29 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,657 – $16,810 · median $8,609 | 29 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,657 – $40,938 · median $19,735 | 29 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,657 – $23,515 · median $11,701 | 29 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,657 – $16,490 · median $8,462 | 29 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $1,657 – $115,230 · median $53,994 | 29 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $1,657 – $62,925 · median $29,874 | 29 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $1,657 – $46,600 · median $22,346 | 29 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $1,657 – $96,258 · median $45,245 | 29 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $1,657 – $45,680 · median $21,922 | 29 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $33,848 · median $16,466 | 29 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $1,657 – $76,715 · median $36,233 | 29 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,657 – $35,228 · median $17,102 | 29 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,657 – $20,363 · median $10,247 | 29 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,657 – $40,413 · median $19,493 | 29 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,657 – $24,803 · median $12,295 | 29 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,657 – $19,243 · median $9,731 | 29 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,657 – $43,695 · median $21,007 | 29 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,657 – $27,758 · median $13,657 | 29 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,657 – $20,938 · median $10,512 | 29 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,657 – $39,683 · median $19,156 | 29 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,657 – $26,703 · median $13,171 | 29 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,657 – $19,443 · median $9,823 | 29 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,657 – $39,500 · median $19,072 | 29 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,657 – $25,100 · median $12,432 | 29 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,657 – $18,355 · median $9,322 | 29 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,657 – $30,935 · median $15,123 | 29 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,657 – $28,075 · median $13,804 | 29 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,657 – $21,478 · median $10,761 | 29 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,657 – $16,180 · median $8,319 | 29 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,657 – $32,943 · median $16,048 | 29 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,657 – $20,500 · median $10,311 | 29 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,657 – $15,568 · median $8,036 | 29 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,657 – $47,103 · median $22,578 | 29 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,657 – $24,750 · median $12,271 | 29 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,657 – $18,401 · median $8,932 | 29 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,657 – $44,133 · median $21,208 | 29 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,657 – $27,688 · median $13,625 | 29 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,657 – $16,928 · median $8,663 | 29 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,657 – $24,168 · median $12,002 | 29 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,657 – $17,415 · median $8,888 | 29 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,657 – $20,275 · median $10,207 | 29 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,657 – $47,195 · median $22,621 | 29 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,657 – $22,645 · median $11,300 | 29 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,657 – $163,340 · median $75,413 | 29 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,657 – $67,095 · median $31,797 | 29 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $1,657 – $272,348 · median $126,445 | 29 plans |
| 215 | Other heart assist system implant | $1,657 – $264,870 · median $122,997 | 29 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $1,657 – $241,278 · median $112,118 | 29 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $1,657 – $161,448 · median $75,306 | 29 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,657 – $148,733 · median $69,443 | 29 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,657 – $193,438 · median $90,057 | 29 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $1,657 – $132,418 · median $61,919 | 29 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $1,657 – $114,815 · median $53,802 | 29 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $1,657 – $124,583 · median $58,306 | 29 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $1,657 – $77,658 · median $36,668 | 29 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,657 – $211,848 · median $98,547 | 29 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $1,657 – $152,718 · median $71,280 | 29 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $1,657 – $195,410 · median $90,967 | 29 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $1,657 – $133,005 · median $62,190 | 29 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $1,657 – $147,105 · median $68,692 | 29 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $1,657 – $102,803 · median $48,263 | 29 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $1,657 – $125,923 · median $58,924 | 29 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $1,657 – $72,805 · median $34,430 | 29 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $1,657 – $37,748 · median $18,264 | 29 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $1,657 – $84,800 · median $39,961 | 29 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $1,657 – $56,320 · median $26,828 | 29 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $1,657 – $45,118 · median $21,663 | 29 plans |
| 245 | AICD GENERATOR PROCEDURES | $1,657 – $122,170 · median $57,194 | 29 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $1,657 – $57,815 · median $27,518 | 29 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $1,657 – $39,065 · median $18,872 | 29 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $1,657 – $85,760 · median $40,404 | 29 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $1,657 – $63,825 · median $30,289 | 29 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $1,657 – $43,735 · median $21,025 | 29 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $1,657 – $65,413 · median $31,021 | 29 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $1,657 – $42,343 · median $20,383 | 29 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $1,657 – $23,432 · median $11,140 | 29 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $1,657 – $70,138 · median $33,200 | 29 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $1,657 – $44,136 · median $21,121 | 29 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $1,657 – $85,155 · median $40,125 | 29 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $1,657 – $47,440 · median $22,734 | 29 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $1,657 – $38,903 · median $18,355 | 29 plans |
