Southwest General Health Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 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 |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $12,564 – $28,296 · median $20,024 | 17 plans |
| 101 | SEIZURES WITHOUT MCC | $5,765 – $13,137 · median $9,296 | 17 plans |
| 102 | HEADACHES WITH MCC | $7,415 – $16,526 · median $11,695 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $5,339 – $12,118 · median $8,575 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,431 – $32,163 · median $22,760 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,560 – $16,848 · median $11,923 | 17 plans |
| 115 | Extraocular procedures except orbit | $9,791 – $21,821 · median $15,442 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,671 – $23,783 · median $16,830 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,898 – $15,373 · median $10,879 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,439 – $16,579 · median $11,732 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,338 – $9,668 · median $6,841 | 17 plans |
| 123 | Neurological eye disorders | $5,095 – $11,448 · median $8,101 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,338 – $18,584 · median $13,151 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,054 – $11,769 · median $8,328 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,419 – $34,365 · median $24,318 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $5,952 – $13,942 · median $9,866 | 17 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $8,944 – $19,934 · median $14,106 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,202 – $11,595 · median $8,205 | 17 plans |
| 139 | Salivary gland procedures | $7,527 – $19,569 · median $13,848 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,944 – $60,279 · median $42,656 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,130 – $30,623 · median $21,670 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,792 – $22,411 · median $15,859 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,076 – $47,062 · median $33,303 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,967 – $25,038 · median $17,718 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,577 – $16,887 · median $11,950 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,379 – $32,698 · median $23,138 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,832 – $17,742 · median $12,555 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,120 – $11,412 · median $8,076 | 17 plans |
| 149 | Dysequilibrium | $4,720 – $10,654 · median $7,539 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $8,331 – $19,701 · median $13,941 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,847 – $10,804 · median $7,645 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,257 – $16,174 · median $11,446 | 17 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,551 – $10,144 · median $7,178 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,749 – $23,180 · median $16,403 | 17 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,970 – $13,307 · median $9,416 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,154 – $9,584 · median $6,782 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,472 – $23,339 · median $16,516 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,948 – $13,406 · median $9,487 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,218 – $9,401 · median $6,653 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,476 – $65,695 · median $46,488 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $16,096 – $35,875 · median $25,386 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,892 – $26,568 · median $18,800 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,623 – $54,878 · median $38,834 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,533 – $26,043 · median $18,429 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,592 – $19,297 · median $13,655 | 17 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $19,488 – $43,737 · median $30,950 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,892 – $20,084 · median $14,212 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,169 – $11,609 · median $8,215 | 17 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,338 – $23,040 · median $16,304 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,253 – $14,140 · median $10,006 | 17 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,838 – $10,971 · median $7,763 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,016 – $24,911 · median $17,628 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,978 – $15,825 · median $11,198 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,810 – $11,937 · median $8,447 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,979 – $22,624 · median $16,010 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,667 – $15,224 · median $10,773 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,789 – $11,085 · median $7,844 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,837 – $22,520 · median $15,936 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,314 – $14,310 · median $10,126 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,695 – $10,465 · median $7,405 | 17 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,808 – $17,637 · median $12,480 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,984 – $16,006 · median $11,327 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,381 – $12,245 · median $8,665 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,067 – $9,225 · median $6,528 | 17 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,407 – $18,781 · median $13,290 | 17 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,211 – $11,687 · median $8,271 | 17 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,965 – $8,875 · median $6,281 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,012 – $26,854 · median $19,003 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,322 – $14,110 · median $9,985 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,479 – $9,983 · median $7,064 | 17 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,244 – $25,161 · median $17,805 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,826 – $15,785 · median $11,170 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,330 – $9,651 · median $6,829 | 17 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,068 – $13,778 · median $9,750 | 17 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,404 – $9,929 · median $7,026 | 17 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,186 – $11,559 · median $8,180 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,473 – $26,907 · median $19,040 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,789 – $12,910 · median $9,136 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $41,358 – $92,177 · median $65,228 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,136 – $38,252 · median $27,069 | 17 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $68,261 – $155,271 · median $109,876 | 17 plans |
| 215 | Other heart assist system implant | $64,737 – $151,008 · median $106,859 | 17 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,508 – $137,557 · median $97,341 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $40,341 – $92,044 · median $65,134 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,103 – $84,795 · median $60,005 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $48,871 – $110,283 · median $78,040 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,238 – $75,494 · median $53,423 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $29,370 – $65,458 · median $46,321 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $31,868 – $71,027 · median $50,262 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,865 – $44,274 · median $31,330 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $51,431 – $120,779 · median $85,468 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,700 – $87,067 · median $61,612 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $49,431 – $111,407 · median $78,836 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $32,942 – $75,829 · median $53,660 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,269 – $83,868 · median $59,348 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $25,612 – $58,610 · median $41,475 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,464 – $71,791 · median $50,802 | 17 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,804 – $41,508 · median $29,372 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,808 – $21,521 · median $15,229 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,692 – $48,346 · median $34,212 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,407 – $32,109 · median $22,722 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,541 – $25,722 · median $18,202 | 17 plans |
