Freestone Medical Center — Pricing
815 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 815 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 815
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 815 procedures
Procedures with negotiated rates only
These 815 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 |
|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNO | $73,121 – $150,815 · median $95,358 | 105 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $31,608 – $60,759 · median $36,415 | 105 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $21,778 – $125,078 · median $54,401 | 105 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $23,508 – $91,276 · median $37,302 | 105 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DI | $13,138 – $58,598 · median $23,825 | 105 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $16,619 – $68,630 · median $38,502 | 105 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMP | $9,498 – $47,662 · median $25,656 | 105 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $14,467 – $37,050 · median $20,641 | 105 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $14,914 – $30,423 · median $16,654 | 105 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATO | $21,015 – $39,891 · median $22,653 | 105 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $14,215 – $28,517 · median $15,018 | 105 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $11,278 – $46,764 · median $25,457 | 105 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $8,410 – $28,431 · median $15,240 | 105 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM | $7,748 – $23,005 · median $11,861 | 105 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $6,229 – $22,427 · median $13,582 | 105 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,203 – $13,750 · median $6,218 | 105 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $5,922 – $16,556 · median $10,117 | 105 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,375 – $12,640 · median $7,363 | 105 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,932 – $26,563 · median $16,899 | 105 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $4,795 – $15,337 · median $9,005 | 105 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $8,740 – $21,027 · median $12,457 | 105 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,278 – $14,198 · median $8,258 | 105 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $9,275 – $17,580 · median $10,431 | 105 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $4,879 – $27,393 · median $15,658 | 105 plans |
| 089 | CONCUSSION WITH CC | $7,049 – $22,124 · median $7,235 | 105 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,968 – $19,975 · median $12,302 | 105 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,290 – $16,830 · median $7,145 | 105 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $9,587 – $30,338 · median $16,178 | 105 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $7,453 – $45,501 · median $24,191 | 105 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $11,746 – $25,561 · median $14,640 | 105 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $3,156 – $26,552 · median $15,229 | 105 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $4,924 – $17,516 · median $7,978 | 105 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $4,874 – $17,625 · median $10,332 | 105 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,850 – $14,691 · median $7,850 | 105 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $7,844 – $26,916 · median $16,272 | 105 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,402 – $15,192 · median $6,602 | 105 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $6,659 – $18,267 · median $9,439 | 105 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $3,418 – $10,364 · median $5,490 | 105 plans |
| 139 | SALIVARY GLAND PROCEDURES | $4,084 – $14,933 · median $9,266 | 105 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $6,258 – $48,133 · median $28,541 | 105 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,960 – $26,694 · median $14,499 | 105 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $6,989 – $19,422 · median $10,612 | 105 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $5,224 – $36,056 · median $22,283 | 105 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $4,611 – $21,314 · median $11,855 | 105 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES | $3,334 – $14,818 · median $7,996 | 105 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,894 – $60,582 · median $31,106 | 105 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,502 – $37,365 · median $12,579 | 105 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $24,874 – $45,054 · median $25,984 | 105 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,155 – $33,199 · median $12,331 | 105 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,600 – $20,344 · median $9,509 | 105 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,000 – $12,211 · median $5,497 | 105 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $10,399 – $22,374 · median $10,909 | 105 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,048 – $61,119 · median $6,695 | 105 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT C | $4,679 – $28,943 · median $5,194 | 105 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,655 – $49,782 · median $11,795 | 105 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,750 – $15,226 · median $7,493 | 105 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,897 – $17,072 · median $5,652 | 105 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,652 – $42,267 · median $10,712 | 105 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,755 – $13,614 · median $7,579 | 105 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,204 – $10,700 · median $5,798 | 105 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/M | $3,934 – $12,785 · median $4,368 | 105 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,132 – $17,547 · median $8,893 | 105 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,040 – $10,453 · median $5,534 | 105 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $5,419 – $84,983 · median $12,715 | 105 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,115 – $12,185 · median $6,681 | 105 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,727 – $8,995 · median $4,727 | 105 plans |
| 199 | PNEUMOTHORAX WITH MCC | $6,104 – $21,659 · median $11,913 | 105 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,602 – $13,026 · median $7,474 | 105 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,328 – $8,586 · median $4,569 | 105 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,260 – $8,555 · median $4,701 | 105 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,044 – $9,603 · median $5,473 | 105 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $5,790 – $20,386 · median $12,740 | 105 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,600 – $10,721 · median $6,113 | 105 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $6,594 – $72,113 · median $43,645 | 105 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $15,856 – $65,404 · median $35,745 | 105 plans |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $7,977 – $96,207 · median $51,672 | 105 plans |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $11,279 – $70,163 · median $35,219 | 105 plans |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $12,442 – $90,981 · median $47,842 | 105 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $9,451 – $79,437 · median $43,197 | 105 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH | $12,062 – $63,066 · median $33,883 | 105 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $8,470 – $64,497 · median $33,630 | 105 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $11,251 – $41,639 · median $20,963 | 105 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $14,318 – $105,462 · median $57,187 | 105 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $8,474 – $72,041 · median $41,225 | 105 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $11,315 – $95,860 · median $52,750 | 105 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OP | $8,105 – $64,566 · median $35,904 | 105 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $8,659 – $33,744 · median $19,653 | 105 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $7,015 – $19,268 · median $10,190 | 105 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $7,177 – $45,104 · median $22,891 | 105 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $5,003 – $30,474 · median $15,203 | 105 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $5,896 – $24,966 · median $12,179 | 105 plans |
