Jps Health Network — Pricing
825 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 825 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 825 procedures
Procedures with negotiated rates only
These 825 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 |
|---|---|---|---|
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $156,812 – $445,729 · median $254,702 | 17 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $96,983 – $290,879 · median $182,279 | 17 plans |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $36,172 – $149,288 · median $102,958 | 17 plans |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $27,012 – $132,330 · median $91,262 | 17 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $19,539 – $114,056 · median $78,659 | 17 plans |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $94,426 – $182,362 · median $125,767 | 17 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $63,526 – $147,093 · median $101,443 | 17 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $38,129 – $118,105 · median $81,452 | 17 plans |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $57,866 – $153,071 · median $105,567 | 17 plans |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $40,121 – $128,165 · median $88,390 | 17 plans |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $36,063 – $136,860 · median $94,386 | 17 plans |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $23,934 – $117,171 · median $80,807 | 17 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $20,422 – $109,140 · median $75,269 | 17 plans |
| 028 | Spinal Procedures With Mcc | $48,567 – $156,879 · median $108,193 | 17 plans |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $24,832 – $121,313 · median $83,664 | 17 plans |
| 030 | Spinal Procedures Without Cc/Mcc | $14,552 – $104,652 · median $72,174 | 17 plans |
| 031 | Ventricular Shunt Procedures With Mcc | $27,608 – $135,953 · median $93,761 | 17 plans |
| 032 | Ventricular Shunt Procedures With Cc | $16,000 – $103,772 · median $71,567 | 17 plans |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $15,205 – $97,361 · median $67,145 | 17 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $43,990 – $127,601 · median $88,001 | 17 plans |
| 035 | Carotid Artery Stent Procedures With Cc | $22,669 – $107,327 · median $74,018 | 17 plans |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $16,933 – $101,195 · median $69,789 | 17 plans |
| 037 | Extracranial Procedures With Mcc | $31,065 – $119,676 · median $82,535 | 17 plans |
| 038 | Extracranial Procedures With Cc | $16,565 – $96,809 · median $66,765 | 17 plans |
| 039 | Extracranial Procedures Without Cc/Mcc | $10,485 – $90,685 · median $62,541 | 17 plans |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $38,990 – $127,471 · median $87,911 | 17 plans |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $17,970 – $104,700 · median $72,207 | 17 plans |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $14,393 – $98,248 · median $67,757 | 17 plans |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $16,783 – $99,393 · median $68,547 | 17 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $9,780 – $87,996 · median $60,687 | 17 plans |
| 054 | Nervous System Neoplasms With Mcc | $12,175 – $95,498 · median $65,861 | 17 plans |
| 055 | Nervous System Neoplasms Without Mcc | $9,622 – $88,550 · median $61,069 | 17 plans |
| 056 | Degenerative Nervous System Disorders With Mcc | $27,877 – $106,403 · median $73,382 | 17 plans |
| 057 | Degenerative Nervous System Disorders Without Mcc | $10,729 – $92,330 · median $63,676 | 17 plans |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $18,516 – $97,999 · median $67,586 | 17 plans |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $11,269 – $91,581 · median $63,159 | 17 plans |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $10,441 – $87,183 · median $60,126 | 17 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $31,308 – $112,348 · median $77,481 | 17 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $21,086 – $98,652 · median $68,036 | 17 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $16,846 – $93,812 · median $64,698 | 17 plans |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $20,103 – $102,129 · median $70,434 | 17 plans |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $12,124 – $88,422 · median $60,981 | 17 plans |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $8,213 – $83,958 · median $57,902 | 17 plans |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $17,624 – $94,701 · median $65,311 | 17 plans |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $10,373 – $86,424 · median $59,603 | 17 plans |
| 069 | Transient Ischemia Without Thrombolytic | $8,742 – $85,525 · median $58,983 | 17 plans |
| 070 | Other Cerebrovascular Disorders With Mcc | $18,860 – $97,387 · median $67,163 | 17 plans |
| 071 | Other Cerebrovascular Disorders With Cc | $11,850 – $88,637 · median $61,129 | 17 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $8,737 – $84,942 · median $58,581 | 17 plans |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $14,136 – $96,558 · median $66,592 | 17 plans |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $8,362 – $88,703 · median $61,174 | 17 plans |
| 075 | Viral Meningitis With Cc/Mcc | $11,895 – $100,848 · median $69,550 | 17 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $6,936 – $85,887 · median $59,232 | 17 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $15,682 – $99,376 · median $68,535 | 17 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $8,231 – $86,851 · median $59,897 | 17 plans |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $21,004 – $105,890 · median $73,027 | 17 plans |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $13,108 – $93,702 · median $64,622 | 17 plans |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $8,537 – $87,676 · median $60,466 | 17 plans |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $20,771 – $105,702 · median $72,898 | 17 plans |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $11,376 – $92,427 · median $63,743 | 17 plans |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $7,353 – $87,113 · median $60,078 | 17 plans |
| 088 | Concussion With Mcc | $14,244 – $93,100 · median $64,207 | 17 plans |
| 089 | Concussion With Cc | $10,848 – $89,632 · median $61,815 | 17 plans |
| 090 | Concussion Without Cc/Mcc | $7,845 – $85,860 · median $59,213 | 17 plans |