| 263 | VEIN LIGATION AND STRIPPING | $1,657 – $67,053 · median $31,778 | 29 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $1,657 – $87,378 · median $41,150 | 29 plans |
| 265 | AICD LEAD PROCEDURES | $1,657 – $89,180 · median $41,981 | 29 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $1,657 – $149,770 · median $69,921 | 29 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $1,657 – $117,618 · median $55,095 | 29 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $1,657 – $166,690 · median $77,723 | 29 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $1,657 – $104,018 · median $48,823 | 29 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $1,657 – $128,325 · median $60,032 | 29 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $1,657 – $86,110 · median $40,565 | 29 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $1,657 – $62,555 · median $29,704 | 29 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $1,657 – $97,758 · median $45,937 | 29 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $1,657 – $78,025 · median $36,837 | 29 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $1,657 – $176,675 · median $82,328 | 29 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $1,657 – $154,860 · median $72,268 | 29 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $1,657 – $116,298 · median $54,486 | 29 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $1,657 – $125,083 · median $58,537 | 29 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $1,657 – $80,110 · median $37,799 | 29 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,657 – $41,035 · median $19,780 | 29 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,657 – $23,045 · median $11,484 | 29 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,657 – $18,128 · median $9,217 | 29 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,657 – $48,885 · median $23,400 | 29 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,657 – $18,525 · median $9,400 | 29 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,657 – $14,035 · median $7,330 | 29 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,657 – $55,333 · median $26,373 | 29 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,657 – $27,243 · median $13,420 | 29 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,657 – $68,288 · median $32,347 | 29 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,657 – $39,418 · median $19,034 | 29 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,657 – $25,657 · median $12,144 | 29 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,657 – $32,620 · median $15,900 | 29 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,657 – $21,530 · median $10,786 | 29 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,657 – $13,718 · median $7,183 | 29 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $1,657 – $30,700 · median $15,014 | 29 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $1,657 – $19,745 · median $9,963 | 29 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,657 – $40,960 · median $19,745 | 29 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,657 – $17,610 · median $8,978 | 29 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,657 – $11,043 · median $5,950 | 29 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,657 – $40,440 · median $19,506 | 29 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,657 – $26,765 · median $13,200 | 29 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,657 – $17,835 · median $9,082 | 29 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,657 – $29,083 · median $14,268 | 29 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,657 – $16,810 · median $8,609 | 29 plans |
| 304 | HYPERTENSION WITH MCC | $1,657 – $29,370 · median $14,401 | 29 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,657 – $18,768 · median $9,512 | 29 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,657 – $37,435 · median $18,120 | 29 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,657 – $23,160 · median $11,537 | 29 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,657 – $30,148 · median $14,759 | 29 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,657 – $18,483 · median $9,380 | 29 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,657 – $13,988 · median $7,308 | 29 plans |
| 311 | Angina pectoris | $1,657 – $17,458 · median $8,908 | 29 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,657 – $21,783 · median $10,902 | 29 plans |
| 313 | Chest pain | $1,657 – $17,835 · median $9,082 | 29 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,657 – $53,838 · median $25,684 | 29 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,657 – $24,058 · median $11,951 | 29 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,657 – $17,068 · median $8,728 | 29 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $1,657 – $109,820 · median $51,499 | 29 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $1,657 – $57,870 · median $27,543 | 29 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $1,657 – $71,170 · median $33,676 | 29 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $1,657 – $45,230 · median $21,714 | 29 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $1,657 – $106,485 · median $49,961 | 29 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $1,657 – $79,878 · median $37,691 | 29 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $1,657 – $71,553 · median $33,853 | 29 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $1,657 – $126,975 · median $59,410 | 29 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $1,657 – $60,703 · median $28,849 | 29 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $1,657 – $39,838 · median $19,228 | 29 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,657 – $114,798 · median $53,794 | 29 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,657 – $59,093 · median $28,107 | 29 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,657 – $41,275 · median $19,891 | 29 plans |
| 332 | RECTAL RESECTION WITH MCC | $1,657 – $86,718 · median $40,846 | 29 plans |
| 333 | RECTAL RESECTION WITH CC | $1,657 – $53,133 · median $25,359 | 29 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $1,657 – $41,465 · median $19,978 | 29 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $1,657 – $90,585 · median $42,629 | 29 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $1,657 – $52,808 · median $25,209 | 29 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $1,657 – $38,378 · median $18,555 | 29 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $1,657 – $67,363 · median $31,920 | 29 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $1,657 – $37,218 · median $18,020 | 29 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $1,657 – $31,133 · median $15,214 | 29 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $1,657 – $60,273 · median $28,143 | 29 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $1,657 – $31,473 · median $15,370 | 29 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $1,657 – $23,073 · median $11,013 | 29 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $1,657 – $60,468 · median $28,741 | 29 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $1,657 – $37,613 · median $18,202 | 29 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $1,657 – $27,565 · median $13,569 | 29 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $1,657 – $73,325 · median $34,670 | 29 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $1,657 – $42,528 · median $20,468 | 29 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $1,657 – $33,330 · median $16,227 | 29 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $1,657 – $106,643 · median $50,034 | 29 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $1,657 – $56,300 · median $26,819 | 29 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $33,878 · median $16,480 | 29 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,657 – $41,750 · median $20,110 | 29 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,657 – $25,440 · median $12,589 | 29 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,657 – $17,585 · median $8,904 | 29 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,657 – $43,700 · median $21,009 | 29 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,657 – $25,733 · median $12,724 | 29 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,657 – $18,135 · median $9,220 | 29 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,657 – $52,785 · median $25,198 | 29 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,657 – $30,718 · median $15,022 | 29 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,657 – $22,075 · median $11,037 | 29 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,657 – $45,455 · median $21,818 | 29 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,657 – $24,648 · median $12,223 | 29 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,657 – $15,918 · median $8,198 | 29 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,657 – $48,108 · median $23,041 | 29 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,657 – $27,228 · median $13,413 | 29 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,657 – $18,733 · median $9,496 | 29 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,657 – $33,060 · median $15,432 | 29 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,657 – $21,740 · median $10,883 | 29 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,657 – $40,620 · median $19,589 | 29 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,657 – $24,813 · median $12,299 | 29 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,657 – $16,758 · median $8,585 | 29 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,657 – $36,748 · median $17,803 | 29 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,657 – $20,040 · median $10,099 | 29 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,657 – $13,680 · median $7,166 | 29 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,657 – $32,113 · median $15,666 | 29 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,657 – $19,508 · median $9,853 | 29 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,657 – $41,400 · median $19,948 | 29 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,657 – $23,533 · median $11,709 | 29 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,657 – $15,910 · median $8,194 | 29 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $1,657 – $61,945 · median $29,422 | 29 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $1,657 – $37,830 · median $18,302 | 29 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $1,657 – $28,095 · median $13,813 | 29 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $1,657 – $135,718 · median $63,441 | 29 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $1,657 – $70,210 · median $33,234 | 29 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $1,657 – $53,395 · median $25,480 | 29 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $1,657 – $88,011 · median $41,221 | 29 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $1,657 – $52,413 · median $25,027 | 29 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $1,657 – $38,778 · median $18,739 | 29 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $1,657 – $71,890 · median $32,403 | 29 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $1,657 – $53,290 · median $25,431 | 29 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $1,657 – $41,563 · median $20,023 | 29 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $1,657 – $87,595 · median $41,250 | 29 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $1,657 – $49,453 · median $23,662 | 29 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $1,657 – $34,255 · median $16,654 | 29 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $1,657 – $59,413 · median $28,254 | 29 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $1,657 – $41,460 · median $19,976 | 29 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $1,657 – $32,940 · median $16,047 | 29 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $1,657 – $88,238 · median $41,547 | 29 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $1,657 – $40,940 · median $19,736 | 29 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $1,657 – $36,735 · median $17,797 | 29 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $1,657 – $101,685 · median $47,748 | 29 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $1,657 – $57,083 · median $27,180 | 29 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $38,645 · median $18,678 | 29 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,657 – $48,978 · median $23,443 | 29 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,657 – $26,745 · median $13,190 | 29 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,657 – $17,413 · median $8,887 | 29 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,657 – $45,615 · median $21,892 | 29 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,657 – $28,193 · median $13,858 | 29 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,657 – $19,651 · median $9,910 | 29 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,657 – $41,593 · median $20,037 | 29 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,657 – $21,505 · median $10,774 | 29 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,657 – $15,378 · median $7,949 | 29 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,657 – $47,260 · median $22,651 | 29 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,657 – $24,155 · median $11,996 | 29 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,657 – $17,568 · median $8,958 | 29 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,657 – $42,110 · median $20,276 | 29 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,657 – $27,113 · median $13,360 | 29 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,657 – $19,933 · median $10,049 | 29 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $1,657 – $211,730 · median $98,493 | 29 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $1,657 – $143,650 · median $67,023 | 29 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $1,657 – $107,950 · median $50,637 | 29 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $1,657 – $161,223 · median $71,603 | 29 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $1,657 – $71,595 · median $33,872 | 29 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,657 – $135,025 · median $63,122 | 29 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,657 – $73,715 · median $34,850 | 29 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,657 – $44,235 · median $20,872 | 29 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $1,657 – $127,365 · median $59,589 | 29 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $1,657 – $85,630 · median $40,344 | 29 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $1,657 – $65,583 · median $31,100 | 29 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $1,657 – $81,718 · median $38,540 | 29 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $1,657 – $47,138 · median $22,594 | 29 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $1,657 – $121,433 · median $56,854 | 29 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $1,657 – $72,430 · median $34,257 | 29 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $1,657 – $59,185 · median $28,150 | 29 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $1,657 – $112,118 · median $52,558 | 29 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $1,657 – $53,933 · median $25,727 | 29 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,657 – $29,078 · median $14,266 | 29 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,657 – $85,975 · median $40,503 | 29 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,657 – $58,465 · median $27,818 | 29 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,657 – $44,395 · median $21,329 | 29 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $1,657 – $73,525 · median $34,762 | 29 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $1,657 – $51,873 · median $24,778 | 29 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $1,657 – $39,660 · median $19,146 | 29 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $1,657 – $63,705 · median $30,234 | 29 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $1,657 – $80,483 · median $37,970 | 29 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $1,657 – $53,023 · median $25,308 | 29 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,657 – $39,505 · median $19,075 | 29 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $1,657 – $49,811 · median $23,515 | 29 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $1,657 – $30,960 · median $15,134 | 29 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $1,657 – $88,780 · median $41,797 | 29 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $1,657 – $60,025 · median $28,537 | 29 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $1,657 – $47,135 · median $22,593 | 29 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $1,657 – $88,015 · median $41,444 | 29 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $1,657 – $49,325 · median $23,603 | 29 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $1,657 – $33,751 · median $16,335 | 29 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $1,657 – $63,123 · median $29,965 | 29 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $1,657 – $30,497 · median $14,240 | 29 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $1,657 – $79,218 · median $37,387 | 29 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $1,657 – $44,618 · median $21,432 | 29 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $1,657 – $34,930 · median $16,965 | 29 plans |
| 503 | FOOT PROCEDURES WITH MCC | $1,657 – $66,165 · median $31,368 | 29 plans |
| 504 | FOOT PROCEDURES WITH CC | $1,657 – $43,875 · median $21,090 | 29 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $1,657 – $43,875 · median $21,090 | 29 plans |
| 506 | Major thumb or joint procedures | $1,657 – $37,478 · median $18,140 | 29 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $1,657 – $50,404 · median $23,202 | 29 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $1,657 – $33,907 · median $15,736 | 29 plans |
| 509 | Arthroscopy | $1,657 – $43,918 · median $21,109 | 29 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $1,657 – $71,453 · median $33,806 | 29 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $1,657 – $49,030 · median $23,467 | 29 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $1,657 – $40,195 · median $19,393 | 29 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $1,657 – $38,329 · median $18,215 | 29 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $1,657 – $25,490 · median $12,612 | 29 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $1,657 – $77,310 · median $36,508 | 29 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $1,657 – $50,293 · median $24,049 | 29 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $37,318 · median $18,066 | 29 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $1,657 – $89,600 · median $42,175 | 29 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $1,657 – $49,298 · median $23,590 | 29 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $1,657 – $35,830 · median $17,380 | 29 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $1,657 – $72,868 · median $34,459 | 29 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $1,657 – $52,703 · median $25,160 | 29 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,657 – $38,574 · median $18,437 | 29 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,657 – $20,350 · median $10,242 | 29 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,657 – $33,248 · median $16,189 | 29 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,657 – $20,273 · median $10,206 | 29 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,657 – $22,975 · median $11,452 | 29 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,657 – $16,788 · median $8,599 | 29 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,657 – $50,560 · median $24,172 | 29 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,657 – $32,353 · median $15,776 | 29 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,657 – $21,873 · median $10,944 | 29 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,657 – $46,628 · median $22,359 | 29 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,657 – $26,523 · median $13,088 | 29 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,657 – $18,893 · median $9,569 | 29 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,657 – $63,173 · median $29,988 | 29 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,657 – $28,943 · median $14,204 | 29 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,657 – $19,467 · median $9,460 | 29 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,657 – $50,365 · median $24,082 | 29 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,657 – $30,128 · median $14,750 | 29 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,657 – $22,309 · median $10,796 | 29 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,657 – $42,660 · median $20,529 | 29 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,657 – $24,095 · median $11,969 | 29 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,657 – $32,650 · median $15,913 | 29 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,657 – $20,865 · median $10,479 | 29 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,657 – $33,665 · median $16,382 | 29 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,657 – $20,413 · median $10,270 | 29 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,657 – $38,743 · median $18,723 | 29 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,657 – $21,595 · median $10,816 | 29 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,657 – $46,408 · median $22,257 | 29 