| 245 | AICD GENERATOR PROCEDURES | $7,314 – $65,555 · median $32,979 | 105 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $12,894 – $37,804 · median $20,215 | 105 plans |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-E | $4,591 – $23,876 · median $12,887 | 105 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $3,685 – $38,263 · median $20,312 | 105 plans |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DR | $3,431 – $22,672 · median $12,260 | 105 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $4,703 – $20,067 · median $10,545 | 105 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $6,508 – $40,241 · median $23,151 | 105 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $5,711 – $32,109 · median $17,229 | 105 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $5,335 – $21,972 · median $11,806 | 105 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $20,322 – $43,164 · median $22,987 | 105 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $11,535 – $24,126 · median $12,806 | 105 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,449 – $30,599 · median $18,101 | 105 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $19,744 – $39,369 · median $23,587 | 105 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $5,124 – $19,443 · median $11,077 | 105 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $5,597 – $11,260 · median $6,221 | 105 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH | $4,402 – $8,786 · median $4,893 | 105 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $5,186 – $22,563 · median $13,196 | 105 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,534 – $8,753 · median $5,001 | 105 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,034 – $49,904 · median $4,538 | 105 plans |
| 304 | HYPERTENSION WITH MCC | $7,043 – $29,238 · median $7,928 | 105 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,619 – $12,418 · median $5,066 | 105 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH M | $7,369 – $14,531 · median $8,138 | 105 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH C | $4,565 – $15,990 · median $4,989 | 105 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOU | $3,390 – $12,465 · median $3,776 | 105 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,293 – $13,607 · median $5,880 | 105 plans |
| 313 | CHEST PAIN | $4,436 – $13,780 · median $4,814 | 105 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,112 – $25,225 · median $14,533 | 105 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $5,930 – $11,778 · median $6,494 | 105 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,246 – $9,756 · median $4,607 | 105 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOU | $12,871 – $29,108 · median $15,622 | 105 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH M | $14,663 – $64,327 · median $34,276 | 105 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $4,167 – $14,862 · median $8,098 | 105 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $5,632 – $28,101 · median $15,245 | 105 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $5,998 – $17,338 · median $9,807 | 105 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOS | $6,698 – $13,414 · median $7,374 | 105 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $7,755 – $34,103 · median $18,184 | 105 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $7,894 – $15,432 · median $8,404 | 105 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $7,382 – $29,823 · median $15,973 | 105 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,072 – $11,850 · median $5,945 | 105 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $6,624 – $18,062 · median $10,153 | 105 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $5,713 – $22,828 · median $12,986 | 105 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $3,602 – $12,818 · median $7,350 | 105 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,641 – $9,300 · median $5,057 | 105 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $4,256 – $15,882 · median $8,532 | 105 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,288 – $10,803 · median $5,869 | 105 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $4,344 – $19,630 · median $10,965 | 105 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $20,812 – $69,425 · median $36,636 | 105 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $4,731 – $42,550 · median $23,819 | 105 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $6,450 – $23,081 · median $11,052 | 105 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $2,652 – $17,589 · median $9,916 | 105 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $16,783 – $50,649 · median $27,449 | 105 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $7,097 – $27,638 · median $15,409 | 105 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WI | $4,720 – $18,667 · median $10,432 | 105 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC | $3,774 – $50,538 · median $4,151 | 105 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $11,207 – $22,742 · median $12,758 | 105 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $5,833 – $15,454 · median $6,521 | 105 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR | $4,381 – $10,995 · median $4,742 | 105 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $9,437 – $20,226 · median $11,367 | 105 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,662 – $13,038 · median $7,319 | 105 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $4,913 – $9,881 · median $5,381 | 105 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $9,206 – $73,589 · median $41,414 | 105 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LO | $6,342 – $38,011 · median $19,327 | 105 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $4,296 – $64,981 · median $36,449 | 105 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $5,486 – $22,314 · median $11,716 | 105 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $5,682 – $64,683 · median $34,382 | 105 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $6,309 – $33,909 · median $17,704 | 105 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $5,457 – $37,339 · median $22,059 | 105 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME | $7,697 – $22,994 · median $12,725 | 105 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH M | $14,137 – $36,612 · median $19,848 | 105 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOU | $8,754 – $19,914 · median $10,706 | 105 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPP | $9,425 – $28,867 · median $17,197 | 105 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $9,369 – $38,593 · median $21,384 | 105 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $4,132 – $21,225 · median $12,044 | 105 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $10,104 – $33,199 · median $19,288 | 105 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $12,020 – $23,806 · median $13,235 | 105 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJO | $9,893 – $18,809 · median $10,850 | 105 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $8,865 – $19,021 · median $10,161 | 105 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JO | $6,384 – $12,089 · median $6,881 | 105 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $6,673 – $16,918 · median $10,074 | 105 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,209 – $43,401 · median $24,187 | 105 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,732 – $23,716 · median $13,308 | 105 plans |
| 539 | OSTEOMYELITIS WITH MCC | $5,055 – $23,567 · median $13,648 | 105 plans |
| 540 | OSTEOMYELITIS WITH CC | $4,824 – $15,749 · median $8,733 | 105 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,039 – $10,203 · median $5,904 | 105 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $3,862 – $21,891 · median $12,587 | 105 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $4,746 – $12,647 · median $7,160 | 105 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,036 – $10,087 · median $5,036 | 105 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $5,737 – $24,815 · median $13,596 | 105 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $3,100 – $13,020 · median $7,685 | 105 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $2,742 – $9,588 · median $5,518 | 105 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $3,027 – $18,436 · median $10,590 | 105 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $2,747 – $9,098 · median $5,049 | 105 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $2,981 – $20,918 · median $11,965 | 105 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $1,356 – $16,659 · median $9,713 | 105 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,329 – $233,526 · median $11,086 | 105 plans |
| 593 | SKIN ULCERS WITH CC | $7,417 – $24,525 · median $8,252 | 105 plans |