| 091 | Other Disorders Of Nervous System With Mcc | $18,525 – $98,639 · median $68,027 | 17 plans |
| 092 | Other Disorders Of Nervous System With Cc | $10,209 – $88,596 · median $61,101 | 17 plans |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $7,444 – $85,491 · median $58,959 | 17 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $35,719 – $122,789 · median $84,682 | 17 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $30,433 – $109,911 · median $75,801 | 17 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $25,590 – $109,911 · median $75,801 | 17 plans |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $34,560 – $124,055 · median $85,555 | 17 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $20,257 – $106,017 · median $73,115 | 17 plans |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $12,031 – $93,245 · median $64,307 | 17 plans |
| 100 | Seizures With Mcc | $11,999 – $101,112 · median $69,733 | 17 plans |
| 101 | Seizures Without Mcc | $7,717 – $86,947 · median $59,963 | 17 plans |
| 102 | Headaches With Mcc | $10,762 – $89,937 · median $62,026 | 17 plans |
| 103 | Headaches Without Mcc | $6,964 – $86,039 · median $59,337 | 17 plans |
| 113 | Orbital Procedures With Cc/Mcc | $17,126 – $106,787 · median $73,646 | 17 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $10,902 – $93,116 · median $64,218 | 17 plans |
| 115 | Extraocular Procedures Except Orbit | $11,113 – $95,608 · median $65,936 | 17 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $21,697 – $99,350 · median $68,517 | 17 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $8,269 – $89,444 · median $61,686 | 17 plans |
| 121 | Acute Major Eye Infections With Cc/Mcc | $7,201 – $90,518 · median $62,426 | 17 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $4,125 – $85,347 · median $58,860 | 17 plans |
| 123 | Neurological Eye Disorders | $8,202 – $85,523 · median $58,981 | 17 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $15,877 – $92,707 · median $63,936 | 17 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $5,721 – $85,101 · median $58,690 | 17 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $19,921 – $104,306 · median $71,936 | 17 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $11,769 – $88,491 · median $61,028 | 17 plans |
| 137 | Mouth Procedures With Cc/Mcc | $11,838 – $95,036 · median $65,542 | 17 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $7,820 – $86,722 · median $59,809 | 17 plans |
| 139 | Salivary Gland Procedures | $9,829 – $91,509 · median $63,110 | 17 plans |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $25,409 – $103,586 · median $71,439 | 17 plans |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $11,712 – $92,000 · median $63,448 | 17 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $7,698 – $85,502 · median $58,967 | 17 plans |
| 149 | Dysequilibrium | $7,464 – $84,879 · median $58,537 | 17 plans |
| 150 | Epistaxis With Mcc | $15,111 – $92,822 · median $64,015 | 17 plans |
| 151 | Epistaxis Without Mcc | $5,757 – $84,638 · median $58,371 | 17 plans |
| 152 | Otitis Media And Uri With Mcc | $9,743 – $90,777 · median $62,605 | 17 plans |
| 153 | Otitis Media And Uri Without Mcc | $4,316 – $84,695 · median $58,411 | 17 plans |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $16,958 – $95,999 · median $66,206 | 17 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $8,096 – $87,137 · median $60,095 | 17 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $5,371 – $84,050 · median $57,966 | 17 plans |
| 157 | Dental And Oral Diseases With Mcc | $17,103 – $98,099 · median $67,655 | 17 plans |
| 158 | Dental And Oral Diseases With Cc | $7,863 – $87,046 · median $60,031 | 17 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $5,751 – $84,288 · median $58,130 | 17 plans |
| 163 | Major Chest Procedures With Mcc | $39,194 – $135,971 · median $93,773 | 17 plans |
| 164 | Major Chest Procedures With Cc | $21,869 – $109,155 · median $75,279 | 17 plans |
| 165 | Major Chest Procedures Without Cc/Mcc | $15,786 – $100,803 · median $69,519 | 17 plans |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $36,917 – $125,779 · median $86,744 | 17 plans |
| 167 | Other Respiratory System O.R. Procedures With Cc | $19,701 – $99,285 · median $68,473 | 17 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $14,032 – $93,300 · median $64,345 | 17 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $14,403 – $93,398 · median $64,413 | 17 plans |
| 176 | Pulmonary Embolism Without Mcc | $9,660 – $85,610 · median $59,042 | 17 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $18,752 – $95,988 · median $66,199 | 17 plans |
| 178 | Respiratory Infections And Inflammations With Cc | $11,712 – $87,952 · median $60,657 | 17 plans |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $9,060 – $84,925 · median $58,569 | 17 plans |
| 180 | Respiratory Neoplasms With Mcc | $16,630 – $98,773 · median $68,119 | 17 plans |
| 181 | Respiratory Neoplasms With Cc | $12,133 – $89,254 · median $61,554 | 17 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $7,893 – $84,909 · median $58,558 | 17 plans |
| 183 | Major Chest Trauma With Mcc | $13,979 – $95,539 · median $65,889 | 17 plans |
| 184 | Major Chest Trauma With Cc | $10,908 – $89,159 · median $61,489 | 17 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $9,041 – $85,357 · median $58,867 | 17 plans |
| 186 | Pleural Effusion With Mcc | $14,767 – $95,931 · median $66,159 | 17 plans |
| 187 | Pleural Effusion With Cc | $10,255 – $88,132 · median $60,781 | 17 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $7,012 – $84,408 · median $58,212 | 17 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $14,825 – $91,505 · median $63,107 | 17 plans |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $11,796 – $89,756 · median $61,901 | 17 plans |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $9,123 – $86,131 · median $59,400 | 17 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $6,815 – $83,378 · median $57,502 | 17 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $15,382 – $92,587 · median $63,853 | 17 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $8,320 – $85,623 · median $59,050 | 17 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $5,353 – $83,193 · median $57,374 | 17 plans |
| 196 | Interstitial Lung Disease With Mcc | $17,905 – $100,433 · median $69,264 | 17 plans |