| 245 | AICD generator procedures | $28,718 – $69,652 · median $49,288 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,789 – $32,961 · median $23,325 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,993 – $22,272 · median $15,760 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,255 – $48,893 · median $34,599 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,168 – $36,388 · median $25,750 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $10,996 – $24,934 · median $17,644 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,733 – $37,293 · median $26,390 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,392 – $24,140 · median $17,083 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,704 – $12,712 · median $8,996 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,166 – $39,987 · median $28,296 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,240 – $25,053 · median $17,728 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,010 – $48,549 · median $34,355 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,926 – $27,046 · median $19,139 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $9,706 – $21,633 · median $15,309 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $17,152 – $38,228 · median $27,052 | 17 plans |
| 264 | Other circulatory system O.R. procedures | $20,699 – $49,816 · median $35,252 | 17 plans |
| 265 | AICD lead procedures | $22,398 – $50,843 · median $35,979 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $38,311 – $85,387 · median $60,423 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $30,087 – $67,056 · median $47,452 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,639 – $95,033 · median $67,249 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,356 – $59,302 · median $41,965 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,049 – $73,161 · median $51,771 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,904 – $49,093 · median $34,740 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,461 – $35,664 · median $25,237 | 17 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $24,698 – $55,734 · median $39,439 | 17 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $19,959 – $44,484 · median $31,478 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,590 – $100,726 · median $71,278 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,358 – $88,289 · median $62,477 | 17 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $29,749 – $66,304 · median $46,919 | 17 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $28,268 – $71,312 · median $50,463 | 17 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $20,284 – $45,672 · median $32,320 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,055 – $23,395 · median $16,555 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,786 – $13,138 · median $9,297 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,551 – $10,335 · median $7,313 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,494 – $27,870 · median $19,722 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,688 – $10,561 · median $7,474 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,097 – $8,002 · median $5,662 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,661 – $31,546 · median $22,323 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,855 – $15,531 · median $10,991 | 17 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,433 – $38,932 · median $27,550 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,365 – $22,473 · median $15,903 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,261 – $13,954 · median $9,874 | 17 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,137 – $18,597 · median $13,160 | 17 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,428 – $12,275 · median $8,686 | 17 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,509 – $7,821 · median $5,534 | 17 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,931 – $17,503 · median $12,386 | 17 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,002 – $11,257 · median $7,966 | 17 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $10,160 – $23,352 · median $16,525 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,505 – $10,040 · median $7,105 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,782 – $6,296 · median $4,455 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,989 – $23,056 · median $16,315 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,762 – $15,259 · median $10,798 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,498 – $10,168 · median $7,195 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,105 – $16,581 · median $11,733 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,171 – $9,584 · median $6,782 | 17 plans |
| 304 | HYPERTENSION WITH MCC | $7,282 – $16,744 · median $11,849 | 17 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,775 – $10,700 · median $7,572 | 17 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,576 – $21,342 · median $15,103 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,924 – $13,204 · median $9,344 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,619 – $17,188 · median $12,163 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,720 – $10,537 · median $7,457 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,505 – $7,975 · median $5,643 | 17 plans |
| 311 | Angina pectoris | $4,424 – $9,953 · median $7,043 | 17 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,473 – $12,419 · median $8,788 | 17 plans |
| 313 | Chest pain | $4,562 – $10,168 · median $7,195 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,268 – $30,694 · median $21,720 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,130 – $13,716 · median $9,706 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,366 – $9,731 · median $6,886 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,644 – $62,611 · median $44,306 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,108 – $32,993 · median $23,347 | 17 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $18,205 – $40,575 · median $28,713 | 17 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $11,556 – $25,787 · median $18,248 | 17 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $26,238 – $60,709 · median $42,960 | 17 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $18,814 – $45,540 · median $32,226 | 17 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $16,759 – $40,794 · median $28,867 | 17 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,189 – $72,391 · median $51,227 | 17 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,528 – $34,608 · median $24,490 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,123 – $22,712 · median $16,072 | 17 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,626 – $65,448 · median $46,314 | 17 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,033 – $33,690 · median $23,840 | 17 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,558 – $23,532 · median $16,652 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,182 – $49,439 · median $34,985 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $13,179 – $30,292 · median $21,436 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,173 – $23,640 · median $16,729 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,657 – $51,644 · median $36,546 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,343 – $30,107 · median $21,305 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,484 – $21,880 · median $15,483 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,231 – $38,405 · median $27,177 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,520 – $21,218 · median $15,015 | 17 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,964 – $17,749 · median $12,560 | 