| 602 | CELLULITIS WITH MCC | $9,118 – $38,039 · median $9,915 | 105 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,423 – $27,856 · median $5,944 | 105 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,477 – $40,574 · median $5,832 | 105 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $12,659 – $28,915 · median $15,380 | 105 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $8,990 – $19,325 · median $9,865 | 105 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $14,370 – $43,740 · median $25,253 | 105 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $11,410 – $22,645 · median $12,909 | 105 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $12,681 – $34,366 · median $19,349 | 105 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $1,880 – $20,000 · median $10,186 | 105 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $8,559 – $29,322 · median $9,457 | 105 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,816 – $7,376 · median $4,229 | 105 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $820 – $14,893 · median $8,962 | 105 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $8,250 – $17,462 · median $9,043 | 105 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $6,427 – $12,871 · median $6,928 | 105 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $5,615 – $35,541 · median $21,053 | 105 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $4,986 – $19,354 · median $10,308 | 105 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $4,946 – $36,762 · median $5,416 | 105 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,798 – $9,332 · median $5,273 | 105 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH M | $7,331 – $13,766 · median $7,611 | 105 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOU | $4,243 – $8,372 · median $4,669 | 105 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $7,952 – $19,379 · median $10,132 | 105 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $12,894 – $25,792 · median $12,894 | 105 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $3,228 – $20,722 · median $11,668 | 105 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $3,615 – $13,212 · median $7,578 | 105 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MC | $4,917 – $8,403 · median $4,917 | 105 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $10,954 – $21,799 · median $12,271 | 105 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $4,578 – $17,712 · median $8,702 | 105 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $2,776 – $22,097 · median $12,210 | 105 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,615 – $13,665 · median $7,492 | 105 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $4,711 – $11,113 · median $6,445 | 105 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $3,629 – $18,449 · median $9,551 | 105 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $2,617 – $11,733 · median $6,879 | 105 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/ | $3,961 – $12,750 · median $4,319 | 105 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $4,016 – $11,133 · median $6,651 | 105 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERO | $2,815 – $10,767 · median $7,262 | 105 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R | $3,320 – $9,371 · median $4,815 | 105 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $4,004 – $11,637 · median $6,423 | 105 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $3,189 – $16,690 · median $9,495 | 105 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $3,517 – $10,652 · median $6,228 | 105 plans |
| 813 | COAGULATION DISORDERS | $6,399 – $18,696 · median $10,447 | 105 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $4,626 – $12,020 · median $6,857 | 105 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT | $4,354 – $8,073 · median $4,450 | 105 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $4,069 – $34,375 · median $17,108 | 105 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $9,646 – $58,815 · median $10,582 | 105 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,537 – $13,274 · median $7,099 | 105 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $6,301 – $23,082 · median $12,777 | 105 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $4,805 – $14,329 · median $8,066 | 105 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH M | $11,291 – $22,950 · median $12,409 | 105 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOU | $6,164 – $12,238 · median $6,748 | 105 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,915 – $14,250 · median $3,955 | 105 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,617 – $9,532 · median $3,826 | 105 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $69,859 – $349,850 · median $190,097 | 99 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM | $74,368 – $181,138 · median $74,368 | 99 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $63,446 – $123,844 · median $71,869 | 99 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $29,650 – $96,872 · median $32,725 | 99 plans |
| 007 | LUNG TRANSPLANT | $75,193 – $140,118 · median $88,196 | 99 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $32,254 – $65,743 · median $36,720 | 99 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC | $8,862 – $41,603 · median $9,756 | 99 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC | $13,602 – $32,541 · median $18,149 | 99 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC | $4,929 – $19,233 · median $10,727 | 99 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W | $5,461 – $25,977 · median $14,489 | 99 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/ | $7,313 – $14,630 · median $8,160 | 99 plans |
| 230 | OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC | $14,738 – $52,052 · median $29,031 | 99 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $13,656 – $54,700 · median $31,093 | 99 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $11,664 – $44,751 · median $23,435 | 99 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $9,956 – $19,653 · median $10,961 | 99 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $6,931 – $13,680 · median $7,630 | 99 plans |
| 774 | VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $2,777 – $10,048 · median $5,604 | 99 plans |
| 775 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $3,956 – $7,809 · median $4,356 | 99 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,446 – $28,283 · median $16,532 | 99 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,175 – $48,148 · median $28,145 | 99 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,236 – $17,042 · median $9,962 | 99 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,522 – $7,456 · median $4,212 | 99 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPA | $130,693 – $231,177 · median $144,634 | 97 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $24,550 – $46,377 · median $27,694 | 97 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR | $16,463 – $32,958 · median $17,884 | 97 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER I | $225,846 – $453,146 · median $254,510 | 97 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURE | $27,070 – $54,419 · median $30,182 | 97 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $36,940 – $70,460 · median $41,028 | 97 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $25,235 – $52,898 · median $28,281 | 97 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,203 – $26,820 · median $14,412 | 97 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $9,948 – $20,839 · median $10,767 | 97 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,916 – $48,135 · median $26,243 | 97 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,096 – $28,310 · median $15,352 | 97 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,084 – $22,413 · median $12,371 | 97 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,692 – $39,659 · median $22,412 | 97 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $9,807 – $20,071 · median $10,874 | 97 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $6,994 – $13,783 · median $7,681 | 97 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT C | $5,501 – $11,104 · median $6,022 | 97 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $17,181 – $34,984 · median $18,244 | 97 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $11,474 – $24,058 · median $12,019 | 97 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIEN | $9,114 – $20,687 · median $9,480 | 97 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $12,278 – $23,219 · median $13,424 | 97 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $6,231 – $12,342 · median $6,863 | 97 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WIT | $4,214 – $8,610 · median $4,645 | 97 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT | $8,686 – $17,252 · median $9,819 | 97 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT | $5,339 – $10,756 · median $5,949 | 97 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,896 – $9,524 · median $5,400 | 97 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $10,970 – $20,323 · median $11,735 | 97 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $6,509 – $12,243 · median $7,112 | 97 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/M | $4,800 – $9,338 · median $5,063 | 97 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,291 – $12,330 · median $7,035 | 97 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,624 – $20,044 · median $11,624 | 97 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,655 – $11,917 · median $6,188 | 97 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,262 – $18,548 · median $10,435 | 97 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,234 – $11,494 · median $6,734 | 97 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,499 – $8,818 · median $4,499 | 97 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,415 – $25,354 · median $13,415 | 97 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,575 – $9,868 · median $6,106 | 97 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,315 – $16,262 · median $9,383 | 97 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,638 – $10,958 · median $6,452 | 97 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $13,932 – $27,972 · median $15,292 | 97 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,074 – $15,421 · median $8,852 | 97 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,432 – $10,450 · median $5,966 | 97 plans |