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,657 – $28,468 · median $13,985 | 29 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,657 – $20,440 · median $10,283 | 29 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $1,657 – $36,588 · median $17,729 | 29 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,657 – $22,345 · median $11,162 | 29 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,657 – $39,230 · median $18,948 | 29 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,657 – $25,493 · median $12,613 | 29 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,657 – $18,703 · median $9,482 | 29 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $1,657 – $75,255 · median $35,560 | 29 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $1,657 – $41,858 · median $20,159 | 29 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $1,657 – $28,560 · median $14,027 | 29 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,657 – $153,955 · median $71,851 | 29 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,657 – $86,623 · median $40,802 | 29 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,657 – $49,918 · median $23,876 | 29 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,657 – $134,883 · median $63,056 | 29 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $1,657 – $66,570 · median $31,555 | 29 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $1,657 – $42,260 · median $20,345 | 29 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $1,657 – $81,485 · median $38,433 | 29 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $1,657 – $44,325 · median $21,297 | 29 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $1,657 – $35,980 · median $17,449 | 29 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $1,657 – $43,780 · median $21,046 | 29 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $1,657 – $41,068 · median $19,795 | 29 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $1,657 – $51,185 · median $24,461 | 29 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $1,657 – $49,628 · median $23,742 | 29 plans |
| 592 | SKIN ULCERS WITH MCC | $1,657 – $51,408 · median $24,563 | 29 plans |
| 593 | SKIN ULCERS WITH CC | $1,657 – $30,568 · median $14,953 | 29 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,657 – $21,218 · median $10,642 | 29 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,657 – $52,878 · median $25,241 | 29 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,657 – $27,028 · median $13,321 | 29 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,657 – $43,918 · median $21,109 | 29 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,657 – $28,346 · median $13,295 | 29 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,657 – $21,373 · median $10,713 | 29 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,657 – $24,248 · median $11,885 | 29 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,657 – $14,988 · median $7,769 | 29 plans |
| 602 | CELLULITIS WITH MCC | $1,657 – $36,730 · median $17,795 | 29 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,657 – $22,020 · median $11,012 | 29 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,657 – $37,143 · median $17,985 | 29 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,657 – $23,093 · median $11,506 | 29 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,657 – $40,258 · median $19,422 | 29 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,657 – $21,605 · median $10,820 | 29 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $1,657 – $56,975 · median $27,130 | 29 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $1,657 – $35,825 · median $17,378 | 29 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,657 – $96,625 · median $45,414 | 29 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,657 – $48,290 · median $23,126 | 29 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,657 – $31,128 · median $15,211 | 29 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $1,657 – $68,163 · median $32,289 | 29 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $1,657 – $39,925 · median $19,268 | 29 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $1,657 – $36,545 · median $17,710 | 29 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $1,657 – $93,550 · median $43,996 | 29 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $1,657 – $47,820 · median $22,909 | 29 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $1,657 – $26,352 · median $12,422 | 29 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $1,657 – $71,678 · median $33,910 | 29 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $1,657 – $37,733 · median $18,257 | 29 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $1,657 – $31,673 · median $15,463 | 29 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $1,657 – $98,643 · median $46,345 | 29 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $1,657 – $56,228 · median $26,786 | 29 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $35,033 · median $17,012 | 29 plans |
| 637 | DIABETES WITH MCC | $1,657 – $36,408 · median $17,646 | 29 plans |
| 638 | DIABETES WITH CC | $1,657 – $22,930 · median $11,431 | 29 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,657 – $15,665 · median $8,081 | 29 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,657 – $33,200 · median $16,167 | 29 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,657 – $19,535 · median $9,866 | 29 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,657 – $31,028 · median $15,165 | 29 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,657 – $41,433 · median $19,963 | 29 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,657 – $25,835 · median $12,771 | 29 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,657 – $19,468 · median $9,835 | 29 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $1,657 – $115,183 · median $53,972 | 29 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $1,657 – $86,813 · median $40,889 | 29 plans |
| 652 | KIDNEY TRANSPLANT | $1,657 – $76,785 · median $36,265 | 29 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $1,657 – $139,365 · median $65,123 | 29 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $1,657 – $70,553 · median $33,391 | 29 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,657 – $51,933 · median $24,805 | 29 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $1,657 – $81,450 · median $38,417 | 29 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $1,657 – $45,703 · median $21,932 | 29 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $1,657 – $37,600 · median $18,196 | 29 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $1,657 – $64,608 · median $30,650 | 29 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $1,657 – $33,500 · median $16,305 | 29 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $1,657 – $25,665 · median $12,692 | 29 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $1,657 – $77,990 · median $36,821 | 29 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $1,657 – $38,185 · median $18,466 | 29 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $1,657 – $26,995 · median $13,306 | 29 plans |
| 665 | PROSTATECTOMY WITH MCC | $1,657 – $85,840 · median $40,441 | 29 plans |