17 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,136 – $33,734 · median $23,872 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,051 – $17,943 · median $12,697 | 17 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,633 – $12,555 · median $8,885 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,210 – $34,474 · median $24,395 | 17 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,225 – $21,444 · median $15,174 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,028 – $15,715 · median $11,121 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,533 – $41,804 · median $29,582 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,879 – $24,246 · median $17,157 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,526 – $19,002 · median $13,447 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,117 – $60,799 · median $43,024 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,922 – $32,098 · median $22,714 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,119 – $19,314 · median $13,668 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,470 – $23,803 · median $16,844 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,263 – $14,504 · median $10,264 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,464 – $9,949 · median $7,040 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,076 – $24,914 · median $17,630 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,582 – $14,671 · median $10,382 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,541 – $10,339 · median $7,316 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,303 – $30,094 · median $21,296 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,594 – $17,513 · median $12,393 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,647 – $12,585 · median $8,906 | 17 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,346 – $25,915 · median $18,338 | 17 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,235 – $14,052 · median $9,944 | 17 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,013 – $9,075 · median $6,422 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,306 – $27,427 · median $19,408 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,800 – $15,523 · median $10,985 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,792 – $10,680 · median $7,557 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,085 – $18,019 · median $12,751 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,550 – $12,394 · median $8,771 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,930 – $23,158 · median $16,388 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,158 – $14,146 · median $10,010 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,287 – $9,554 · median $6,761 | 17 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,212 – $20,950 · median $14,825 | 17 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,047 – $11,425 · median $8,085 | 17 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,499 – $7,799 · median $5,519 | 17 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $8,085 – $18,308 · median $12,955 | 17 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,979 – $11,122 · median $7,870 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $10,264 – $23,603 · median $16,702 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,938 – $13,416 · median $9,494 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,070 – $9,071 · median $6,419 | 17 plans |
| 397 | Appendix Procedures with MCC | $14,238 – $35,316 · median $24,991 | 17 plans |
| 398 | Appendix Procedures without MCC/CC | $9,591 – $21,568 · median $15,262 | 17 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,054 – $16,018 · median $11,335 | 17 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,717 – $77,375 · median $54,754 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,960 – $40,028 · median $28,326 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,632 – $30,442 · median $21,542 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,391 – $49,904 · median $35,314 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $12,405 – $29,881 · median $21,145 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,919 – $22,108 · median $15,644 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $17,499 – $39,002 · median $27,599 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,964 – $30,382 · median $21,499 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,567 – $23,696 · median $16,768 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,341 – $49,940 · median $35,339 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,522 – $28,194 · median $19,951 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,487 – $19,529 · median $13,820 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,689 – $33,872 · median $23,969 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,360 – $23,637 · median $16,727 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,323 – $18,780 · median $13,289 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $20,285 – $50,306 · median $35,599 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,472 – $23,341 · median $16,517 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,942 – $20,943 · median $14,820 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $24,786 – $57,973 · median $41,024 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,228 – $32,544 · median $23,029 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,885 – $22,032 · median $15,591 | 17 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,143 – $27,923 · median $19,759 | 17 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,534 – $15,248 · median $10,790 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,243 – $9,927 · median $7,025 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,154 – $26,006 · median $18,403 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $6,976 – $16,073 · median $11,374 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,021 – $11,191 · median $7,920 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,576 – $23,713 · median $16,780 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,420 – $12,260 · median $8,676 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,901 – $8,767 · median $6,204 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,586 – $26,944 · median $19,067 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,030 – $13,771 · median $9,745 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,494 – $10,016 · median $7,087 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,351 – $24,008 · median $16,989 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,888 – $15,457 · median $10,938 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,080 – $11,364 · median $8,042 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $53,422 – $120,712 · median $85,420 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,703 – $81,804 · median $57,888 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,614 – $61,544 · median $43,551 | 17 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $39,244 – $87,466 · median $61,895 | 17 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $18,039 – $40,818 · median $28,884 | 17 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,539 – $76,980 · median $54,474 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,856 – $42,026 · median $29,740 | 17 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,102 – $24,745 · median $17,510 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,580 – $72,613 · median $51,384 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,904 – $48,819 · median $34,547 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $16,776 – $37,390 · median $26,459 | 17 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $20,903 – $46,589 · median $32,968 | 17 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $11,925 – $26,874 · median $19,017 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,062 – $69,231 · median $48,991 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,528 – $41,294 · median $29,221 | 17 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,140 – $33,743 · median $23,878 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $27,269 – $63,920 · median $45,233 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,592 – $30,748 · median $21,759 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,438 – $16,578 · median $11,731 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,351 – $49,016 · median $34,686 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,955 – $33,332 · median $23,587 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,356 – $25,310 · median $17,911 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,689 – $41,918 · median $29,663 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,150 – $29,574 · median $20,927 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,067 – $22,611 · median $16,000 | 17 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $15,744 – $36,319 · median $25,701 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,587 – $45,885 · median $32,470 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $12,728 – $30,229 · median $21,391 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,791 – $22,523 · median $15,938 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,569 – $28,013 · median $19,823 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,844 – $17,651 · median $12,491 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $21,941 – $50,615 · median $35,817 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,221 – $34,221 · median $24,216 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $11,846 – $26,873 · median $19,016 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,514 – $50,179 · median $35,509 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,596 – $28,121 · median $19,900 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,586 – $19,136 · median $13,541 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $16,147 – $35,987 · median $25,466 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,423 – $16,545 · median $11,708 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $20,264 – $45,163 · median $31,960 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,000 – $25,437 · median $18,000 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,763 – $19,914 · median $14,092 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,925 – $37,722 · median $26,694 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,946 – $25,014 · median $17,701 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,810 – $25,014 · median $17,701 | 17 plans |
| 506 | Major thumb or joint procedures | $9,269 – $21,367 · median $15,120 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,395 – $27,625 · median $19,549 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,253 – $18,395 · median $13,017 | 17 plans |
| 509 | Arthroscopy | $8,405 – $25,038 · median $17,718 | 17 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $17,242 – $40,737 · median $28,827 | 17 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $12,542 – $27,953 · median $19,781 | 17 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $10,228 – $22,916 · median $16,216 | 17 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,628 – $21,459 · median $15,185 | 17 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,520 – $14,532 · median $10,284 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,776 – $44,076 · median $31,190 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,865 – $28,673 · median $20,290 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,471 – $21,275 · median $15,055 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,920 – $51,083 · median $36,148 | 17 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,476 – $28,105 · median $19,889 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,072 – $20,427 · median $14,455 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,640 – $41,543 · median $29,398 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,386 – $30,047 · median $21,262 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,752 – $21,734 · median $15,380 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,133 – $11,602 · median $8,210 | 17 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,218 – $18,955 · median $13,413 | 17 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,988 – $11,558 · median $8,179 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,877 – $13,099 · median $9,269 | 17 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,294 – $9,571 · median $6,773 | 17 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,576 – $28,825 · median $20,398 | 17 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,227 – $18,445 · median $13,052 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,437 – $12,470 · median $8,824 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,558 – $26,583 · median $18,811 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,784 – $15,121 · median $10,700 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,833 – $10,771 · median $7,622 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,801 – $36,016 · median $25,486 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,403 – $16,501 · median $11,677 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,772 – $10,636 · median $7,526 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,357 – $28,714 · median $20,319 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,644 – $17,176 · median $12,155 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,513 – $12,288 · median $8,695 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,786 – $24,321 · median $17,211 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,124 – $13,737 · median $9,721 | 17 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,352 – $18,614 · median $13,172 | 17 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,208 – $11,896 · median $8,418 | 17 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,612 – $19,193 · median $13,582 | 17 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,222 – $11,638 · median $8,235 | 17 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,866 – $22,088 · median $15,630 | 17 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,524 – $12,312 · median $8,712 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,728 – $26,458 · median $18,723 | 17 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,175 – $16,230 · median $11,485 | 17 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,945 – $11,653 · median $8,246 | 17 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $9,359 – $20,859 · median $14,761 | 17 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $5,676 – $12,739 · median $9,015 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,899 – $22,366 · median $15,827 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,334 – $14,534 · median $10,285 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,756 – $10,663 · median $7,545 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,520 – $42,904 · median $30,361 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,707 – $23,864 · median $16,887 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,222 – $16,283 · median $11,522 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,382 – $87,773 · median $62,112 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,585 – $49,385 · median $34,947 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,769 – $28,459 · median $20,139 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,503 – $76,899 · median $54,417 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,789 – $37,953 · median $26,857 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,207 – $24,093 · median $17,049 | 17 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,844 – $46,456 · median $32,874 | 17 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $11,069 – $25,271 · median $17,882 | 17 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $8,535 – $20,513 · median $14,516 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,565 – $24,960 · median $17,663 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,645 – $23,413 · median $16,568 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $12,413 – $29,182 · median $20,650 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $10,673 – $28,294 · median $20,022 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $13,150 – $29,308 · median $20,740 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $7,668 – $17,427 · median $12,332 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,990 – $12,097 · median $8,560 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,526 – $30,147 · median $21,333 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,395 – $15,409 · median $10,904 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,143 – $25,038 · median $17,718 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,900 – $15,378 · median $10,882 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,938 – $12,185 · median $8,623 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,117 – $13,634 · median $9,648 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,834 – $8,545 · median $6,047 | 17 plans |