| 088 | CONCUSSION WITH MCC | $9,402 – $17,608 · median $9,520 | 97 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,730 – $10,341 · median $5,786 | 97 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,747 – $9,465 · median $5,327 | 97 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $22,207 – $44,019 · median $24,624 | 97 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SY | $13,362 – $28,226 · median $16,178 | 97 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT V | $8,093 – $16,963 · median $9,403 | 97 plans |
| 100 | SEIZURES WITH MCC | $12,153 – $22,704 · median $13,398 | 97 plans |
| 101 | SEIZURES WITHOUT MCC | $5,576 – $10,750 · median $6,220 | 97 plans |
| 102 | HEADACHES WITH MCC | $7,396 – $13,953 · median $7,825 | 97 plans |
| 103 | HEADACHES WITHOUT MCC | $5,164 – $10,037 · median $5,738 | 97 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,223 – $22,781 · median $11,261 | 97 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,279 – $12,599 · median $7,279 | 97 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,564 – $7,811 · median $4,578 | 97 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,929 – $9,278 · median $5,420 | 97 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTI | $8,103 – $16,964 · median $8,800 | 97 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,889 – $10,128 · median $5,572 | 97 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,940 – $24,697 · median $15,482 | 97 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,575 – $15,743 · median $8,401 | 97 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/ | $5,404 – $9,523 · median $5,404 | 97 plans |
| 149 | DYSEQUILIBRIUM | $4,565 – $8,918 · median $5,045 | 97 plans |
| 150 | EPISTAXIS WITH MCC | $8,058 – $16,063 · median $9,328 | 97 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,724 – $8,935 · median $5,115 | 97 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,284 – $13,154 · median $7,658 | 97 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,504 – $8,630 · median $4,803 | 97 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH M | $9,429 – $18,716 · median $10,975 | 97 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH C | $5,803 – $11,005 · median $6,301 | 97 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOU | $4,018 – $7,967 · median $4,538 | 97 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,464 – $19,072 · median $11,051 | 97 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,753 – $10,892 · median $6,348 | 97 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,139 – $8,236 · median $4,451 | 97 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,634 – $32,133 · median $16,986 | 97 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT C | $8,310 – $16,388 · median $9,137 | 97 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,448 – $12,595 · median $7,208 | 97 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,632 – $9,376 · median $5,248 | 97 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,514 – $18,680 · median $10,663 | 97 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,107 – $12,498 · median $6,776 | 97 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,576 – $8,827 · median $4,955 | 97 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,552 – $14,836 · median $8,351 | 97 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,835 – $8,056 · median $4,202 | 97 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $5,869 – $11,701 · median $6,524 | 97 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPO | $16,574 – $30,792 · median $18,112 | 97 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,617 – $127,757 · median $71,500 | 97 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $59,493 – $121,476 · median $65,132 | 97 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $39,019 – $78,450 · median $43,582 | 97 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $34,921 – $73,923 · median $40,150 | 97 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $47,270 – $97,497 · median $52,218 | 97 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE | $28,496 – $55,417 · median $30,994 | 97 plans |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $31,004 – $67,975 · median $34,133 | 97 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $36,048 – $73,860 · median $39,710 | 97 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WI | $24,773 – $49,574 · median $27,751 | 97 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT | $29,466 – $58,274 · median $33,992 | 97 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INT | $14,410 – $30,514 · median $15,607 | 97 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $16,842 – $30,677 · median $17,658 | 97 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $10,051 – $19,895 · median $11,430 | 97 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYST | $6,019 – $14,099 · median $6,019 | 97 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,604 – $38,334 · median $18,933 | 97 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,442 – $25,279 · median $11,862 | 97 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEME | $10,086 – $20,645 · median $10,243 | 97 plans |
| 265 | AICD LEAD PROCEDURES | $21,664 – $40,723 · median $24,074 | 97 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $38,289 – $85,280 · median $40,430 | 97 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEM | $29,916 – $67,736 · median $31,750 | 97 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $42,019 – $84,256 · median $44,997 | 97 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATIO | $25,492 – $52,213 · median $28,079 | 97 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $30,999 – $62,763 · median $34,641 | 97 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $21,187 – $43,141 · median $23,245 | 97 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/M | $14,954 – $32,528 · median $16,886 | 97 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $23,889 – $46,303 · median $26,389 | 97 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WIT | $19,866 – $39,768 · median $21,062 | 97 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MC | $2,996 – $5,986 · median $3,789 | 97 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $13,214 – $25,849 · median $14,937 | 97 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CAT | $6,630 – $13,493 · median $7,354 | 97 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $15,895 – $32,493 · median $18,434 | 97 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $9,058 – $19,888 · median $10,641 | 97 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,607 – $13,242 · median $6,607 | 97 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $7,870 – $15,346 · median $8,806 | 97 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,250 – $10,448 · median $5,812 | 97 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,442 – $7,138 · median $3,703 | 97 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,704 – $15,522 · median $8,287 | 97 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,886 – $11,908 · median $5,330 | 97 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,828 – $19,302 · median $11,057 | 97 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,466 – $8,555 · median $4,754 | 97 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,695 – $5,914 · median $2,981 | 97 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,662 – $18,544 · median $10,917 | 97 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,541 – $12,630 · median $7,225 | 97 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,351 – $8,992 · median $4,814 | 97 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $6,872 – $13,247 · median $7,851 | 97 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,421 – $18,240 · median $10,105 | 97 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT | $5,778 – $10,532 · median $6,252 | 97 plans |
| 311 | ANGINA PECTORIS | $4,279 – $8,452 · median $4,713 | 97 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH M | $26,738 – $52,247 · median $29,645 | 97 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH C | $15,309 – $31,033 · median $16,386 | 97 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOU | $9,791 – $20,169 · median $10,754 | 97 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,688 – $59,123 · median $30,989 | 97 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,541 – $30,847 · median $15,952 | 97 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/ | $10,249 – $20,697 · median $11,142 | 97 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,401 – $50,354 · median $23,409 | 97 plans |