| 197 | Interstitial Lung Disease With Cc | $11,389 – $87,584 · median $60,403 | 17 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $8,254 – $84,394 · median $58,203 | 17 plans |
| 199 | Pneumothorax With Mcc | $13,683 – $98,747 · median $68,101 | 17 plans |
| 200 | Pneumothorax With Cc | $8,974 – $89,641 · median $61,822 | 17 plans |
| 201 | Pneumothorax Without Cc/Mcc | $5,856 – $84,379 · median $58,192 | 17 plans |
| 202 | Bronchitis And Asthma With Cc/Mcc | $7,379 – $87,887 · median $60,611 | 17 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $4,537 – $83,761 · median $57,766 | 17 plans |
| 204 | Respiratory Signs And Symptoms | $7,018 – $85,643 · median $59,064 | 17 plans |
| 205 | Other Respiratory System Diagnoses With Mcc | $14,303 – $99,663 · median $68,733 | 17 plans |
| 206 | Other Respiratory System Diagnoses Without Mcc | $7,330 – $87,474 · median $60,327 | 17 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $62,650 – $162,720 · median $112,220 | 17 plans |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $21,907 – $112,233 · median $77,402 | 17 plans |
| 215 | Other Heart Assist System Implant | $119,484 – $224,952 · median $152,767 | 17 plans |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $97,054 – $208,578 · median $143,847 | 17 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $62,277 – $164,645 · median $113,549 | 17 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $60,872 – $164,645 · median $113,549 | 17 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $70,997 – $179,753 · median $123,968 | 17 plans |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $49,188 – $147,627 · median $101,812 | 17 plans |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $44,261 – $143,619 · median $99,048 | 17 plans |
| 228 | Other Cardiothoracic Procedures With Mcc | $59,369 – $142,348 · median $98,171 | 17 plans |
| 229 | Other Cardiothoracic Procedures Without Mcc | $37,794 – $117,723 · median $81,188 | 17 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $82,470 – $190,048 · median $131,067 | 17 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $60,630 – $157,623 · median $108,705 | 17 plans |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $64,908 – $179,300 · median $123,655 | 17 plans |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $49,621 – $149,406 · median $103,039 | 17 plans |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $49,339 – $154,966 · median $106,873 | 17 plans |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $38,246 – $131,958 · median $91,005 | 17 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $43,858 – $141,996 · median $97,928 | 17 plans |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $22,893 – $113,627 · median $78,364 | 17 plans |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $13,652 – $93,546 · median $64,515 | 17 plans |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $36,849 – $118,316 · median $81,597 | 17 plans |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $25,571 – $103,771 · median $71,566 | 17 plans |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $20,905 – $99,341 · median $68,511 | 17 plans |
| 245 | Aicd Generator Procedures | $41,204 – $137,075 · median $94,534 | 17 plans |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $26,190 – $104,478 · median $72,054 | 17 plans |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $17,934 – $95,054 · median $65,555 | 17 plans |
| 252 | Other Vascular Procedures With Mcc | $30,832 – $122,363 · median $84,388 | 17 plans |
| 253 | Other Vascular Procedures With Cc | $23,780 – $110,136 · median $75,956 | 17 plans |
| 254 | Other Vascular Procedures Without Cc/Mcc | $16,355 – $98,988 · median $68,268 | 17 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $24,942 – $111,530 · median $76,917 | 17 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $16,231 – $97,840 · median $67,476 | 17 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $10,785 – $89,544 · median $61,754 | 17 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $30,720 – $117,621 · median $81,118 | 17 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $16,359 – $102,281 · median $70,538 | 17 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $35,315 – $119,137 · median $82,164 | 17 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $18,169 – $100,478 · median $69,295 | 17 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $16,294 – $96,909 · median $66,834 | 17 plans |
| 263 | Vein Ligation And Stripping | $11,832 – $116,461 · median $80,318 | 17 plans |
| 264 | Other Circulatory System O.R. Procedures | $21,947 – $120,340 · median $82,993 | 17 plans |
| 265 | Aicd Lead Procedures | $22,601 – $124,142 · median $85,615 | 17 plans |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $18,598 – $96,555 · median $66,590 | 17 plans |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $11,029 – $87,173 · median $60,119 | 17 plans |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $8,677 – $84,488 · median $58,268 | 17 plans |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $23,351 – $101,715 · median $70,148 | 17 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $8,306 – $84,065 · median $57,976 | 17 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $7,187 – $82,787 · median $57,095 | 17 plans |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $21,139 – $104,893 · median $72,340 | 17 plans |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $12,610 – $89,241 · median $61,546 | 17 plans |
| 288 | Acute And Subacute Endocarditis With Mcc | $32,474 – $111,651 · median $77,001 | 17 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $19,001 – $97,963 · median $67,561 | 17 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $11,156 – $87,318 · median $60,219 | 17 plans |
| 291 | Heart Failure And Shock With Mcc | $13,999 – $92,168 · median $63,564 | 17 plans |
| 292 | Heart Failure And Shock With Cc | $8,913 – $86,213 · median $59,457 | 17 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $6,600 – $82,337 · median $56,784 | 17 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $18,743 – $95,977 · median $66,191 | 17 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $7,608 – $83,268 · median $57,426 | 17 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $5,461 – $80,818 · median $55,736 | 17 plans |
| 299 | Peripheral Vascular Disorders With Mcc | $10,642 – $96,947 · median $66,860 | 17 plans |
| 300 | Peripheral Vascular Disorders With Cc | $8,084 – $89,206 · median $61,521 | 17 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $5,187 – $84,442 · median $58,236 | 17 plans |