| 602 | CELLULITIS WITH MCC | $9,396 – $20,941 · median $14,818 | 17 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,607 – $12,554 · median $8,884 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,501 – $21,176 · median $14,985 | 17 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,760 – $13,166 · median $9,316 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $10,050 – $22,952 · median $16,241 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,527 – $12,317 · median $8,716 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,275 – $32,483 · median $22,986 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,164 – $20,425 · median $14,453 | 17 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,717 – $55,088 · median $38,982 | 17 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,353 – $27,531 · median $19,482 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,361 – $17,746 · median $12,558 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $16,405 – $38,861 · median $27,499 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,213 – $22,762 · median $16,107 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,348 – $20,835 · median $14,744 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,930 – $53,335 · median $37,742 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,797 – $27,263 · median $19,293 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,415 – $14,297 · median $10,117 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,335 – $40,865 · median $28,918 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,455 – $21,512 · median $15,223 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $7,833 – $18,057 · median $12,778 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $25,233 – $56,238 · median $39,796 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,341 – $32,056 · median $22,684 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,849 – $19,973 · median $14,134 | 17 plans |
| 637 | DIABETES WITH MCC | $9,185 – $20,757 · median $14,688 | 17 plans |
| 638 | DIABETES WITH CC | $5,700 – $13,073 · median $9,251 | 17 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,945 – $8,931 · median $6,320 | 17 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $8,335 – $18,928 · median $13,394 | 17 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $4,952 – $11,137 · median $7,881 | 17 plans |
| 642 | Inborn errors of metabolism | $7,937 – $17,689 · median $12,518 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,426 – $23,622 · median $16,716 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,609 – $14,729 · median $10,423 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,822 – $11,099 · median $7,854 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $28,503 – $65,668 · median $46,469 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $21,918 – $49,494 · median $35,024 | 17 plans |
| 652 | Kidney transplant | $19,041 – $43,777 · median $30,978 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,309 – $79,455 · median $56,225 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,349 – $40,223 · median $28,464 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,284 – $29,608 · median $20,952 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,885 – $46,436 · median $32,860 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,688 – $26,056 · median $18,438 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,382 – $21,437 · median $15,169 | 17 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,407 – $36,834 · median $26,065 | 17 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,530 – $19,099 · median $13,515 | 17 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,565 – $14,632 · median $10,354 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $18,992 – $44,464 · median $31,464 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,247 – $21,770 · median $15,405 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,728 – $15,390 · median $10,891 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,578 – $48,939 · median $34,631 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $10,534 – $23,479 · median $16,615 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,573 – $14,649 · median $10,366 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,859 – $41,566 · median $29,414 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,726 – $22,057 · median $15,608 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,101 – $13,622 · median $9,639 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,849 – $24,568 · median $17,385 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,848 – $15,598 · median $11,038 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,436 – $59,714 · median $42,256 | 17 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,762 – $32,902 · median $23,283 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,010 – $22,310 · median $15,788 | 17 plans |
| 682 | RENAL FAILURE WITH MCC | $9,511 – $21,407 · median $15,148 | 17 plans |
| 683 | RENAL FAILURE WITH CC | $5,685 – $12,669 · median $8,965 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,856 – $8,657 · median $6,126 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,657 – $26,877 · median $19,019 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,625 – $15,004 · median $10,618 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,631 – $10,322 · median $7,304 | 17 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,443 – $16,680 · median $11,804 | 17 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,114 – $11,439 · median $8,095 | 17 plans |
| 693 | URINARY STONES WITH MCC | $8,976 – $20,958 · median $14,830 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,960 – $11,137 · median $7,881 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,212 – $16,075 · median $11,375 | 17 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,386 – $9,860 · median $6,977 | 17 plans |
| 697 | Urethral stricture | $6,407 – $14,279 · median $10,104 | 17 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,485 – $23,958 · median $16,954 | 17 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,469 – $14,537 · median $10,287 | 17 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,439 – $9,894 · median $7,002 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,410 – $27,659 · median $19,573 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,243 – $21,130 · median $14,953 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,436 – $32,028 · median $22,664 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,823 – $21,399 · median $15,143 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,218 – $27,232 · median $19,270 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,840 – $15,245 · median $10,788 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,194 – $20,610 · median $14,584 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,009 – $13,394 · median $9,478 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,990 – $32,188 · median $22,777 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,013 – $20,229 · median $14,315 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,495 – $26,446 · median $18,715 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,452 – $17,558 · median $12,425 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,056 – $24,642 · median $17,438 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,062 – $16,005 · median $11,326 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,659 – $10,385 · median $7,349 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,864 – $17,996 · median $12,735 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,632 – $10,610 · median $7,508 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,397 – $20,943 · median $14,820 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,071 – $11,646 · median $8,241 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,362 – $15,691 · median $11,104 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,881 – $8,650 · median $6,121 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,447 – $29,971 · median $21,209 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,763 – $17,302 · median $12,243 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $24,636 – $56,123 · median $39,715 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,509 – $28,483 · median $20,156 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,648 – $21,620 · median $15,299 | 17 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $22,919 – $56,740 · median $40,151 | 17 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $11,325 – $25,916 · median $18,339 | 17 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $8,234 – $19,578 · median $13,854 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,293 – $26,036 · median $18,424 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,364 – $17,085 · median $12,090 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $11,930 – $27,850 · median $19,708 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,554 – $14,606 · median $10,336 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,622 – $23,868 · median $16,890 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,623 – $13,614 · median $9,634 | 17 plans |
| 748 | Female reproductive system reconstructive procedures | $8,712 – $19,417 · median $13,740 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $15,953 – $36,895 · median $26,109 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,246 – $18,379 · median $13,006 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,570 – $25,788 · median $18,249 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,874 – $15,822 · median $11,196 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,107 – $13,612 · median $9,632 | 17 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,051 – $20,172 · median $14,275 | 17 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,291 – $14,528 · median $10,281 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,093 – $9,122 · median $6,455 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,303 – $14,048 · median $9,941 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,838 – $9,035 · median $6,394 | 17 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,649 – $15,626 · median $6,549 | 17 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $8,886 – $19,805 · median $14,015 | 17 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,062 – $15,336 · median $10,853 | 17 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,542 – $10,170 · median $7,196 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $5,978 – $13,324 · median $9,428 | 17 plans |
| 789 | Neonates, died or transferred to another acute care facility | $820 – $25,512 · median $1,641 | 17 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $820 – $84,137 · median $38,026 | 17 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $820 – $57,460 · median $1,641 | 17 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $820 – $34,671 · median $1,641 | 17 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $820 – $59,025 · median $1,641 | 17 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $515 – $21,040 · median $2,328 | 17 plans |
| 795 | Normal newborn | $515 – $2,848 · median $1,078 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,407 – $67,770 · median $47,957 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,857 – $41,530 · median $29,389 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,499 – $23,399 · median $16,558 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $21,486 – $51,094 · median $36,156 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,383 – $25,370 · median $17,953 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,070 – $15,758 · median $11,151 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,880 – $32,644 · median $23,100 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,633 – $17,652 · median $12,492 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,087 – $13,566 · median $9,600 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,895 – $20,053 · median $14,190 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,708 – $13,154 · median $9,308 | 17 plans |
| 813 | Coagulation disorders | $9,887 – $22,064 · median $15,613 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,369 – $29,796 · median $21,085 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,301 – $14,482 · median $10,248 | 17 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,217 – $9,398 · median $6,651 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,291 – $36,133 · median $25,569 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,435 – $18,358 · median $12,991 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,222 – $11,638 · median $8,235 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,234 – $82,985 · median $58,724 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,146 – $31,818 · median $22,516 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,314 – $16,301 · median $11,535 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,531 – $66,697 · median $47,197 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,065 – $31,348 · median $22,183 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $7,871 – $17,543 · median $12,414 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $27,815 – $68,065 · median $48,166 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,686 – $33,636 · median $23,802 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,251 – $22,846 · median $16,167 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,721 – $43,953 · median $31,103 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,353 – $20,845 · median $14,751 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $6,400 – $16,405 · median $11,609 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,675 – $10,653 · median $7,538 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,244 – $7,409 · median $5,243 | 17 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $35,347 – $78,781 · median $55,748 | 17 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $13,659 – $30,443 · median $21,543 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,588 – $18,111 · median $12,816 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,145 – $71,368 · median $50,503 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $12,374 – $28,908 · median $20,456 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,259 – $19,532 · median $13,822 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,806 – $45,453 · median $32,164 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,972 – $22,349 · median $15,815 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,727 – $14,993 · median $10,609 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $11,792 – $26,985 · median $19,096 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,334 – $17,035 · median $12,055 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,351 – $11,927 · median $8,440 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $15,489 – $36,399 · median $25,758 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $7,685 – $18,111 · median $12,816 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $4,813 – $11,672 · median $8,259 | 17 plans |