| 333 | RECTAL RESECTION WITH CC | $12,747 – $25,910 · median $14,343 | 97 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $9,839 – $19,464 · median $11,193 | 97 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $21,915 – $47,353 · median $24,453 | 97 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $12,905 – $27,725 · median $14,255 | 97 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,173 – $19,811 · median $10,360 | 97 plans |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $16,284 – $33,847 · median $17,928 | 97 plans |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS | $9,982 – $20,539 · median $10,989 | 97 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,444 – $19,103 · median $10,047 | 97 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $7,978 – $16,312 · median $8,496 | 97 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $14,712 – $29,703 · median $16,323 | 97 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/ | $6,798 – $13,363 · median $7,441 | 97 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $17,926 – $36,601 · median $19,794 | 97 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $10,530 – $21,596 · median $11,480 | 97 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH | $8,353 – $16,458 · median $8,997 | 97 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $26,228 – $52,124 · median $28,788 | 97 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $13,466 – $27,449 · median $15,198 | 97 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/ | $7,853 – $16,324 · median $9,145 | 97 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,127 – $23,584 · median $11,270 | 97 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,058 – $13,034 · median $6,867 | 97 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,559 – $9,052 · median $4,711 | 97 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $10,713 – $20,948 · median $11,797 | 97 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $6,389 – $12,455 · median $6,946 | 97 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL IN | $4,392 – $9,010 · median $4,895 | 97 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $12,867 – $25,092 · median $14,249 | 97 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,346 – $14,612 · median $8,292 | 97 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,464 – $10,877 · median $5,959 | 97 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $10,975 – $21,795 · median $12,270 | 97 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,031 – $12,021 · median $6,653 | 97 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,882 – $7,710 · median $4,297 | 97 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $5,956 – $12,041 · median $6,698 | 97 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,194 – $8,648 · median $4,524 | 97 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $8,910 – $18,327 · median $9,920 | 97 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,882 – $9,961 · median $5,410 | 97 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,427 – $7,056 · median $3,693 | 97 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $7,820 – $15,115 · median $8,669 | 97 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIG | $4,816 – $9,266 · median $5,266 | 97 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,928 – $20,101 · median $11,176 | 97 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,743 – $11,385 · median $6,352 | 97 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,969 – $7,883 · median $4,295 | 97 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $17,700 – $34,859 · median $18,953 | 97 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MC | $13,186 – $25,628 · median $14,414 | 97 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $22,817 – $45,410 · median $23,629 | 97 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $11,998 – $25,608 · median $14,149 | 97 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTO | $9,595 – $18,976 · median $10,468 | 97 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,467 – $45,417 · median $18,467 | 97 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $12,665 – $27,558 · median $14,385 | 97 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $9,254 – $20,944 · median $11,220 | 97 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $21,609 – $43,902 · median $23,646 | 97 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $12,112 – $24,584 · median $13,349 | 97 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D. | $8,209 – $17,210 · median $9,247 | 97 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH M | $14,208 – $29,334 · median $16,038 | 97 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH C | $10,021 – $20,437 · median $11,192 | 97 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOU | $8,050 – $15,915 · median $8,892 | 97 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,745 – $22,758 · median $13,221 | 97 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,320 – $12,462 · median $7,220 | 97 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,104 – $7,510 · median $4,700 | 97 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $10,788 – $21,216 · median $12,314 | 97 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $6,747 – $13,570 · median $7,610 | 97 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WIT | $5,095 – $10,840 · median $5,299 | 97 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,230 – $19,333 · median $11,228 | 97 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,242 – $10,227 · median $5,805 | 97 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $54,320 – $111,175 · median $59,802 | 97 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $37,493 – $73,727 · median $41,277 | 97 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH | $28,232 – $57,854 · median $31,081 | 97 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $51,672 – $104,060 · median $57,155 | 97 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $37,242 – $78,600 · median $38,733 | 97 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATUR | $27,775 – $60,592 · median $29,141 | 97 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $40,656 – $81,475 · median $44,759 | 97 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,423 – $47,561 · median $24,686 | 97 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR M | $18,399 – $36,008 · median $19,899 | 97 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $21,371 – $43,288 · median $23,115 | 97 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,153 – $60,738 · median $32,780 | 97 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,117 – $36,950 · median $19,552 | 97 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,083 – $30,722 · median $15,977 | 97 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $26,376 – $49,321 · median $30,266 | 97 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $13,147 – $26,575 · median $14,559 | 97 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTI | $7,214 – $14,040 · median $7,849 | 97 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $20,652 – $40,643 · median $23,209 | 97 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $14,612 – $28,537 · median $15,782 | 97 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE | $11,426 – $21,895 · median $11,984 | 97 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH C | $12,719 – $25,363 · median $14,003 | 97 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $20,192 – $41,256 · median $21,726 | 97 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $12,311 – $26,008 · median $14,313 | 97 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECT | $9,470 – $19,846 · median $10,664 | 97 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $12,913 – $24,923 · median $13,264 | 97 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INF | $7,587 – $15,708 · median $8,358 | 97 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $21,223 – $41,987 · median $23,966 | 97 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $14,722 – $28,142 · median $16,203 | 97 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, | $11,458 – $22,406 · median $12,724 | 97 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $21,953 – $44,067 · median $23,759 | 97 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $12,183 – $24,035 · median $13,315 | 97 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $8,750 – $17,563 · median $9,061 | 97 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $16,005 – $31,263 · median $17,040 | 97 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DE | $7,834 – $14,508 · median $7,834 | 97 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,476 – $16,127 · median $9,429 | 97 plans |
| 503 | FOOT PROCEDURES WITH MCC | $16,440 – $31,951 · median $17,861 | 97 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,587 – $21,478 · median $11,844 | 97 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,456 – $21,478 · median $11,844 | 97 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,966 – $17,952 · median $10,117 | 97 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/M | $13,067 – $24,937 · median $13,080 | 97 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT C | $8,710 – $17,057 · median $8,710 | 97 plans |