| 666 | PROSTATECTOMY WITH CC | $1,657 – $41,183 · median $19,848 | 29 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $1,657 – $25,695 · median $12,706 | 29 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $1,657 – $72,908 · median $34,477 | 29 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $1,657 – $38,688 · median $18,698 | 29 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $1,657 – $23,893 · median $11,875 | 29 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $1,657 – $43,093 · median $20,729 | 29 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $1,657 – $27,360 · median $13,474 | 29 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $1,657 – $104,740 · median $49,156 | 29 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $1,657 – $57,710 · median $27,469 | 29 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $1,657 – $39,133 · median $18,903 | 29 plans |
| 682 | RENAL FAILURE WITH MCC | $1,657 – $37,548 · median $18,172 | 29 plans |
| 683 | RENAL FAILURE WITH CC | $1,657 – $22,223 · median $11,105 | 29 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,657 – $15,185 · median $7,860 | 29 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,657 – $47,143 · median $22,596 | 29 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,657 – $26,318 · median $12,993 | 29 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,657 – $18,464 · median $9,206 | 29 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,657 – $29,258 · median $14,349 | 29 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,657 – $20,065 · median $10,110 | 29 plans |
| 693 | URINARY STONES WITH MCC | $1,657 – $36,760 · median $17,809 | 29 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,657 – $19,535 · median $9,866 | 29 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,657 – $28,279 · median $13,859 | 29 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,657 – $17,295 · median $8,833 | 29 plans |
| 697 | Urethral stricture | $1,657 – $26,319 · median $12,407 | 29 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,657 – $42,023 · median $20,235 | 29 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,657 – $25,498 · median $12,615 | 29 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,657 – $17,355 · median $8,860 | 29 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $1,657 – $48,515 · median $23,229 | 29 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $1,657 – $37,063 · median $17,948 | 29 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,657 – $56,178 · median $26,763 | 29 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $1,657 – $37,535 · median $18,166 | 29 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $1,657 – $50,196 · median $22,883 | 29 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $1,657 – $28,100 · median $13,188 | 29 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $1,657 – $36,150 · median $17,527 | 29 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $1,657 – $23,493 · median $11,691 | 29 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $1,657 – $56,458 · median $26,892 | 29 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $1,657 – $35,483 · median $17,220 | 29 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $1,657 – $46,388 · median $22,248 | 29 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,657 – $30,798 · median $15,059 | 29 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,657 – $44,330 · median $20,789 | 29 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,657 – $28,073 · median $13,803 | 29 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,657 – $19,141 · median $9,257 | 29 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,657 – $31,565 · median $15,413 | 29 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,657 – $18,610 · median $9,439 | 29 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,657 – $38,329 · median $17,797 | 29 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,657 – $20,428 · median $10,277 | 29 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,657 – $27,523 · median $13,549 | 29 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,657 – $15,173 · median $7,854 | 29 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $1,657 – $52,570 · median $25,099 | 29 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $1,657 – $30,348 · median $14,852 | 29 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $1,657 – $98,440 · median $46,251 | 29 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $1,657 – $49,960 · median $23,896 | 29 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,657 – $37,923 · median $18,345 | 29 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $1,657 – $99,523 · median $46,750 | 29 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $1,657 – $45,458 · median $21,819 | 29 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $1,657 – $34,340 · median $16,693 | 29 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $1,657 – $45,668 · median $21,916 | 29 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $1,657 – $29,968 · median $14,676 | 29 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $1,657 – $48,850 · median $23,384 | 29 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $1,657 – $25,620 · median $12,672 | 29 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $1,657 – $41,865 · median $20,163 | 29 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $1,657 – $23,880 · median $11,869 | 29 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $1,657 – $34,058 · median $16,563 | 29 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $1,657 – $64,715 · median $30,700 | 29 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $32,238 · median $15,723 | 29 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,657 – $45,233 · median $21,716 | 29 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,657 – $27,753 · median $13,655 | 29 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,657 – $23,875 · median $11,867 | 29 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,657 – $35,383 · median $17,174 | 29 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,657 – $25,483 · median $12,608 | 29 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,657 – $16,000 · median $8,236 | 29 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,657 – $24,640 · median $12,220 | 29 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,657 – $15,848 · median $8,165 | 29 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $1,657 – $36,506 · median $16,876 | 29 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $1,657 – $26,900 · median $13,262 | 29 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,657 – $17,838 · median $9,083 | 29 plans |
| 779 | ABORTION WITHOUT D&C | $1,657 – $23,390 · median $11,634 | 29 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $1,657 – $46,053 · median $22,094 | 29 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $1,657 – $27,075 · median $13,343 | 29 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $1,657 – $40,398 · median $19,486 | 29 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $1,657 – $26,545 · median $13,098 | 29 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,657 – $22,618 · median $11,287 | 29 plans |