| 302 | Atherosclerosis With Mcc | $10,630 – $90,974 · median $62,741 | 17 plans |
| 303 | Atherosclerosis Without Mcc | $6,377 – $83,805 · median $57,797 | 17 plans |
| 304 | Hypertension With Mcc | $11,273 – $90,884 · median $62,678 | 17 plans |
| 305 | Hypertension Without Mcc | $6,701 – $84,927 · median $58,570 | 17 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $18,910 – $96,168 · median $66,323 | 17 plans |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $7,595 – $87,092 · median $60,064 | 17 plans |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $10,511 – $91,075 · median $62,811 | 17 plans |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $7,150 – $84,661 · median $58,387 | 17 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $5,388 – $82,338 · median $56,785 | 17 plans |
| 311 | Angina Pectoris | $6,014 – $84,198 · median $58,068 | 17 plans |
| 312 | Syncope And Collapse | $8,009 – $86,522 · median $59,671 | 17 plans |
| 313 | Chest Pain | $6,388 – $84,446 · median $58,239 | 17 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $18,438 – $103,145 · median $71,134 | 17 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $10,029 – $87,778 · median $60,537 | 17 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $6,271 – $83,927 · median $57,881 | 17 plans |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $43,111 – $142,896 · median $98,549 | 17 plans |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $23,763 – $108,062 · median $74,526 | 17 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $14,298 – $96,531 · median $66,573 | 17 plans |
| 329 | Major Small And Large Bowel Procedures With Mcc | $31,933 – $137,542 · median $94,857 | 17 plans |
| 330 | Major Small And Large Bowel Procedures With Cc | $17,572 – $107,418 · median $74,082 | 17 plans |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $13,240 – $97,635 · median $67,334 | 17 plans |
| 332 | Rectal Resection With Mcc | $33,540 – $124,177 · median $85,639 | 17 plans |
| 333 | Rectal Resection With Cc | $20,059 – $106,665 · median $73,562 | 17 plans |
| 334 | Rectal Resection Without Cc/Mcc | $16,802 – $97,018 · median $66,909 | 17 plans |
| 335 | Peritoneal Adhesiolysis With Mcc | $36,932 – $123,494 · median $85,169 | 17 plans |
| 336 | Peritoneal Adhesiolysis With Cc | $19,466 – $103,467 · median $71,356 | 17 plans |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $15,063 – $95,609 · median $65,937 | 17 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $24,497 – $109,961 · median $75,835 | 17 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $13,145 – $95,194 · median $65,651 | 17 plans |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $11,107 – $90,831 · median $62,642 | 17 plans |
| 347 | Anal And Stomal Procedures With Mcc | $17,491 – $106,027 · median $73,122 | 17 plans |
| 348 | Anal And Stomal Procedures With Cc | $10,363 – $92,511 · median $63,801 | 17 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $7,467 – $86,509 · median $59,661 | 17 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $25,393 – $108,716 · median $74,976 | 17 plans |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $12,206 – $95,465 · median $65,838 | 17 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $9,397 – $90,579 · median $62,469 | 17 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $24,847 – $114,333 · median $78,850 | 17 plans |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $15,259 – $97,628 · median $67,330 | 17 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $11,499 – $93,007 · median $64,142 | 17 plans |
| 356 | Other Digestive System O.R. Procedures With Mcc | $28,657 – $134,752 · median $92,932 | 17 plans |
| 357 | Other Digestive System O.R. Procedures With Cc | $16,665 – $106,436 · median $73,404 | 17 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $12,366 – $93,731 · median $64,642 | 17 plans |
| 368 | Major Esophageal Disorders With Mcc | $19,103 – $96,388 · median $66,475 | 17 plans |
| 369 | Major Esophageal Disorders With Cc | $9,354 – $88,284 · median $60,885 | 17 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $6,747 – $84,183 · median $58,057 | 17 plans |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $17,393 – $98,870 · median $68,186 | 17 plans |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $9,910 – $88,569 · median $61,082 | 17 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $6,759 – $84,547 · median $58,309 | 17 plans |
| 374 | Digestive Malignancy With Mcc | $18,842 – $103,878 · median $71,640 | 17 plans |
| 375 | Digestive Malignancy With Cc | $11,663 – $91,152 · median $62,863 | 17 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $8,373 – $87,244 · median $60,168 | 17 plans |
| 377 | Gastrointestinal Hemorrhage With Mcc | $16,266 – $99,622 · median $68,705 | 17 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $8,907 – $88,017 · median $60,701 | 17 plans |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $6,662 – $83,219 · median $57,392 | 17 plans |
| 380 | Complicated Peptic Ulcer With Mcc | $18,915 – $101,460 · median $69,973 | 17 plans |
| 381 | Complicated Peptic Ulcer With Cc | $11,538 – $89,425 · median $61,672 | 17 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $7,593 – $85,550 · median $59,000 | 17 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $14,050 – $93,496 · median $64,480 | 17 plans |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $8,135 – $86,292 · median $59,512 | 17 plans |
| 385 | Inflammatory Bowel Disease With Mcc | $13,907 – $96,257 · median $66,384 | 17 plans |
| 386 | Inflammatory Bowel Disease With Cc | $9,903 – $87,957 · median $60,660 | 17 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $7,980 – $83,916 · median $57,873 | 17 plans |
| 388 | Gastrointestinal Obstruction With Mcc | $14,927 – $94,812 · median $65,387 | 17 plans |
| 389 | Gastrointestinal Obstruction With Cc | $7,460 – $85,402 · median $58,898 | 17 plans |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $5,601 – $82,035 · median $56,576 | 17 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $10,154 – $91,956 · median $63,418 | 17 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $6,491 – $85,262 · median $58,802 | 17 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $16,219 – $96,490 · median $66,545 | 17 plans |