| 509 | ARTHROSCOPY | $8,374 – $20,407 · median $11,855 | 97 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $19,380 – $38,001 · median $20,869 | 97 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $12,510 – $23,750 · median $13,576 | 97 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH | $8,775 – $17,161 · median $9,672 | 97 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $18,354 – $37,101 · median $19,670 | 97 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FR | $12,948 – $26,492 · median $14,227 | 97 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,000 – $17,136 · median $10,291 | 97 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,965 – $9,561 · median $5,493 | 97 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,949 – $14,917 · median $8,975 | 97 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $4,825 – $9,338 · median $5,472 | 97 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $5,928 – $11,318 · median $6,202 | 97 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS | $4,347 – $8,751 · median $4,532 | 97 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CON | $4,705 – $9,410 · median $5,100 | 97 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,283 – $30,288 · median $17,053 | 97 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,352 – $14,617 · median $7,813 | 97 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,394 – $15,124 · median $8,133 | 97 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,784 – $11,513 · median $5,818 | 97 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,433 – $19,692 · median $11,516 | 97 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,923 – $11,415 · median $6,504 | 97 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,285 – $15,385 · median $8,814 | 97 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,038 – $9,589 · median $5,632 | 97 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $8,576 – $16,559 · median $9,088 | 97 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND C | $5,054 – $9,785 · median $5,510 | 97 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,543 – $16,929 · median $10,458 | 97 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,385 – $10,423 · median $5,829 | 97 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE T | $11,344 – $22,570 · median $12,527 | 97 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $9,322 – $17,083 · median $9,877 | 97 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FE | $5,490 – $10,554 · median $6,032 | 97 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $6,126 – $12,213 · median $6,882 | 97 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,913 – $34,385 · median $20,315 | 97 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,371 – $19,788 · median $11,299 | 97 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $6,986 – $13,363 · median $7,710 | 97 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,117 – $67,023 · median $41,559 | 97 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,878 – $39,589 · median $23,383 | 97 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC | $12,542 – $22,511 · median $13,475 | 97 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $34,837 – $62,043 · median $36,411 | 97 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $16,239 – $30,850 · median $17,970 | 97 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WIT | $9,872 – $19,302 · median $11,408 | 97 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDU | $20,488 – $38,053 · median $21,996 | 97 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $10,674 – $21,250 · median $11,818 | 97 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $12,006 – $23,457 · median $13,817 | 97 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PRO | $10,323 – $21,049 · median $13,397 | 97 plans |
| 592 | SKIN ULCERS WITH MCC | $12,812 – $20,501 · median $13,877 | 97 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,827 – $9,874 · median $5,728 | 97 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,333 – $24,400 · median $14,274 | 97 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,185 – $12,036 · median $7,296 | 97 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $9,811 – $19,892 · median $11,855 | 97 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,281 – $13,466 · median $7,281 | 97 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,124 – $8,211 · median $5,769 | 97 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,286 – $12,062 · median $6,456 | 97 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,883 – $8,310 · median $4,046 | 97 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $9,233 – $17,883 · median $10,026 | 97 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST | $5,571 – $10,937 · median $6,234 | 97 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,721 – $18,296 · median $10,867 | 97 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,018 – $19,058 · median $9,671 | 97 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $24,261 – $47,991 · median $26,083 | 97 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $12,165 – $24,561 · median $13,036 | 97 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONA | $7,120 – $15,769 · median $8,403 | 97 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,953 – $37,047 · median $18,400 | 97 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $9,944 – $21,329 · median $10,778 | 97 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, N | $6,770 – $13,297 · median $6,770 | 97 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES W | $7,577 – $14,312 · median $8,550 | 97 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $24,609 – $44,521 · median $26,628 | 97 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PR | $13,871 – $28,378 · median $15,178 | 97 plans |
| 637 | DIABETES WITH MCC | $8,884 – $16,657 · median $9,828 | 97 plans |
| 638 | DIABETES WITH CC | $5,513 – $10,641 · median $6,190 | 97 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, | $4,790 – $9,126 · median $5,273 | 97 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,989 – $15,607 · median $8,376 | 97 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,084 – $20,179 · median $11,185 | 97 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,508 – $12,340 · median $6,974 | 97 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,664 – $9,300 · median $5,255 | 97 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,185 – $66,056 · median $37,621 | 97 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $16,781 – $35,124 · median $19,045 | 97 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,921 – $25,172 · median $14,019 | 97 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,233 – $39,749 · median $21,987 | 97 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,305 – $23,410 · median $12,337 | 97 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT | $9,075 – $19,093 · median $10,150 | 97 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH | $15,870 – $32,263 · median $17,440 | 97 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,508 – $14,324 · median $7,287 | 97 plans |
| 665 | PROSTATECTOMY WITH MCC | $18,936 – $36,805 · median $23,172 | 97 plans |
| 666 | PROSTATECTOMY WITH CC | $10,528 – $21,050 · median $11,117 | 97 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,434 – $12,070 · median $6,936 | 97 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,274 – $33,956 · median $19,681 | 97 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,407 – $18,918 · median $10,444 | 97 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,901 – $11,840 · median $6,450 | 97 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,494 – $21,554 · median $11,633 | 97 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,747 – $13,920 · median $7,386 | 97 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $22,669 – $41,966 · median $28,274 | 97 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,603 – $28,837 · median $15,579 | 97 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT | $9,725 – $21,232 · median $10,564 | 97 plans |
| 682 | RENAL FAILURE WITH MCC | $9,200 – $17,820 · median $10,136 | 97 plans |
| 683 | RENAL FAILURE WITH CC | $5,522 – $10,640 · median $5,999 | 97 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,730 – $7,356 · median $4,099 | 97 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,276 – $22,691 · median $12,726 | 97 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,408 – $12,706 · median $7,104 | 97 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,787 – $9,516 · median $4,887 | 97 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,199 – $13,482 · median $7,898 | 97 plans |
| 693 | URINARY STONES WITH MCC | $8,682 – $16,160 · median $9,923 | 97 plans |