| 789 | Neonates, died or transferred to another acute care facility | $1,657 – $45,065 · median $21,638 | 29 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,657 – $148,620 · median $69,391 | 29 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,657 – $101,498 · median $47,661 | 29 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,657 – $61,243 · median $29,098 | 29 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,657 – $104,263 · median $48,936 | 29 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,657 – $36,905 · median $17,876 | 29 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,657 – $31,915 · median $15,575 | 29 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,657 – $24,205 · median $12,019 | 29 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,657 – $24,205 · median $12,019 | 29 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $1,657 – $118,870 · median $55,672 | 29 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $1,657 – $72,845 · median $34,449 | 29 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $1,657 – $42,317 · median $19,784 | 29 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $1,657 – $89,620 · median $42,184 | 29 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $1,657 – $44,500 · median $21,378 | 29 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $1,657 – $28,620 · median $13,603 | 29 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,657 – $24,950 · median $12,363 | 29 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,657 – $18,090 · median $9,199 | 29 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,657 – $15,933 · median $8,205 | 29 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,657 – $57,258 · median $27,261 | 29 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,657 – $30,963 · median $15,135 | 29 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,657 – $23,795 · median $11,830 | 29 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,657 – $35,173 · median $17,077 | 29 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,657 – $23,073 · median $11,497 | 29 plans |
| 813 | Coagulation disorders | $1,657 – $38,700 · median $18,703 | 29 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,657 – $52,263 · median $24,957 | 29 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,657 – $25,403 · median $12,571 | 29 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,657 – $16,793 · median $8,459 | 29 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $1,657 – $66,603 · median $30,083 | 29 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $1,657 – $33,838 · median $15,706 | 29 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $21,451 · median $10,270 | 29 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $1,657 – $145,558 · median $67,979 | 29 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $1,657 – $55,810 · median $26,593 | 29 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $29,291 · median $14,042 | 29 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $1,657 – $116,988 · median $54,804 | 29 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $1,657 – $54,985 · median $26,213 | 29 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,657 – $30,770 · median $15,047 | 29 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $1,657 – $119,388 · median $55,911 | 29 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $1,657 – $58,998 · median $28,063 | 29 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $40,073 · median $19,336 | 29 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $1,657 – $77,095 · median $36,408 | 29 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $1,657 – $37,387 · median $17,718 | 29 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,657 – $28,775 · median $14,127 | 29 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,657 – $18,685 · median $9,474 | 29 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $12,995 · median $6,850 | 29 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $1,657 – $138,183 · median $64,578 | 29 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $1,657 – $53,398 · median $25,481 | 29 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $33,384 · median $15,507 | 29 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,657 – $125,180 · median $58,582 | 29 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,657 – $50,705 · median $24,239 | 29 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,657 – $34,260 · median $16,656 | 29 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,657 – $79,725 · median $37,621 | 29 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,657 – $39,200 · median $18,934 | 29 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,657 – $26,298 · median $12,984 | 29 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,657 – $47,333 · median $22,684 | 29 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,657 – $29,880 · median $14,636 | 29 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,657 – $20,920 · median $10,504 | 29 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,657 – $63,845 · median $30,298 | 29 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,657 – $31,768 · median $15,507 | 29 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,657 – $20,473 · median $10,298 | 29 plans |
| 849 | Radiotherapy | $1,657 – $66,778 · median $31,651 | 29 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $1,657 – $125,033 · median $58,514 | 29 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,657 – $49,953 · median $23,892 | 29 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $40,640 · median $19,598 | 29 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $1,657 – $112,790 · median $52,868 | 29 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $1,657 – $54,473 · median $25,976 | 29 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $1,657 – $32,210 · median $15,711 | 29 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,657 – $45,968 · median $22,055 | 29 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,657 – $24,998 · median $12,385 | 29 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,657 – $22,450 · median $11,210 | 29 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,657 – $38,775 · median $17,872 | 29 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,657 – $22,120 · median $11,058 | 29 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,657 – $53,608 · median $25,578 | 29 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,657 – $26,253 · median $12,963 | 29 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,657 – $17,990 · median $9,153 | 29 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,657 – $173,913 · median $81,054 | 29 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,657 – $49,053 · median $23,477 | 29 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,657 – $25,775 · median $12,743 | 29 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,550 – $98,240 · median $46,159 | 29 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,550 – $23,965 · median $11,909 | 29 plans |
| 881 | DEPRESSIVE NEUROSES | $1,550 – $22,853 · median $11,396 | 29 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,550 – $24,050 · median $11,948 | 29 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,550 – $46,348 · median $22,230 | 29 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,550 – $41,755 · median $20,112 | 29 plans |