| 394 | Other Digestive System Diagnoses With Cc | $8,445 – $87,400 · median $60,276 | 17 plans |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $6,623 – $83,474 · median $57,568 | 17 plans |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $35,534 – $149,513 · median $103,112 | 17 plans |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $19,141 – $114,308 · median $78,833 | 17 plans |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $15,674 – $104,986 · median $72,404 | 17 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $31,878 – $123,422 · median $85,119 | 17 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $18,583 – $104,406 · median $72,004 | 17 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $14,519 – $96,331 · median $66,435 | 17 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $30,130 – $119,829 · median $82,641 | 17 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $22,434 – $103,382 · median $71,298 | 17 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $15,138 – $97,328 · median $67,123 | 17 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $26,997 – $123,381 · median $85,090 | 17 plans |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $16,885 – $102,892 · median $70,960 | 17 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $12,916 – $93,257 · median $64,315 | 17 plans |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $18,382 – $107,270 · median $73,980 | 17 plans |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $14,752 – $97,754 · median $67,416 | 17 plans |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $11,524 – $93,291 · median $64,339 | 17 plans |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $32,029 – $121,251 · median $83,621 | 17 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $17,328 – $98,383 · median $67,850 | 17 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $14,105 – $93,753 · median $64,657 | 17 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $40,650 – $131,467 · median $90,667 | 17 plans |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $26,200 – $104,552 · median $72,105 | 17 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $15,122 – $95,134 · median $65,609 | 17 plans |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $15,929 – $101,542 · median $70,029 | 17 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $9,089 – $89,051 · median $61,414 | 17 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $7,923 – $84,343 · median $58,168 | 17 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $17,133 – $99,741 · median $68,787 | 17 plans |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $11,663 – $90,077 · median $62,122 | 17 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $8,996 – $86,272 · median $59,498 | 17 plans |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $18,665 – $96,913 · median $66,836 | 17 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $9,297 – $86,106 · median $59,383 | 17 plans |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $6,842 – $83,095 · median $57,307 | 17 plans |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $18,953 – $99,166 · median $68,390 | 17 plans |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $9,168 – $87,806 · median $60,556 | 17 plans |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $7,473 – $84,168 · median $58,047 | 17 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $13,549 – $97,470 · median $67,221 | 17 plans |
| 445 | Disorders Of The Biliary Tract With Cc | $10,125 – $89,574 · median $61,775 | 17 plans |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $7,008 – $85,916 · median $59,252 | 17 plans |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $81,211 – $189,685 · median $130,817 | 17 plans |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $60,140 – $156,260 · median $107,766 | 17 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $47,446 – $131,736 · median $90,852 | 17 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $40,611 – $150,232 · median $103,608 | 17 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $31,920 – $111,018 · median $76,564 | 17 plans |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $50,667 – $152,650 · median $105,276 | 17 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $29,646 – $117,246 · median $80,859 | 17 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $18,246 – $99,563 · median $68,664 | 17 plans |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $37,970 – $145,882 · median $100,608 | 17 plans |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $31,242 – $122,888 · median $84,750 | 17 plans |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $25,905 – $112,223 · median $77,395 | 17 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $28,801 – $116,130 · median $80,089 | 17 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $20,476 – $101,004 · median $69,658 | 17 plans |
| 471 | Cervical Spinal Fusion With Mcc | $35,774 – $140,722 · median $97,050 | 17 plans |
| 472 | Cervical Spinal Fusion With Cc | $21,878 – $114,937 · median $79,267 | 17 plans |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $18,474 – $108,022 · median $74,498 | 17 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $35,394 – $133,384 · median $91,989 | 17 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $16,504 – $105,754 · median $72,934 | 17 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $9,513 – $90,749 · median $62,586 | 17 plans |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $28,271 – $121,901 · median $84,070 | 17 plans |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $19,816 – $108,268 · median $74,667 | 17 plans |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $13,905 – $100,045 · median $68,997 | 17 plans |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $28,634 – $114,474 · median $78,947 | 17 plans |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $20,598 – $103,272 · median $71,222 | 17 plans |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $13,985 – $96,924 · median $66,844 | 17 plans |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $21,802 – $112,551 · median $77,621 | 17 plans |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $29,697 – $118,785 · median $81,921 | 17 plans |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $18,293 – $103,226 · median $71,190 | 17 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $13,224 – $96,036 · median $66,232 | 17 plans |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $17,285 – $98,813 · median $68,147 | 17 plans |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $12,855 – $89,881 · median $61,987 | 17 plans |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $31,463 – $124,874 · median $86,120 | 17 plans |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $19,162 – $109,321 · median $75,394 | 17 plans |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $12,840 – $102,067 · median $70,391 | 17 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $34,112 – $124,245 · median $85,686 | 17 plans |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $14,911 – $99,292 · median $68,477 | 17 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $10,754 – $91,134 · median $62,851 | 17 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $17,550 – $115,905 · median $79,934 | 17 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $9,330 – $102,181 · median $70,469 | 17 plans |