| 697 | URETHRAL STRICTURE | $6,761 – $12,092 · median $6,761 | 97 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,141 – $19,488 · median $11,344 | 97 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,258 – $12,427 · median $6,883 | 97 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT C | $4,342 – $9,033 · median $4,685 | 97 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,026 – $23,259 · median $13,096 | 97 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,941 – $18,044 · median $10,005 | 97 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $13,307 – $28,022 · median $15,165 | 97 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,218 – $13,636 · median $7,218 | 97 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $8,893 – $18,070 · median $9,759 | 97 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $5,876 – $11,238 · median $6,342 | 97 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $13,532 – $24,527 · median $15,240 | 97 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR | $8,718 – $15,437 · median $9,578 | 97 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $11,118 – $21,787 · median $12,522 | 97 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXC | $7,208 – $14,939 · median $8,314 | 97 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,607 – $15,555 · median $8,521 | 97 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,480 – $9,011 · median $5,024 | 97 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH | $9,916 – $17,194 · median $9,916 | 97 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHO | $4,905 – $9,749 · median $5,514 | 97 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/M | $6,154 – $12,191 · median $7,430 | 97 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT C | $3,810 – $7,203 · median $4,096 | 97 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $13,324 – $26,914 · median $14,191 | 97 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADI | $7,725 – $17,105 · median $8,192 | 97 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $23,829 – $51,554 · median $26,573 | 97 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $12,099 – $24,903 · median $13,486 | 97 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEX | $8,365 – $17,858 · median $10,237 | 97 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $22,168 – $46,270 · median $26,866 | 97 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND | $7,965 – $15,487 · median $9,270 | 97 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $10,923 – $20,789 · median $12,328 | 97 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W | $7,123 – $13,707 · median $8,090 | 97 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $11,539 – $21,724 · median $13,187 | 97 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTIO | $6,350 – $14,157 · median $6,916 | 97 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,274 – $19,499 · median $11,301 | 97 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,439 – $11,363 · median $6,446 | 97 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDUR | $8,612 – $16,306 · median $9,194 | 97 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W | $15,430 – $32,837 · median $17,470 | 97 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DIS | $3,712 – $7,149 · median $4,278 | 97 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERI | $7,399 – $14,152 · median $7,399 | 97 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. P | $9,377 – $19,573 · median $9,377 | 97 plans |
| 779 | ABORTION WITHOUT D&C | $6,064 – $12,814 · median $6,309 | 97 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $10,861 – $22,686 · median $12,432 | 97 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,278 – $13,260 · median $7,309 | 97 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $5,310 – $11,093 · median $5,895 | 97 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,724 – $19,292 · median $10,905 | 97 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,443 – $12,879 · median $7,166 | 97 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/ | $5,241 – $10,738 · median $6,105 | 97 plans |
| 795 | NORMAL NEWBORN | $1,236 – $2,307 · median $1,348 | 97 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $8,615 – $14,421 · median $8,615 | 97 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $6,105 – $11,125 · median $6,534 | 97 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WIT | $5,119 – $10,191 · median $6,534 | 97 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $30,372 – $62,284 · median $32,088 | 97 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,273 – $35,742 · median $19,664 | 97 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,971 – $20,376 · median $11,079 | 97 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $21,031 – $44,912 · median $24,192 | 97 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $11,391 – $22,827 · median $12,013 | 97 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMI | $7,420 – $16,527 · median $7,461 | 97 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $6,180 – $12,462 · median $6,735 | 97 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,577 – $8,889 · median $4,883 | 97 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH | $4,011 – $7,772 · median $4,301 | 97 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $13,425 – $26,448 · median $15,456 | 97 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EX | $7,383 – $14,803 · median $8,358 | 97 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MC | $13,045 – $22,890 · median $14,108 | 97 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $8,692 – $17,464 · median $8,692 | 97 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WI | $5,510 – $11,945 · median $5,510 | 97 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $37,066 – $68,870 · median $39,293 | 97 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $13,683 – $26,078 · median $15,066 | 97 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES W | $7,594 – $15,143 · median $7,718 | 97 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $27,597 – $54,472 · median $31,580 | 97 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $13,688 – $28,609 · median $14,843 | 97 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDU | $7,916 – $16,958 · median $8,306 | 97 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $28,368 – $61,038 · median $32,228 | 97 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $14,204 – $30,257 · median $15,926 | 97 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $10,056 – $20,255 · median $10,817 | 97 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $19,333 – $38,822 · median $20,811 | 97 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIA | $9,693 – $17,932 · median $9,870 | 97 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $6,592 – $13,574 · median $7,768 | 97 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $4,522 – $9,417 · median $5,044 | 97 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES | $3,137 – $6,498 · median $3,508 | 97 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $34,322 – $73,232 · median $37,302 | 97 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,704 – $25,576 · median $14,414 | 97 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,575 – $17,230 · median $8,575 | 97 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $29,694 – $68,962 · median $33,792 | 97 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $12,270 – $27,348 · median $13,688 | 97 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAG | $7,988 – $17,995 · median $9,248 | 97 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,157 – $38,968 · median $21,521 | 97 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFE | $5,302 – $10,272 · median $5,647 | 97 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $14,982 – $32,342 · median $17,235 | 97 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $7,433 – $16,167 · median $8,575 | 97 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY D | $5,126 – $12,491 · median $5,526 | 97 plans |
| 849 | RADIOTHERAPY | $16,498 – $30,173 · median $18,026 | 97 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $30,646 – $60,110 · median $33,752 | 97 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $12,494 – $25,679 · median $13,484 | 97 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCED | $10,432 – $18,390 · median $10,971 | 97 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $27,146 – $56,433 · median $30,447 | 97 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $13,092 – $25,439 · median $14,705 | 97 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O. | $7,867 – $16,451 · median $8,695 | 97 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,412 – $10,606 · median $6,060 | 97 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,960 – $18,372 · median $9,960 | 97 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,626 – $10,152 · median $5,971 | 97 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $12,826 – $27,069 · median $14,471 | 97 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $6,654 – $12,899 · median $7,087 | 97 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES | $4,234 – $8,815 · median $4,856 | 97 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $42,695 – $77,912 · median $46,947 | 97 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $12,153 – $22,654 · median $13,241 | 97 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS W | $6,313 – $12,418 · median $6,958 | 97 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,529 – $51,651 · median $29,900 | 97 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,553 – $23,768 · median $12,806 | 97 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,610 – $13,737 · median $8,227 | 97 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $19,961 – $45,097 · median $26,057 | 97 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,708 – $19,965 · median $11,123 | 97 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $11,534 – $21,826 · median $14,729 | 97 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,801 – $47,773 · median $26,885 | 97 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,285 – $24,810 · median $13,613 | 97 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,314 – $16,589 · median $8,559 | 97 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $9,161 – $19,827 · median $10,921 | 97 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,564 – $10,731 · median $6,184 | 97 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,875 – $20,564 · median $11,728 | 97 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,038 – $7,967 · median $4,482 | 97 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,783 – $17,890 · median $11,066 | 97 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,277 – $9,578 · median $5,970 | 97 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,185 – $22,314 · median $12,307 | 97 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,337 – $12,398 · median $6,856 | 97 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,278 – $8,445 · median $4,641 | 97 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $10,696 – $19,217 · median $11,401 | 97 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $6,200 – $11,372 · median $6,883 | 97 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $19,710 – $40,833 · median $21,420 | 97 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $13,281 – $26,873 · median $14,249 | 97 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WI | $11,377 – $23,270 · median $13,189 | 97 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,672 – $14,447 · median $8,680 | 97 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $4,910 – $9,524 · median $5,362 | 97 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,576 – $13,430 · median $7,282 | 97 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $37,333 – $76,101 · median $46,082 | 97 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MU | $23,773 – $46,585 · median $25,796 | 97 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $44,335 – $89,793 · median $50,373 | 97 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $24,795 – $50,889 · median $27,736 | 97 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRA | $15,524 – $33,107 · median $17,843 | 97 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,761 – $33,032 · median $18,334 | 97 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,201 – $18,051 · median $10,124 | 97 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,860 – $11,041 · median $6,159 | 97 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $42,129 – $79,600 · median $42,680 | 97 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,039 – $36,163 · median $17,906 | 97 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $17,878 – $32,555 · median $20,153 | 97 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,357 – $15,513 · median $9,593 | 97 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,182 – $11,490 · median $6,769 | 97 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,681 – $16,024 · median $9,731 | 97 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $29,059 – $55,835 · median $32,082 | 97 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $15,239 – $30,693 · median $16,523 | 97 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL D | $10,024 – $19,993 · median $11,258 | 97 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $20,699 – $39,638 · median $23,638 | 97 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $10,403 – $20,647 · median $11,581 | 97 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIP | $6,622 – $13,596 · median $7,798 | 97 plans |
| 010 | PANCREAS TRANSPLANT | $29,507 – $53,807 · median $53,807 | 91 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $70,255 – $129,192 · median $88,419 | 91 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,865 – $81,509 · median $40,734 | 91 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $37,865 – $58,754 · median $40,734 | 91 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH H | $49,000 – $80,824 · median $53,498 | 91 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEV | $14,033 – $27,701 · median $15,450 | 91 plans |
| 652 | KIDNEY TRANSPLANT | $18,417 – $38,540 · median $20,728 | 91 plans |
| 685 | ADMIT FOR RENAL DIALYSIS | $6,467 – $12,766 · median $7,120 | 91 plans |
| 765 | CESAREAN SECTION W CC/MCC | $7,215 – $14,242 · median $7,943 | 91 plans |
| 766 | CESAREAN SECTION W/O CC/MCC | $5,131 – $10,129 · median $5,649 | 91 plans |
| 767 | VAGINAL DELIVERY W STERILIZATION &/OR D&C | $5,708 – $11,266 · median $6,284 | 91 plans |
| 777 | ECTOPIC PREGNANCY | $5,383 – $10,625 · median $5,926 | 91 plans |
| 778 | THREATENED ABORTION | $3,731 – $7,364 · median $4,107 | 91 plans |
| 780 | FALSE LABOR | $2,991 – $5,904 · median $3,293 | 91 plans |
| 781 | OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS | $5,281 – $10,424 · median $5,814 | 91 plans |
| 782 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIO | $3,749 – $7,399 · median $4,127 | 91 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR | $11,153 – $20,812 · median $12,165 | 91 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROM | $36,781 – $68,632 · median $40,119 | 91 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,119 – $46,873 · median $27,399 | 91 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL | $22,874 – $39,543 · median $26,519 | 91 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNC | $5,852 – $10,460 · median $6,469 | 91 plans |
| 881 | DEPRESSIVE NEUROSES | $5,557 – $9,704 · median $6,169 | 91 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $5,758 – $9,966 · median $6,492 | 91 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,496 – $19,140 · median $12,511 | 91 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,770 – $17,512 · median $11,272 | 91 plans |
| 885 | PSYCHOSES | $8,376 – $14,997 · median $9,513 | 91 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,309 – $14,807 · median $12,124 | 91 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,942 – $13,066 · median $8,027 | 91 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITAT | $9,771 – $19,350 · median $9,771 | 91 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $10,900 – $21,542 · median $12,018 | 91 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILI | $5,245 – $10,007 · median $5,954 | 91 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $160,096 – $255,205 · median $160,096 | 91 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $42,418 – $79,032 · median $45,073 | 91 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION | $19,711 – $36,468 · median $21,463 | 91 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >9 | $18,586 – $29,201 · median $29,201 | 91 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATI | $12,827 – $23,485 · median $14,481 | 91 plans |
| 935 | NON-EXTENSIVE BURNS | $12,512 – $23,388 · median $14,823 | 91 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,253 – $17,931 · median $10,302 | 91 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $6,208 – $13,627 · median $7,535 | 91 plans |
| 984 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $20,909 – $41,272 · median $23,019 | 91 plans |
| 985 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $11,079 – $21,868 · median $12,197 | 91 plans |
| 986 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DI | $6,821 – $13,465 · median $7,510 | 91 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $4,933 – $21,625 · median $21,625 | 79 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $17,622 – $19,878 · median $19,212 | 79 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRAL | $11,177 – $17,932 · median $12,210 | 79 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $16,648 – $28,745 · median $28,745 | 79 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMIN | $15,975 – $21,563 · median $21,563 | 79 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALU | $16,210 – $23,538 · median $19,315 | 79 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARD | $12,822 – $41,750 · median $41,750 | 75 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $5,364 – $70,695 · median $70,695 | 75 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $4,146 – $47,933 · median $47,933 | 75 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH | $8,984 – $45,248 · median $45,248 | 75 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $15,767 – $62,168 · median $62,168 | 75 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH | $18,850 – $20,709 · median $20,709 | 71 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $66,024 – $73,519 · median $73,519 | 71 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETE | $43,129 – $47,693 · median $47,693 | 71 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID | $38,069 – $41,804 · median $41,804 | 71 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,316 – $31,394 · median $31,394 | 71 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF P | $27,342 – $33,765 · median $33,765 | 71 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $13,772 – $16,722 · median $16,722 | 71 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,277 – $10,212 · median $10,212 | 71 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $6,823 – $7,584 · median $7,584 | 71 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINA | $26,402 – $26,402 · median $26,402 | 67 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPI | $37,145 – $37,145 · median $37,145 | 67 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $56,288 – $56,288 · median $56,288 | 67 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FU | $36,918 – $36,918 · median $36,918 | 67 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHO | $27,558 – $27,558 · median $27,558 | 67 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MC | $34,756 – $34,756 · median $34,756 | 67 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT | $20,826 – $20,826 · median $20,826 | 67 plans |
No procedures match that keyword.