| 885 | PSYCHOSES | $1,550 – $35,240 · median $17,108 | 29 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,550 – $44,913 · median $21,568 | 29 plans |
| 887 | Other mental disorder diagnoses | $1,550 – $30,634 · median $14,569 | 29 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,607 – $15,603 · median $8,052 | 29 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,690 – $38,040 · median $17,549 | 29 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,458 – $44,520 · median $21,387 | 29 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,458 – $22,055 · median $11,028 | 29 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $1,657 – $110,763 · median $51,934 | 29 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $1,657 – $47,440 · median $22,734 | 29 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $1,657 – $30,478 · median $14,912 | 29 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $1,657 – $96,528 · median $45,369 | 29 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $1,657 – $41,205 · median $19,858 | 29 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $1,657 – $54,563 · median $26,018 | 29 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $1,657 – $99,593 · median $46,783 | 29 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $1,657 – $50,428 · median $24,111 | 29 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $1,657 – $32,070 · median $15,479 | 29 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,657 – $40,458 · median $19,514 | 29 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,657 – $22,910 · median $11,422 | 29 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,657 – $43,448 · median $20,893 | 29 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,657 – $16,603 · median $8,513 | 29 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,657 – $40,993 · median $19,760 | 29 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,657 – $22,115 · median $11,055 | 29 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,657 – $45,590 · median $21,880 | 29 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,657 – $25,398 · median $12,569 | 29 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,657 – $17,193 · median $8,786 | 29 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,657 – $42,235 · median $20,333 | 29 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,657 – $25,498 · median $12,615 | 29 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,657 – $623,251 · median $274,340 | 29 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,657 – $166,973 · median $77,854 | 29 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,657 – $79,510 · median $37,522 | 29 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,657 – $108,173 · median $50,739 | 29 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,657 – $53,645 · median $25,595 | 29 plans |
| 935 | Non-extensive burns | $1,657 – $54,910 · median $26,178 | 29 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,657 – $79,350 · median $37,448 | 29 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $1,657 – $52,785 · median $25,198 | 29 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $1,657 – $48,858 · median $23,387 | 29 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,657 – $38,163 · median $18,455 | 29 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,657 – $27,913 · median $13,729 | 29 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,657 – $32,155 · median $15,685 | 29 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,657 – $19,863 · median $10,017 | 29 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,657 – $26,975 · median $13,297 | 29 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,657 – $15,100 · median $7,614 | 29 plans |
| 951 | Other factors influencing health status | $1,657 – $14,175 · median $7,394 | 29 plans |
| 955 | Craniotomy for multiple significant trauma | $1,657 – $170,708 · median $79,576 | 29 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $1,657 – $95,560 · median $44,923 | 29 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,657 – $186,605 · median $86,907 | 29 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,657 – $102,745 · median $48,236 | 29 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,657 – $66,098 · median $31,337 | 29 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,657 – $67,918 · median $32,176 | 29 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,657 – $37,503 · median $18,151 | 29 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,657 – $22,815 · median $11,378 | 29 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $1,657 – $162,503 · median $73,766 | 29 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $1,657 – $66,333 · median $31,445 | 29 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,657 – $74,655 · median $35,283 | 29 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,657 – $35,535 · median $17,244 | 29 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,657 – $25,075 · median $12,420 | 29 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,657 – $36,048 · median $17,480 | 29 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,657 – $118,848 · median $55,662 | 29 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,657 – $61,208 · median $29,082 | 29 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $1,657 – $41,705 · median $20,089 | 29 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $1,657 – $87,568 · median $41,238 | 29 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $1,657 – $42,900 · median $20,640 | 29 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $606 – $28,888 · median $664 | 29 plans |
| 795 | Normal newborn | $1,545 – $4,995 · median $3,161 | 27 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $1,657 – $154,660 · median $86,826 | 5 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $1,657 – $97,805 · median $54,908 | 5 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,657 – $261,885 · median $147,022 | 5 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $1,657 – $177,568 · median $99,686 | 5 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $1,657 – $137,603 · median $77,250 | 5 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $1,657 – $208,515 · median $117,060 | 5 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $1,657 – $136,763 · median $76,778 | 5 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,657 – $167,618 · median $94,100 | 5 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,657 – $102,088 · median $57,312 | 5 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $1,657 – $128,753 · median $72,282 | 5 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $1,657 – $77,150 · median $43,312 | 5 plans |
| 453 | Combined anterior/posterior spinal fusion w MCC | $126,966 – $209,528 · median $173,772 | 5 plans |
| 454 | Combined anterior/posterior spinal fusion w CC | $87,634 – $144,620 · median $119,941 | 5 plans |
| 455 | Combined anterior/posterior spinal fusion w/o CC/MCC | $65,989 – $108,899 · median $90,316 | 5 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $95,028 – $156,821 · median $130,059 | 5 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $52,410 – $86,491 · median $71,731 | 5 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $1,657 – $230,298 · median $129,289 | 5 plans |
No procedures match that keyword.