| 500 | Soft Tissue Procedures With Mcc | $31,373 – $117,932 · median $81,333 | 17 plans |
| 501 | Soft Tissue Procedures With Cc | $15,168 – $98,528 · median $67,950 | 17 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $10,284 – $93,019 · median $64,151 | 17 plans |
| 503 | Foot Procedures With Mcc | $27,291 – $112,814 · median $77,802 | 17 plans |
| 504 | Foot Procedures With Cc | $15,810 – $100,186 · median $69,094 | 17 plans |
| 505 | Foot Procedures Without Cc/Mcc | $10,318 – $99,140 · median $68,372 | 17 plans |
| 506 | Major Thumb Or Joint Procedures | $9,956 – $93,064 · median $64,182 | 17 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $16,490 – $99,326 · median $68,501 | 17 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $13,023 – $95,327 · median $65,743 | 17 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $28,674 – $115,956 · median $79,969 | 17 plans |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $17,142 – $103,066 · median $71,080 | 17 plans |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $11,015 – $97,258 · median $67,075 | 17 plans |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $11,941 – $96,147 · median $66,308 | 17 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $8,508 – $88,587 · median $61,094 | 17 plans |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $35,523 – $118,235 · median $81,541 | 17 plans |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $22,724 – $103,048 · median $71,067 | 17 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $16,459 – $95,632 · median $65,953 | 17 plans |
| 533 | Fractures Of Femur With Mcc | $18,812 – $96,057 · median $66,246 | 17 plans |
| 534 | Fractures Of Femur Without Mcc | $6,046 – $85,625 · median $59,052 | 17 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $13,375 – $92,144 · median $63,547 | 17 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $7,273 – $85,646 · median $59,066 | 17 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $11,452 – $87,655 · median $60,452 | 17 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $6,431 – $84,450 · median $58,241 | 17 plans |
| 539 | Osteomyelitis With Mcc | $23,636 – $101,563 · median $70,043 | 17 plans |
| 540 | Osteomyelitis With Cc | $15,556 – $92,340 · median $63,682 | 17 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $8,814 – $85,369 · median $58,875 | 17 plans |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $20,078 – $98,780 · median $68,124 | 17 plans |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $12,336 – $88,665 · median $61,148 | 17 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $8,266 – $84,920 · median $58,565 | 17 plans |
| 545 | Connective Tissue Disorders With Mcc | $22,349 – $108,576 · median $74,880 | 17 plans |
| 546 | Connective Tissue Disorders With Cc | $12,682 – $90,382 · median $62,333 | 17 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $10,034 – $86,038 · median $59,336 | 17 plans |
| 548 | Septic Arthritis With Mcc | $23,171 – $101,032 · median $69,677 | 17 plans |
| 549 | Septic Arthritis With Cc | $12,745 – $91,119 · median $62,841 | 17 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $7,807 – $86,557 · median $59,694 | 17 plans |
| 551 | Medical Back Problems With Mcc | $13,999 – $97,542 · median $67,270 | 17 plans |
| 552 | Medical Back Problems Without Mcc | $7,871 – $87,751 · median $60,518 | 17 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $14,132 – $92,340 · median $63,682 | 17 plans |
| 554 | Bone Diseases And Arthropathies Without Mcc | $5,691 – $85,954 · median $59,279 | 17 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $15,742 – $92,689 · median $63,923 | 17 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $7,198 – $85,961 · median $59,283 | 17 plans |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $14,849 – $94,950 · median $65,483 | 17 plans |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $5,827 – $86,818 · median $59,875 | 17 plans |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $22,379 – $100,128 · median $69,053 | 17 plans |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $12,965 – $90,008 · median $62,075 | 17 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $6,657 – $85,595 · median $59,031 | 17 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $11,973 – $94,100 · median $64,896 | 17 plans |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $6,475 – $86,850 · median $59,896 | 17 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $18,523 – $95,727 · median $66,018 | 17 plans |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $9,655 – $87,930 · median $60,642 | 17 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $6,474 – $84,847 · median $58,515 | 17 plans |
| 570 | Skin Debridement With Mcc | $35,293 – $114,868 · median $79,219 | 17 plans |
| 571 | Skin Debridement With Cc | $13,050 – $97,725 · median $67,397 | 17 plans |
