Roger Williams Medical Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 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 | $4,402 – $425,916 · median $230,232 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $4,402 – $172,224 · median $93,550 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $4,402 – $322,587 · median $174,561 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $4,402 – $210,518 · median $114,181 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $4,402 – $156,702 · median $85,187 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $4,402 – $70,475 · median $38,730 | 9 plans |
| 007 | LUNG TRANSPLANT | $4,402 – $196,821 · median $106,802 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $4,402 – $85,181 · median $46,653 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $4,402 – $109,059 · median $59,518 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $4,402 – $82,893 · median $45,421 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $4,402 – $64,076 · median $35,282 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $4,402 – $43,799 · median $24,357 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $1,982 – $182,652 · median $99,168 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $1,982 – $90,121 · median $49,315 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $1,982 – $82,562 · median $45,242 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $1,982 – $656,306 · median $354,359 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $4,402 – $108,434 · median $59,181 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $4,402 – $119,593 · median $65,193 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $4,402 – $80,457 · median $44,108 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $4,402 – $48,291 · median $26,778 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $4,402 – $87,091 · median $47,682 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $4,402 – $59,454 · median $32,792 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $4,402 – $69,102 · median $37,990 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $4,402 – $47,255 · median $26,219 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,402 – $38,344 · median $21,419 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $4,402 – $91,316 · median $49,959 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $4,402 – $51,851 · median $28,696 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $4,402 – $33,363 · median $18,735 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $4,402 – $68,096 · median $37,448 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $4,402 – $32,388 · median $18,210 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $4,402 – $25,273 · median $14,377 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $4,402 – $58,828 · median $32,455 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,402 – $36,332 · median $20,334 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $4,402 – $29,527 · median $16,668 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $4,402 – $50,034 · median $27,717 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $4,402 – $24,661 · median $14,047 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $4,402 – $17,866 · median $10,386 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $4,402 – $58,684 · median $32,377 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $4,402 – $33,417 · median $18,764 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $4,402 – $26,258 · median $14,907 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $1,982 – $27,529 · median $15,592 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $1,982 – $14,882 · median $8,778 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $1,982 – $23,206 · median $13,263 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $1,982 – $15,496 · median $9,109 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $1,164 – $28,927 · median $17,250 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $1,164 – $16,133 · median $9,914 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $1,982 – $25,982 · median $14,758 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $1,982 – $18,860 · median $10,921 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $1,982 – $13,979 · median $8,292 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $1,982 – $41,903 · median $23,336 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $1,982 – $26,706 · median $15,149 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $1,982 – $21,335 · median $12,255 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $1,982 – $30,564 · median $17,227 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $1,982 – $15,355 · median $9,033 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $1,982 – $10,402 · median $6,364 | 9 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $1,982 – $22,322 · median $12,786 | 9 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $1,982 – $13,137 · median $7,838 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $1,982 – $12,140 · median $7,301 | 9 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $1,982 – $25,302 · median $14,392 | 9 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $1,982 – $15,593 · median $9,161 | 9 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $1,982 – $11,493 · median $6,952 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $1,982 – $24,383 · median $13,897 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $1,982 – $15,666 · median $9,201 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $1,982 – $29,143 · median $16,461 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $1,982 – $12,542 · median $7,517 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,982 – $27,509 · median $15,581 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,982 – $13,612 · median $8,094 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $1,982 – $34,737 · median $19,475 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $1,982 – $21,214 · median $12,189 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $1,982 – $14,527 · median $8,587 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $1,982 – $34,529 · median $19,363 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $1,982 – $19,799 · median $11,427 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $1,982 – $13,902 · median $8,250 | 9 plans |
| 088 | CONCUSSION WITH MCC | $1,982 – $20,545 · median $11,829 | 9 plans |
| 089 | CONCUSSION WITH CC | $1,982 – $16,697 · median $9,756 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $1,982 – $12,511 · median $7,501 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $1,982 – $26,691 · median $15,141 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $1,982 – $15,548 · median $9,137 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,982 – $12,102 · median $7,280 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $1,982 – $53,489 · median $29,578 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $1,982 – $39,200 · median $21,880 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $1,982 – $39,200 · median $21,880 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $1,982 – $54,893 · median $30,335 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $1,982 – $34,879 · median $19,552 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $1,982 – $20,706 · median $11,916 | 9 plans |
| 100 | SEIZURES WITH MCC | $1,982 – $29,436 · median $16,619 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $1,982 – $13,718 · median $8,151 | 9 plans |