| 849 | Radiotherapy | $17,057 – $38,071 · median $26,941 | 17 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $31,684 – $71,284 · median $50,443 | 17 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,778 – $28,479 · median $20,153 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,396 – $23,170 · median $16,396 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,065 – $64,304 · median $45,504 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,535 – $31,056 · median $21,976 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,134 – $18,364 · median $12,995 | 17 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,674 – $26,207 · median $18,545 | 17 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,372 – $14,252 · median $10,085 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,595 – $12,799 · median $9,057 | 17 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,438 – $21,036 · median $14,886 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,658 – $12,611 · median $8,924 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,260 – $30,563 · median $21,627 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,715 – $14,967 · median $10,591 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,377 – $10,256 · median $7,258 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $44,141 – $99,151 · median $70,163 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,548 – $27,966 · median $19,790 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,527 – $14,695 · median $10,399 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,608 – $55,616 · median $34,199 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $27,428 – $63,148 · median $44,686 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,944 – $27,046 · median $19,139 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,796 – $17,376 · median $12,296 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,637 – $55,032 · median $38,943 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,037 – $23,492 · median $16,624 | 17 plans |
| 906 | Hand procedures for injuries | $11,925 – $31,107 · median $22,013 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,573 – $56,780 · median $40,180 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,701 – $28,750 · median $20,344 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,111 – $18,077 · median $12,792 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,472 – $23,066 · median $16,322 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,753 – $13,061 · median $9,243 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,114 – $24,770 · median $17,528 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,175 – $9,465 · median $6,698 | 17 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $10,114 – $23,371 · median $16,538 | 17 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,456 – $12,608 · median $8,922 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,564 – $25,992 · median $18,393 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,497 – $14,480 · median $10,246 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,398 – $9,802 · median $6,936 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,804 – $24,079 · median $17,039 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,410 – $14,537 · median $10,287 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $151,707 – $338,121 · median $239,268 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $42,712 – $95,194 · median $67,363 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,339 – $45,330 · median $32,078 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $19,216 – $61,671 · median $43,641 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,261 – $30,584 · median $21,643 | 17 plans |
| 935 | Non-extensive burns | $12,936 – $31,305 · median $22,153 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $20,298 – $45,239 · median $32,013 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $13,502 – $30,094 · median $21,296 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $11,763 – $27,855 · median $19,711 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,749 – $21,605 · median $13,326 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,749 – $15,802 · median $9,749 | 17 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,932 – $18,332 · median $12,973 | 17 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,076 – $11,324 · median $8,013 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,566 – $15,379 · median $10,883 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,748 – $8,354 · median $5,911 | 17 plans |
| 951 | Other factors influencing health status | $3,626 – $8,081 · median $5,719 | 17 plans |
| 955 | Craniotomy for multiple significant trauma | $38,597 – $97,324 · median $68,870 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,444 – $54,481 · median $38,553 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,837 – $106,387 · median $75,284 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $25,634 – $58,577 · median $41,451 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,049 – $37,684 · median $26,666 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,329 – $38,721 · median $27,401 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,513 – $21,381 · median $15,130 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,836 – $13,007 · median $9,204 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $40,444 – $90,140 · median $63,787 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $15,238 – $37,817 · median $26,761 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,484 – $42,562 · median $30,119 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,640 – $20,259 · median $14,336 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,357 – $14,296 · median $10,116 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,975 – $20,551 · median $14,543 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $30,043 – $67,757 · median $47,948 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,657 – $34,896 · median $24,694 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,363 – $23,777 · median $16,825 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,400 – $49,924 · median $35,328 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,755 – $24,458 · median $17,308 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $6,847 – $16,469 · median $11,654 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $171,740 – $401,483 · median $294,711 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,471 – $157,064 · median $115,294 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,120 – $305,465 · median $224,228 | 16 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $90,361 – $201,395 · median $147,835 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $65,594 – $151,786 · median $111,419 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $30,654 – $69,116 · median $50,735 | 16 plans |
| 007 | Lung transplant | $77,740 – $186,270 · median $136,732 | 16 plans |
| 008 | Simultaneous pancreas/kidney transplant | $33,347 – $77,552 · median $56,928 | 16 plans |
| 010 | Pancreas transplant | $30,507 – $113,639 · median $83,418 | 16 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $32,679 – $76,908 · median $56,455 | 16 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $25,381 – $58,490 · median $42,935 | 16 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $16,947 – $37,770 · median $27,726 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $72,635 – $186,740 · median $137,078 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $38,600 – $86,030 · median $63,151 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,600 – $86,030 · median $63,151 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $233,495 – $537,521 · median $394,570 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,660 – $112,988 · median $82,939 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,551 – $114,895 · median $84,339 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,347 – $78,781 · median $57,829 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,034 – $50,319 · median $36,937 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,927 – $81,315 · median $59,690 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,012 – $54,186 · median $39,775 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $27,987 – $63,744 · median $46,791 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $18,716 – $43,594 · median $32,001 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,419 – $35,174 · median $25,819 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,191 – $86,651 · median $63,607 | 16 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,466 – $47,843 · median $35,119 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,231 – $31,719 · median $23,283 