| 572 | Skin Debridement Without Cc/Mcc | $8,662 – $90,285 · median $62,266 | 17 plans |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $31,718 – $164,318 · median $113,323 | 17 plans |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $26,377 – $122,132 · median $84,229 | 17 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $12,882 – $99,198 · median $68,412 | 17 plans |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $46,768 – $141,715 · median $97,735 | 17 plans |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $20,864 – $110,891 · median $76,476 | 17 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $16,929 – $96,587 · median $66,612 | 17 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $21,263 – $118,942 · median $82,029 | 17 plans |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $14,140 – $98,252 · median $67,760 | 17 plans |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $13,343 – $94,350 · median $65,069 | 17 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $18,109 – $100,973 · median $69,636 | 17 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $17,408 – $98,203 · median $67,726 | 17 plans |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $19,593 – $103,905 · median $71,659 | 17 plans |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $15,967 – $101,007 · median $69,660 | 17 plans |
| 592 | Skin Ulcers With Mcc | $23,224 – $101,092 · median $69,719 | 17 plans |
| 593 | Skin Ulcers With Cc | $8,314 – $90,833 · median $62,643 | 17 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $7,824 – $86,457 · median $59,625 | 17 plans |
| 595 | Major Skin Disorders With Mcc | $15,679 – $103,631 · median $71,470 | 17 plans |
| 596 | Major Skin Disorders Without Mcc | $6,369 – $89,411 · median $61,663 | 17 plans |
| 597 | Malignant Breast Disorders With Mcc | $16,687 – $97,418 · median $67,185 | 17 plans |
| 598 | Malignant Breast Disorders With Cc | $11,577 – $90,080 · median $62,124 | 17 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $7,769 – $85,123 · median $58,705 | 17 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $8,386 – $88,851 · median $61,276 | 17 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $5,101 – $82,871 · median $57,152 | 17 plans |
| 602 | Cellulitis With Mcc | $15,267 – $94,052 · median $64,863 | 17 plans |
| 603 | Cellulitis Without Mcc | $5,854 – $86,513 · median $59,664 | 17 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $17,480 – $94,747 · median $65,343 | 17 plans |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $7,481 – $87,131 · median $60,090 | 17 plans |
| 606 | Minor Skin Disorders With Mcc | $12,032 – $95,310 · median $65,731 | 17 plans |
| 607 | Minor Skin Disorders Without Mcc | $5,027 – $86,999 · median $59,999 | 17 plans |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $22,122 – $104,605 · median $72,141 | 17 plans |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $14,229 – $93,750 · median $64,655 | 17 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $31,888 – $122,351 · median $84,380 | 17 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $16,571 – $100,202 · median $69,105 | 17 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $12,714 – $94,011 · median $64,835 | 17 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $31,123 – $114,133 · median $78,712 | 17 plans |
| 620 | O.R. Procedures For Obesity With Cc | $19,204 – $96,503 · median $66,554 | 17 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $18,101 – $95,245 · median $65,686 | 17 plans |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $42,710 – $123,334 · median $85,058 | 17 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $18,183 – $99,155 · median $68,383 | 17 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $12,864 – $91,731 · median $63,263 | 17 plans |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $23,216 – $115,950 · median $79,966 | 17 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $12,181 – $95,121 · median $65,601 | 17 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $8,998 – $92,778 · median $63,985 | 17 plans |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $38,261 – $125,630 · median $86,641 | 17 plans |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $18,161 – $104,427 · median $72,019 | 17 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $13,376 – $94,575 · median $65,224 | 17 plans |
| 637 | Diabetes With Mcc | $14,287 – $94,263 · median $65,009 | 17 plans |
| 638 | Diabetes With Cc | $7,263 – $86,859 · median $59,903 | 17 plans |
| 639 | Diabetes Without Cc/Mcc | $5,293 – $83,093 · median $57,305 | 17 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $10,474 – $92,878 · median $64,054 | 17 plans |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $5,051 – $85,243 · median $58,788 | 17 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $10,280 – $94,063 · median $64,871 | 17 plans |
| 643 | Endocrine Disorders With Mcc | $18,217 – $97,131 · median $66,987 | 17 plans |
| 644 | Endocrine Disorders With Cc | $8,186 – $88,624 · median $61,120 | 17 plans |
| 645 | Endocrine Disorders Without Cc/Mcc | $5,209 – $85,108 · median $58,695 | 17 plans |
| 653 | Major Bladder Procedures With Mcc | $45,964 – $145,759 · median $100,523 | 17 plans |
| 654 | Major Bladder Procedures With Cc | $25,779 – $112,926 · median $77,880 | 17 plans |
| 655 | Major Bladder Procedures Without Cc/Mcc | $17,872 – $103,575 · median $71,431 | 17 plans |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $29,982 – $118,192 · median $81,512 | 17 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $17,303 – $99,650 · median $68,724 | 17 plans |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $13,457 – $95,839 · median $66,096 | 17 plans |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $24,680 – $109,387 · median $75,439 | 17 plans |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $13,973 – $92,687 · median $63,922 | 17 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $12,159 – $88,766 · median $61,218 | 17 plans |
| 662 | Minor Bladder Procedures With Mcc | $28,422 – $116,517 · median $80,357 | 17 plans |
| 663 | Minor Bladder Procedures With Cc | $13,838 – $95,406 · median $65,797 | 17 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $10,189 – $88,924 · median $61,327 | 17 plans |
| 665 | Prostatectomy With Mcc | $28,539 – $117,335 · median $80,921 | 17 plans |
| 666 | Prostatectomy With Cc | $15,155 – $98,544 · median $67,962 | 17 plans |
| 667 | Prostatectomy Without Cc/Mcc | $8,542 – $89,736 · median $61,887 | 17 plans |
| 668 | Transurethral Procedures With Mcc | $19,384 – $114,579 · median $79,020 | 17 plans |
| 669 | Transurethral Procedures With Cc | $10,533 – $95,842 · median $66,098 | 17 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $8,628 – $87,970 · median $60,669 | 17 plans |
| 671 | Urethral Procedures With Cc/Mcc | $11,426 – $99,170 · median $68,393 | 17 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $7,039 – $89,370 · median $61,635 | 17 plans |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $28,704 – $132,133 · median $91,126 | 17 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $20,630 – $106,616 · median $73,528 | 17 plans |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $14,769 – $97,066 · median $66,942 | 17 plans |