| 102 | HEADACHES WITH MCC | $1,982 – $17,036 · median $9,938 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $1,982 – $12,710 · median $7,608 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $4,402 – $35,733 · median $20,012 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,402 – $20,563 · median $11,839 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,402 – $23,328 · median $13,328 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $4,402 – $27,480 · median $15,566 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $4,402 – $16,489 · median $9,644 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $1,982 – $17,680 · median $10,286 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $1,982 – $11,943 · median $7,194 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $1,982 – $12,137 · median $7,299 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $1,982 – $20,109 · median $11,594 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $1,982 – $11,669 · median $7,047 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $4,402 – $32,980 · median $18,529 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $4,402 – $15,431 · median $9,074 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $4,402 – $22,694 · median $12,987 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $4,402 – $13,469 · median $8,017 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,402 – $18,781 · median $10,878 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $4,402 – $64,825 · median $35,686 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $4,402 – $33,149 · median $18,620 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $4,402 – $24,263 · median $13,832 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $4,402 – $56,942 · median $31,439 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $4,402 – $26,337 · median $14,950 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $18,273 · median $10,605 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $1,982 – $32,181 · median $18,098 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $1,982 – $19,325 · median $11,172 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $1,982 – $12,115 · median $7,287 | 9 plans |
| 149 | DYSEQUILIBRIUM | $1,982 – $11,423 · median $6,914 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $1,982 – $20,237 · median $11,663 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $1,982 – $11,156 · median $6,770 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $1,982 – $17,967 · median $10,440 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $1,982 – $11,219 · median $6,805 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $1,982 – $23,763 · median $13,563 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $1,982 – $13,929 · median $8,265 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $1,982 – $10,504 · median $6,419 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $1,982 – $26,092 · median $14,818 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $1,982 – $13,827 · median $8,210 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $1,982 – $10,768 · median $6,562 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $4,402 – $68,116 · median $37,459 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $4,402 – $38,361 · median $21,428 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $4,402 – $29,093 · median $16,434 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $4,402 – $56,807 · median $31,366 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $4,402 – $27,409 · median $15,527 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $20,767 · median $11,949 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $4,402 – $45,236 · median $25,132 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $1,982 – $20,876 · median $12,008 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $1,982 – $12,235 · median $7,352 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,982 – $23,750 · median $13,556 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $1,982 – $14,834 · median $8,752 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $1,982 – $11,475 · median $6,942 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $1,982 – $26,840 · median $15,221 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $1,982 – $16,277 · median $9,530 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $1,982 – $11,456 · median $6,932 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $1,982 – $23,252 · median $13,288 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $1,982 – $16,173 · median $9,473 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $1,982 – $11,953 · median $7,200 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $1,982 – $23,687 · median $13,522 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $1,982 – $15,033 · median $8,859 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $1,982 – $10,900 · median $6,633 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $1,982 – $18,776 · median $10,876 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $1,982 – $16,835 · median $9,830 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $1,982 – $12,812 · median $7,663 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $1,982 – $9,757 · median $6,017 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,982 – $19,977 · median $11,523 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,982 – $12,248 · median $7,359 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,982 – $9,552 · median $5,906 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $1,982 – $28,682 · median $16,213 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $1,982 – $14,425 · median $8,532 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,982 – $10,885 · median $6,625 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $1,982 – $26,811 · median $15,205 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $1,982 – $16,708 · median $9,762 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $1,982 – $10,868 · median $6,616 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $1,982 – $14,761 · median $8,713 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $1,982 – $10,183 · median $6,246 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $1,982 – $12,271 · median $7,371 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $1,982 – $27,828 · median $15,753 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $1,982 – $14,303 · median $8,466 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $1,982 – $97,797 · median $53,450 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $1,982 – $41,776 · median $23,268 | 9 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $4,402 – $172,027 · median $93,443 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $4,402 – $165,268 · median $89,802 | 9 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $4,402 – $86,735 · median $47,491 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $4,402 – $151,330 · median $82,292 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $4,402 – $148,682 · median $80,866 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $4,402 – $99,934 · median $54,601 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,402 – $99,934 · median $54,601 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,402 – $116,697 · median $63,633 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $4,402 – $81,050 · median $44,427 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $4,402 – $76,603 · median $42,031 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $4,402 – $75,192 · median $41,271 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $4,402 – $47,867 · median $26,549 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $4,402 – $128,120 · median $69,788 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $4,402 – $92,141 · median $50,403 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $4,402 – $116,194 · median $63,362 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $4,402 – $83,024 · median $45,491 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $4,402 – $89,193 · median $48,815 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $4,402 – $63,663 · median $35,060 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $4,402 – $74,802 · median $41,061 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $4,402 – $43,323 · median $24,101 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $4,402 – $21,041 · median $12,096 | 9 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $4,402 – $48,525 · median $26,904 | 9 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $4,402 – $32,386 · median $18,209 | 9 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $4,402 – $27,471 · median $15,561 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $4,402 – $69,341 · median $38,119 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $4,402 – $33,170 · median $18,631 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $4,402 – $22,714 · median $12,998 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $4,402 – $53,016 · median $29,324 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $4,402 – $39,449 · median $22,014 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $4,402 – $27,079 · median $15,349 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $4,402 – $40,996 · median $22,847 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $4,402 – $25,805 · median $14,663 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $4,402 – $16,600 · median $9,703 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $4,402 – $47,755 · median $26,489 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $4,402 – $30,733 · median $17,318 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $4,402 – $49,437 · median $27,395 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $4,402 – $28,732 · median $16,240 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $4,402 – $24,772 · median $14,106 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $4,402 – $46,467 · median $25,795 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $4,402 – $50,772 · median $28,114 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $4,402 – $54,991 · median $30,387 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $4,402 – $93,141 · median $50,942 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $4,402 – $72,356 · median $39,744 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $4,402 – $104,533 · median $57,079 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $4,402 – $64,186 · median $35,341 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $4,402 – $80,191 · median $43,965 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,402 – $54,050 · median $29,881 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $4,402 – $38,801 · median $21,665 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $4,402 – $62,701 · median $34,541 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $4,402 – $50,028 · median $27,714 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $4,402 – $108,370 · median $59,147 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $4,402 – $91,290 · median $49,945 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $4,402 – $70,193 · median $38,578 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $4,402 – $84,597 · median $46,338 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $4,402 – $54,811 · median $30,291 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $1,982 – $24,380 · median $13,895 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $1,982 – $13,969 · median $8,286 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $1,982 – $10,990 · median $6,681 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $1,982 – $30,105 · median $16,980 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $1,982 – $10,520 · median $6,428 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $1,982 – $9,102 · median $5,664 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $1,982 – $33,631 · median $18,879 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $1,982 – $16,264 · median $9,522 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $1,982 – $41,130 · median $22,920 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $1,982 – $25,942 · median $14,737 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $1,982 – $14,130 · median $8,373 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $1,982 – $19,512 · median $11,272 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $1,982 – $12,903 · median $7,712 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $1,982 – $8,602 · median $5,395 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $1,982 – $23,738 · median $13,550 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,982 – $9,636 · median $5,951 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $1,982 – $6,917 · median $4,487 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $1,982 – $24,814 · median $14,129 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $1,982 – $16,224 · median $9,501 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $1,982 – $10,938 · median $6,653 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $1,982 – $18,186 · median $10,558 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $1,982 – $10,232 · median $6,272 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $1,982 – $18,086 · median $10,504 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $1,982 – $11,476 · median $6,943 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $1,982 – $23,950 · median $13,663 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $1,982 – $13,879 · median $8,238 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $1,982 – $18,299 · median $10,619 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $1,982 – $11,181 · median $6,784 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $1,982 – $8,604 · median $5,395 | 9 plans |
| 311 | ANGINA PECTORIS | $1,982 – $10,668 · median $6,507 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $1,982 – $13,247 · median $7,897 | 9 plans |
| 313 | CHEST PAIN | $1,982 – $10,943 · median $6,656 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $1,982 – $31,692 · median $17,835 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $1,982 – $14,641 · median $8,648 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,982 – $10,367 · median $6,345 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $4,402 – $101,624 · median $55,512 | 9 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $4,402 – $36,813 · median $20,594 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $4,402 – $67,829 · median $37,304 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $4,402 – $36,557 · median $20,456 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $4,402 – $41,352 · median $23,039 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,402 – $26,795 · median $15,196 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $4,402 – $65,769 · median $36,195 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,402 – $47,890 · median $26,562 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $4,402 – $48,793 · median $27,048 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $4,402 – $75,800 · median $41,599 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $4,402 – $37,148 · median $20,774 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $4,402 – $24,352 · median $13,880 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,402 – $69,859 · median $38,398 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,402 – $36,433 · median $20,389 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,402 – $25,577 · median $14,540 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $4,402 – $55,029 · median $30,408 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $4,402 – $35,598 · median $19,939 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $4,402 – $24,893 · median $14,172 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $4,402 – $54,272 · median $30,000 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $4,402 – $32,049 · median $18,027 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $4,402 – $23,329 · median $13,329 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $4,402 – $39,254 · median $21,909 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $4,402 – $22,869 · median $13,081 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $4,402 – $18,028 · median $10,473 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $4,402 – $34,889 · median $19,557 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $4,402 – $19,892 · median $11,477 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $4,402 – $13,232 · median $7,889 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $4,402 – $37,873 · median $21,165 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $4,402 – $23,170 · median $13,243 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $4,402 – $17,749 · median $10,322 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $4,402 – $44,106 · median $24,523 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $4,402 – $25,570 · median $14,536 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $4,402 – $20,442 · median $11,773 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $4,402 – $66,763 · median $36,730 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $4,402 – $35,344 · median $19,802 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $21,246 · median $12,207 | 9 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $4,402 – $52,261 · median $28,917 | 9 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $4,402 – $36,693 · median $20,529 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $1,982 – $24,194 · median $13,795 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $1,982 – $15,201 · median $8,950 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,982 – $10,651 · median $6,498 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $1,982 – $26,948 · median $15,279 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $1,982 – $15,517 · median $9,120 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $1,982 – $11,055 · median $6,716 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $1,982 – $32,505 · median $18,273 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $1,982 – $18,384 · median $10,665 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $1,982 – $14,048 · median $8,329 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $1,982 – $27,783 · median $15,728 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $1,982 – $14,905 · median $8,790 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $1,982 – $9,581 · median $5,922 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $1,982 – $29,822 · median $16,827 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $1,982 – $16,467 · median $9,632 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $1,982 – $12,168 · median $7,316 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $1,982 – $20,984 · median $12,066 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $1,982 – $12,992 · median $7,759 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $1,982 – $24,048 · median $13,717 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $1,982 – $14,838 · median $8,754 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $1,982 – $10,355 · median $6,339 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $1,982 – $22,445 · median $12,853 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $1,982 – $12,004 · median $7,227 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $1,982 – $8,268 · median $5,215 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $1,982 – $19,276 · median $11,145 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,982 – $11,849 · median $7,144 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $1,982 – $24,307 · median $13,856 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $1,982 – $14,221 · median $8,422 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,982 – $9,864 · median $6,074 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $4,402 – $36,398 · median $20,370 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $4,402 – $23,004 · median $13,154 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $4,402 – $17,398 · median $10,133 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $4,402 – $61,105 · median $33,682 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $4,402 – $83,142 · median $45,555 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $4,402 – $44,078 · median $24,508 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $4,402 – $33,734 · median $18,935 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $4,402 – $54,191 · median $29,957 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $4,402 – $33,091 · median $18,589 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $4,402 – $24,130 · median $13,761 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,402 – $50,205 · median $27,809 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,402 – $31,954 · median $17,976 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,402 – $25,237 · median $14,357 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $4,402 – $54,146 · median $29,932 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $4,402 – $31,410 · median $17,683 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $4,402 – $20,720 · median $11,923 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $4,402 – $36,269 · median $20,301 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $4,402 – $25,709 · median $14,612 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $4,402 – $20,758 · median $11,944 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,402 – $51,782 · median $28,659 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $4,402 – $26,407 · median $14,987 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $4,402 – $21,270 · median $12,220 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $4,402 – $63,119 · median $34,767 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $4,402 – $33,252 · median $18,675 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $22,802 · median $13,045 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $4,402 – $167,504 · median $91,006 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $4,402 – $109,711 · median $59,869 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $4,402 – $85,445 · median $46,795 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $4,402 – $136,931 · median $74,535 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $4,402 – $87,650 · median $47,984 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $1,982 – $29,913 · median $16,876 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,982 – $16,052 · median $9,409 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,982 – $10,829 · median $6,594 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $1,982 – $27,915 · median $15,800 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $1,982 – $17,191 · median $10,022 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $1,982 – $12,969 · median $7,747 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $1,982 – $24,776 · median $14,109 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $1,982 – $12,785 · median $7,648 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $1,982 – $9,444 · median $5,848 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $1,982 – $27,276 · median $15,456 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,982 – $14,671 · median $8,664 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $1,982 – $10,634 · median $6,489 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $1,982 – $25,395 · median $14,442 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $1,982 – $16,633 · median $9,721 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $1,982 – $12,574 · median $7,534 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $4,402 – $101,549 · median $55,472 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $4,402 – $64,453 · median $35,486 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $4,402 – $81,001 · median $44,401 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $4,402 – $49,097 · median $27,212 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $4,402 – $127,718 · median $69,571 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $4,402 – $90,629 · median $49,588 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $4,402 – $63,417 · median $34,927 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $4,402 – $83,940 · median $45,985 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $4,402 – $40,428 · median $22,541 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,402 – $86,623 · median $47,430 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,402 – $47,338 · median $26,265 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,402 – $27,717 · median $15,693 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $4,402 – $79,113 · median $43,384 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $4,402 – $53,598 · median $29,637 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $4,402 – $41,765 · median $23,262 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $4,402 – $46,100 · median $25,597 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $4,402 – $29,316 · median $16,555 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $4,402 – $73,388 · median $40,300 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $4,402 – $44,776 · median $24,884 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $4,402 – $37,104 · median $20,750 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $4,402 – $65,245 · median $35,912 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $4,402 – $34,587 · median $19,394 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $4,402 – $17,937 · median $10,424 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $4,402 – $52,504 · median $29,048 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,402 – $37,376 · median $20,897 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,402 – $28,252 · median $15,981 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $4,402 – $44,262 · median $24,607 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $4,402 – $31,833 · median $17,911 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $4,402 – $24,788 · median $14,115 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $4,402 – $42,128 · median $23,458 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $4,402 – $49,047 · median $27,185 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $4,402 – $31,781 · median $17,883 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,402 – $23,804 · median $13,585 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $4,402 – $26,884 · median $15,245 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $4,402 – $16,973 · median $9,905 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $4,402 – $55,802 · median $30,825 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $4,402 – $38,544 · median $21,527 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $4,402 – $30,495 · median $17,190 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $4,402 – $55,105 · median $30,449 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $4,402 – $27,416 · median $15,531 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $4,402 – $18,364 · median $10,654 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $4,402 – $45,850 · median $25,463 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $4,402 – $30,622 · median $17,258 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $4,402 – $48,100 · median $26,675 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,402 – $26,568 · median $15,074 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $4,402 – $20,455 · median $11,781 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $4,402 – $42,420 · median $23,615 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $4,402 – $28,409 · median $16,066 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $4,402 – $27,248 · median $15,440 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $4,402 – $20,506 · median $11,808 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $4,402 – $27,454 · median $15,552 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $4,402 – $23,016 · median $13,161 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $4,402 – $45,907 · median $25,493 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $4,402 – $31,603 · median $17,787 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $4,402 – $25,159 · median $14,315 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $4,402 – $23,927 · median $13,651 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $4,402 – $15,537 · median $9,131 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $4,402 – $48,436 · median $26,856 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $4,402 – $31,584 · median $17,776 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $23,355 · median $13,343 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $4,402 – $56,801 · median $31,363 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $4,402 – $30,400 · median $17,139 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $4,402 – $22,705 · median $12,993 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $4,402 – $43,622 · median $24,262 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $4,402 – $32,185 · median $18,101 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $1,982 – $23,826 · median $13,597 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $1,982 – $12,251 · median $7,361 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $1,982 – $19,484 · median $11,258 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $1,982 – $12,274 · median $7,373 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $1,982 – $14,504 · median $8,574 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $1,982 – $10,947 · median $6,658 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $1,982 – $29,936 · median $16,889 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $1,982 – $19,702 · median $11,375 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $1,982 – $11,967 · median $7,208 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $1,982 – $26,848 · median $15,225 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $1,982 – $15,624 · median $9,178 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $1,982 – $11,469 · median $6,939 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $1,982 – $37,718 · median $21,081 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $1,982 – $17,530 · median $10,205 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $1,982 – $12,709 · median $7,607 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $1,982 – $29,346 · median $16,571 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $1,982 – $18,347 · median $10,645 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $1,982 – $13,285 · median $7,918 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $1,982 – $25,474 · median $14,485 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $1,982 – $14,610 · median $8,632 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $1,982 – $19,702 · median $11,375 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $1,982 – $12,616 · median $7,557 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,982 – $20,089 · median $11,583 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $1,982 – $12,624 · median $7,561 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $1,982 – $22,598 · median $12,935 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $1,982 – $13,575 · median $8,074 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $1,982 – $28,343 · median $16,031 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $1,982 – $17,115 · median $9,981 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $1,982 – $12,218 · median $7,343 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $1,982 – $21,655 · median $12,427 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $1,982 – $13,610 · median $8,093 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $1,982 – $23,460 · median $13,400 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $1,982 – $14,809 · median $8,739 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $1,982 – $11,388 · median $6,896 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $4,402 – $44,700 · median $24,843 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $4,402 – $25,678 · median $14,594 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $4,402 – $17,422 · median $10,146 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,402 – $99,570 · median $54,406 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,402 – $52,759 · median $29,185 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,402 – $27,311 · median $15,475 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $4,402 – $74,490 · median $40,893 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $4,402 – $40,286 · median $22,465 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $4,402 – $24,415 · median $13,914 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $4,402 – $49,220 · median $27,278 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $4,402 – $26,263 · median $14,910 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $4,402 – $21,933 · median $12,577 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $4,402 – $29,281 · median $16,536 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $4,402 – $26,208 · median $14,880 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $4,402 – $32,535 · median $18,289 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $4,402 – $29,319 · median $16,556 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $1,982 – $29,413 · median $16,607 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $1,982 – $18,030 · median $10,474 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $1,982 – $13,174 · median $7,858 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $1,982 – $32,231 · median $18,125 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $1,982 – $16,452 · median $9,624 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $1,982 – $25,337 · median $14,411 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $1,982 – $17,194 · median $10,024 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,982 – $11,694 · median $7,060 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $1,982 – $15,831 · median $9,289 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,982 – $9,195 · median $5,714 | 9 plans |