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $26,089 – $59,729 · median $43,844 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,650 – $30,439 · median $22,344 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,203 – $22,741 · median $16,693 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,726 – $55,426 · median $40,686 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,547 – $32,423 · median $23,800 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,460 – $26,127 · median $19,179 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,237 – $47,333 · median $34,745 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,140 – $22,966 · median $16,858 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,231 – $16,223 · median $11,908 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,123 – $53,764 · median $39,466 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $14,137 – $32,186 · median $23,626 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,026 – $25,051 · median $18,389 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,323 – $28,684 · median $21,056 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,892 – $13,133 · median $9,640 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,338 – $21,367 · median $15,684 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,802 – $15,550 · median $11,415 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $15,172 – $35,691 · median $26,199 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,533 – $19,019 · median $13,961 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,951 – $26,310 · median $19,313 | 16 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,524 – $17,440 · median $12,802 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,687 – $12,719 · median $9,337 | 16 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,288 – $38,532 · median $28,284 | 16 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,389 – $25,383 · median $18,633 | 16 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,984 – $20,023 · median $14,698 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,694 – $28,352 · median $20,812 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,442 – $14,494 · median $10,639 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,357 – $9,810 · median $7,201 | 16 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $8,980 – $20,737 · median $15,222 | 16 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,520 – $12,564 · median $9,223 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,062 – $11,404 · median $8,371 | 16 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,120 – $24,783 · median $18,192 | 16 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,729 – $15,021 · median $11,026 | 16 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,798 – $10,693 · median $7,849 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,589 – $22,029 · median $16,171 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,504 – $14,857 · median $10,906 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,015 – $24,549 · median $18,021 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,846 – $13,069 · median $9,593 | 16 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,575 – $22,039 · median $16,178 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,382 – $14,223 · median $10,441 | 16 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,264 – $9,502 · median $6,975 | 16 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,712 – $28,332 · median $20,797 | 16 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,764 – $12,896 · median $9,466 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,439 – $33,070 · median $24,275 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,596 – $19,817 · median $14,547 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,829 – $13,627 · median $10,003 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,404 – $32,297 · median $23,708 | 16 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,347 – $18,694 · median $13,723 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,616 – $12,600 · median $9,249 | 16 plans |
| 088 | CONCUSSION WITH MCC | $9,021 – $20,107 · median $14,759 | 16 plans |
| 089 | CONCUSSION WITH CC | $6,856 – $15,281 · median $11,217 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,482 – $12,219 · median $8,970 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $11,339 – $25,982 · median $19,072 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,503 – $15,090 · median $11,077 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,908 – $11,250 · median $8,258 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,959 – $52,005 · median $38,175 | 16 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $15,110 – $34,167 · median $25,081 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $13,814 – $34,167 · median $25,081 | 16 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,924 – $51,091 · median $37,504 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $13,654 – $30,919 · median $22,696 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,367 – $19,859 · median $14,577 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,023 – $26,255 · median $10,725 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,023 – $15,436 · median $8,849 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,023 – $12,450 · median $7,993 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,023 – $23,031 · median $10,277 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,023 – $15,134 · median $8,764 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,023 – $12,895 · median $8,129 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,194 – $18,195 · median $7,741 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,194 – $13,800 · median $6,430 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,194 – $13,800 · median $6,370 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,194 – $14,224 · median $6,469 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,194 – $10,313 · median $5,906 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,194 – $9,366 · median $5,386 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,211 – $13,567 · median $3,918 | 16 plans |
| 881 | Depressive neuroses | $1,211 – $12,937 · median $3,766 | 16 plans |
| 882 | Neuroses except depressive | $1,211 – $13,615 · median $3,870 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,211 – $26,238 · median $6,821 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,211 – $23,638 · median $6,234 | 16 plans |
| 885 | Psychoses | $1,211 – $19,950 · median $5,223 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,211 – $25,426 · median $6,222 | 16 plans |
| 887 | Other mental disorder diagnoses | $1,211 – $16,834 · median $4,697 | 16 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $1,211 – $8,833 · median $2,709 | 16 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $1,405 – $20,492 · median $12,601 | 15 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $1,405 – $25,204 · median $15,498 | 15 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $1,405 – $12,486 · median $7,678 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $53,976 – $53,976 · median $53,976 | 1 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $34,137 – $34,137 · median $34,137 | 1 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,390 – $91,390 · median $91,390 | 1 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $61,969 – $61,969 · median $61,969 | 1 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $48,024 – $48,024 · median $48,024 | 1 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $72,767 – $72,767 · median $72,767 | 1 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $47,731 – $47,731 · median $47,731 | 1 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $58,497 – $58,497 · median $58,497 | 1 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $35,631 – $35,631 · median $35,631 | 1 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $44,936 – $44,936 · median $44,936 | 1 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,930 – $26,930 · median $26,930 | 1 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,368 – $80,368 · median $80,368 | 1 plans |
No procedures match that keyword.