| 602 | CELLULITIS WITH MCC | $1,982 – $21,601 · median $12,398 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,982 – $13,236 · median $7,891 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $1,982 – $22,373 · median $12,814 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $1,982 – $13,922 · median $8,261 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $1,982 – $22,998 · median $13,151 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $1,982 – $13,776 · median $8,182 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $4,402 – $33,312 · median $18,707 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $4,402 – $21,267 · median $12,218 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,402 – $53,003 · median $29,316 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,402 – $28,425 · median $16,075 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,402 – $21,556 · median $12,374 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $4,402 – $43,884 · median $24,403 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $4,402 – $24,322 · median $13,864 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $4,402 – $22,925 · median $13,111 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $4,402 – $54,094 · median $29,904 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $4,402 – $27,264 · median $15,449 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $4,402 – $19,027 · median $11,011 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $4,402 – $45,900 · median $25,490 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $4,402 – $22,788 · median $13,038 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $4,402 – $20,188 · median $11,637 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $4,402 – $56,641 · median $31,277 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $4,402 – $33,114 · median $18,601 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $22,182 · median $12,711 | 9 plans |
| 637 | DIABETES WITH MCC | $1,982 – $21,835 · median $12,524 | 9 plans |
| 638 | DIABETES WITH CC | $1,982 – $13,621 · median $8,098 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $1,982 – $9,441 · median $5,847 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $1,982 – $20,299 · median $11,696 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $1,982 – $11,827 · median $7,132 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $1,982 – $21,614 · median $12,405 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $1,982 – $25,018 · median $14,239 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $1,982 – $15,578 · median $9,153 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $1,982 – $11,677 · median $7,051 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $4,402 – $71,453 · median $39,257 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $4,402 – $56,322 · median $31,105 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $4,402 – $49,083 · median $27,205 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $4,402 – $78,977 · median $43,310 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $4,402 – $42,545 · median $23,682 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,402 – $32,169 · median $18,092 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $4,402 – $48,388 · median $26,830 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $4,402 – $27,813 · median $15,745 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $4,402 – $23,585 · median $13,467 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $4,402 – $38,617 · median $21,566 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $4,402 – $20,088 · median $11,583 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $4,402 – $15,736 · median $9,238 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $4,402 – $46,530 · median $25,829 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,402 – $23,104 · median $13,208 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $4,402 – $15,911 · median $9,332 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $4,402 – $47,437 · median $26,318 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $4,402 – $26,586 · median $15,084 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $4,402 – $16,812 · median $9,818 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $4,402 – $44,379 · median $24,670 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $4,402 – $23,588 · median $13,468 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $4,402 – $14,853 · median $8,763 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $4,402 – $27,281 · median $15,458 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $4,402 – $16,407 · median $9,599 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $4,402 – $63,857 · median $35,165 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $4,402 – $35,543 · median $19,909 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $4,402 – $24,947 · median $14,201 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $1,982 – $22,509 · median $12,887 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $1,982 – $13,311 · median $7,931 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $1,982 – $9,124 · median $5,676 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $1,982 – $27,413 · median $15,529 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,982 – $15,925 · median $9,340 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $1,982 – $12,011 · median $7,231 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,982 – $17,635 · median $10,261 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,982 – $12,303 · median $7,389 | 9 plans |
| 693 | URINARY STONES WITH MCC | $1,982 – $20,434 · median $11,769 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $1,982 – $11,881 · median $7,161 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $1,982 – $17,384 · median $10,126 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $1,982 – $10,472 · median $6,402 | 9 plans |
| 697 | URETHRAL STRICTURE | $1,982 – $16,381 · median $9,586 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,982 – $25,144 · median $14,307 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $1,982 – $15,426 · median $9,071 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $1,982 – $10,485 · median $6,409 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $4,402 – $30,401 · median $17,139 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $4,402 – $23,317 · median $13,323 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $4,402 – $35,368 · median $19,815 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $4,402 – $21,296 · median $12,234 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $4,402 – $31,670 · median $17,823 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $4,402 – $16,714 · median $9,765 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $4,402 – $22,849 · median $13,070 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,402 – $16,071 · median $9,418 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $4,402 – $34,003 · median $19,080 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $4,402 – $22,357 · median $12,805 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $4,402 – $28,732 · median $16,240 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,402 – $20,413 · median $11,758 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $1,982 – $27,504 · median $15,579 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $1,982 – $17,367 · median $10,117 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,982 – $9,966 · median $6,129 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $1,982 – $17,785 · median $10,342 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $1,982 – $10,973 · median $6,672 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $1,982 – $22,538 · median $12,903 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $1,982 – $12,329 · median $7,402 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $1,982 – $16,090 · median $9,429 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $1,982 – $10,213 · median $6,263 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $4,402 – $32,372 · median $18,201 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $4,402 – $20,449 · median $11,778 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $4,402 – $54,326 · median $30,030 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $4,402 – $31,318 · median $17,633 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,402 – $22,319 · median $12,785 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $4,402 – $54,453 · median $30,098 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $4,402 – $27,503 · median $15,578 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $4,402 – $21,674 · median $12,438 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $4,402 – $27,886 · median $15,784 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $4,402 – $18,857 · median $10,919 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $4,402 – $31,143 · median $17,539 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,402 – $17,288 · median $10,074 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $4,402 – $26,401 · median $14,984 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $4,402 – $13,066 · median $7,800 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $4,402 – $21,085 · median $12,120 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $4,402 – $39,023 · median $21,785 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $22,430 · median $12,845 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,982 – $27,991 · median $15,841 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,982 – $16,533 · median $9,667 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,982 – $14,598 · median $8,625 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,982 – $21,762 · median $12,485 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $1,982 – $14,879 · median $8,776 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $1,982 – $10,086 · median $6,194 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $1,982 – $15,312 · median $9,010 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $1,982 – $8,671 · median $5,432 | 9 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,402 – $16,287 · median $9,535 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $4,402 – $25,682 · median $14,597 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $4,402 – $15,239 · median $8,971 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $1,982 – $9,950 · median $6,121 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $1,982 – $12,786 · median $7,649 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,402 – $37,313 · median $20,863 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,402 – $16,112 · median $9,441 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,402 – $14,557 · median $8,603 | 9 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,402 – $25,070 · median $14,267 | 9 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,402 – $16,973 · median $9,905 | 9 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,402 – $14,572 · median $8,611 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $1,982 – $27,390 · median $15,517 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $1,982 – $90,331 · median $49,428 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,982 – $61,690 · median $33,997 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,982 – $37,224 · median $20,815 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,982 – $63,371 · median $34,902 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,982 – $22,431 · median $12,845 | 9 plans |
| 795 | NORMAL NEWBORN | $1,461 – $3,037 · median $2,396 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,402 – $17,736 · median $10,316 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,402 – $15,204 · median $8,952 | 9 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,402 – $14,546 · median $8,597 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $4,402 – $68,832 · median $37,845 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $4,402 – $42,698 · median $23,765 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $4,402 – $29,012 · median $16,391 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $4,402 – $60,552 · median $33,384 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $4,402 – $28,252 · median $15,981 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $4,402 – $20,609 · median $11,864 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,982 – $16,402 · median $9,597 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,982 – $11,460 · median $6,934 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,982 – $10,247 · median $6,281 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $1,982 – $33,556 · median $18,839 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $1,982 – $19,240 · median $11,126 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $1,982 – $15,907 · median $9,330 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $1,982 – $21,343 · median $12,259 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $1,982 – $13,955 · median $8,279 | 9 plans |
| 813 | COAGULATION DISORDERS | $1,982 – $23,182 · median $13,250 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $1,982 – $32,322 · median $18,174 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $1,982 – $15,411 · median $9,063 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $1,982 – $9,605 · median $5,935 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,402 – $34,676 · median $19,443 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,402 – $17,618 · median $10,252 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $13,069 · median $7,801 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $4,402 – $89,135 · median $48,784 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $4,402 – $34,023 · median $19,091 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $18,299 · median $10,619 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $4,402 – $69,681 · median $38,302 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $4,402 – $34,433 · median $19,312 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,402 – $20,509 · median $11,809 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $4,402 – $71,095 · median $39,064 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $4,402 – $35,126 · median $19,685 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $25,895 · median $14,711 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $4,402 – $48,027 · median $26,635 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $4,402 – $22,873 · median $13,084 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $1,982 – $18,276 · median $10,607 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $1,982 – $10,967 · median $6,669 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $1,982 – $7,947 · median $5,042 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $1,982 – $83,437 · median $45,714 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $1,982 – $31,701 · median $17,839 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $1,982 – $18,534 · median $10,746 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $1,982 – $73,017 · median $40,100 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $1,982 – $31,725 · median $17,853 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,982 – $21,945 · median $12,583 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $1,982 – $49,165 · median $27,249 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $1,982 – $24,795 · median $14,119 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $1,982 – $15,356 · median $9,034 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $1,982 – $30,318 · median $17,094 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $1,982 – $18,502 · median $10,729 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $1,982 – $12,943 · median $7,733 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $1,982 – $39,402 · median $21,989 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $1,982 – $19,882 · median $11,472 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $1,982 – $12,909 · median $7,715 | 9 plans |
| 849 | RADIOTHERAPY | $1,982 – $41,180 · median $22,947 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $4,402 – $131,610 · median $71,668 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $4,402 – $75,058 · median $41,199 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $4,402 – $30,368 · median $17,121 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $22,755 · median $13,020 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $4,402 – $69,133 · median $38,007 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $4,402 – $32,547 · median $18,296 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,402 – $21,170 · median $12,166 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $1,982 – $27,717 · median $15,693 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $1,982 – $15,166 · median $8,931 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $1,982 – $13,492 · median $8,029 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $1,982 – $22,772 · median $13,029 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $1,982 – $13,216 · median $7,881 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $1,982 – $31,813 · median $17,900 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $1,982 – $15,671 · median $9,203 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $1,982 – $11,090 · median $6,735 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $1,982 – $105,048 · median $57,357 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,982 – $29,523 · median $16,666 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,982 – $15,552 · median $9,139 | 9 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $1,164 – $48,126 · median $28,259 | 9 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,164 – $11,956 · median $7,519 | 9 plans |
| 881 | DEPRESSIVE NEUROSES | $1,164 – $11,716 · median $7,381 | 9 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,164 – $13,371 · median $8,330 | 9 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,164 – $24,484 · median $14,703 | 9 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,164 – $20,034 · median $12,151 | 9 plans |
| 885 | PSYCHOSES | $1,164 – $17,393 · median $10,636 | 9 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,164 – $25,842 · median $15,481 | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,164 – $13,335 · median $8,309 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,556 – $7,682 · median $5,068 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,556 – $17,627 · median $10,771 | 9 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $1,556 – $21,730 · median $13,123 | 9 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,556 – $10,993 · median $6,966 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $4,402 – $63,781 · median $35,124 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $4,402 – $29,097 · median $16,437 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,402 – $17,776 · median $10,337 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $4,402 – $55,825 · median $30,837 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $4,402 – $22,545 · median $12,907 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $4,402 – $29,854 · median $16,845 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $4,402 – $58,351 · median $32,198 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $4,402 – $30,324 · median $17,098 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $4,402 – $19,951 · median $11,509 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $1,982 – $24,843 · median $14,145 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $1,982 – $13,458 · median $8,011 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $1,982 – $25,557 · median $14,530 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $1,982 – $10,127 · median $6,216 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,982 – $23,837 · median $13,603 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,982 – $13,026 · median $7,778 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $1,982 – $27,825 · median $15,751 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $1,982 – $15,233 · median $8,967 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $1,982 – $10,463 · median $6,397 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $1,982 – $26,588 · median $15,085 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $1,982 – $15,467 · median $9,093 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $4,402 – $324,492 · median $175,587 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $4,402 – $109,013 · median $59,493 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $4,402 – $48,951 · median $27,133 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,982 – $59,185 · median $32,647 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,982 – $33,597 · median $18,861 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $1,982 – $31,309 · median $17,628 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $4,402 – $55,147 · median $30,472 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $4,402 – $35,517 · median $19,896 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $4,402 – $30,818 · median $17,364 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,982 – $23,536 · median $13,441 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,982 – $17,429 · median $10,151 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $1,982 – $19,293 · median $11,154 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,982 – $12,166 · median $7,315 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $1,982 – $18,081 · median $10,502 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,982 – $9,540 · median $5,900 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $1,982 – $8,450 · median $5,313 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $4,402 – $102,301 · median $55,877 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $4,402 – $57,191 · median $31,573 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $4,402 – $115,810 · median $63,155 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,402 – $64,044 · median $35,265 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $4,402 – $44,745 · median $24,868 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $1,982 – $41,549 · median $23,146 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $1,982 – $23,293 · median $13,310 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $1,982 – $14,294 · median $8,461 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $4,402 – $93,033 · median $50,884 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $4,402 – $40,084 · median $22,356 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $1,982 – $43,862 · median $24,392 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $1,982 – $19,682 · median $11,364 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $1,982 – $13,720 · median $8,152 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $1,982 – $19,723 · median $11,386 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,402 – $71,307 · median $39,179 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,402 – $37,365 · median $20,891 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,402 – $26,050 · median $14,795 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $4,402 – $52,106 · median $28,833 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $4,402 – $24,980 · median $14,219 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $4,402 – $18,226 · median $10,580 | 9 plans |
No procedures match that keyword.