| 682 | Renal Failure With Mcc | $14,145 – $94,869 · median $65,427 | 17 plans |
| 683 | Renal Failure With Cc | $8,491 – $86,580 · median $59,710 | 17 plans |
| 684 | Renal Failure Without Cc/Mcc | $5,690 – $82,806 · median $57,108 | 17 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $16,267 – $99,289 · median $68,475 | 17 plans |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $10,104 – $88,936 · median $61,335 | 17 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $6,649 – $85,409 · median $58,903 | 17 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $10,894 – $90,477 · median $62,398 | 17 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $6,099 – $85,672 · median $59,084 | 17 plans |
| 693 | Urinary Stones With Mcc | $11,314 – $93,000 · median $64,138 | 17 plans |
| 694 | Urinary Stones Without Mcc | $6,182 – $85,291 · median $58,821 | 17 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $11,419 – $90,251 · median $62,242 | 17 plans |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $5,871 – $84,021 · median $57,946 | 17 plans |
| 697 | Urethral Stricture | $7,043 – $89,347 · median $61,618 | 17 plans |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $14,054 – $97,244 · median $67,065 | 17 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $9,308 – $88,487 · median $61,025 | 17 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $6,293 – $84,034 · median $57,954 | 17 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $15,958 – $101,982 · median $70,332 | 17 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $13,306 – $95,598 · median $65,930 | 17 plans |
| 709 | Penis Procedures With Cc/Mcc | $19,295 – $106,458 · median $73,419 | 17 plans |
| 710 | Penis Procedures Without Cc/Mcc | $9,711 – $93,776 · median $64,673 | 17 plans |
| 711 | Testes Procedures With Cc/Mcc | $13,903 – $103,126 · median $71,121 | 17 plans |
| 712 | Testes Procedures Without Cc/Mcc | $7,693 – $89,647 · median $61,825 | 17 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $9,319 – $95,176 · median $65,639 | 17 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $6,681 – $89,067 · median $61,426 | 17 plans |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $20,741 – $105,228 · median $72,571 | 17 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $14,286 – $94,732 · median $65,333 | 17 plans |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $20,878 – $100,478 · median $69,295 | 17 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $8,473 – $92,981 · median $64,125 | 17 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $21,716 – $99,371 · median $68,532 | 17 plans |
| 723 | Malignancy, Male Reproductive System With Cc | $11,015 – $90,236 · median $62,232 | 17 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $7,868 – $83,565 · median $57,631 | 17 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $10,536 – $90,612 · median $62,491 | 17 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $4,791 – $84,473 · median $58,258 | 17 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $12,706 – $94,895 · median $65,445 | 17 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $5,793 – $85,695 · median $59,100 | 17 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $12,704 – $89,085 · median $61,438 | 17 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $4,704 – $83,789 · median $57,785 | 17 plans |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $24,400 – $103,759 · median $71,558 | 17 plans |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $13,647 – $93,013 · median $64,147 | 17 plans |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $39,129 – $123,544 · median $85,203 | 17 plans |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $18,253 – $102,808 · median $70,902 | 17 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $13,229 – $94,698 · median $65,309 | 17 plans |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $22,408 – $123,657 · median $85,281 | 17 plans |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $14,973 – $99,370 · median $68,531 | 17 plans |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $10,645 – $94,117 · median $64,909 | 17 plans |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $12,581 – $99,715 · median $68,769 | 17 plans |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $9,740 – $91,578 · median $63,157 | 17 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $11,682 – $102,651 · median $70,793 | 17 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $7,813 – $90,164 · median $62,182 | 17 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $11,360 – $98,377 · median $67,846 | 17 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $7,501 – $86,359 · median $59,558 | 17 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $9,197 – $93,586 · median $64,542 | 17 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $15,941 – $109,752 · median $75,691 | 17 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $10,262 – $94,798 · median $65,378 | 17 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $18,638 – $99,810 · median $68,834 | 17 plans |
| 755 | Malignancy, Female Reproductive System With Cc | $9,759 – $89,484 · median $61,713 | 17 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $4,829 – $87,740 · median $60,510 | 17 plans |
| 757 | Infections, Female Reproductive System With Mcc | $15,748 – $94,197 · median $64,963 | 17 plans |
| 758 | Infections, Female Reproductive System With Cc | $7,921 – $87,994 · median $60,685 | 17 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $5,787 – $83,674 · median $57,706 | 17 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $6,317 – $88,384 · median $60,954 | 17 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $4,428 – $82,398 · median $56,826 | 17 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $6,055 – $89,262 · median $61,560 | 17 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $11,253 – $97,729 · median $67,399 | 17 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $5,894 – $88,318 · median $60,909 | 17 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $4,279 – $83,552 · median $57,622 | 17 plans |
| 779 | Abortion Without D&C | $3,831 – $86,107 · median $59,384 | 17 plans |
| 795 | Normal Newborn | $934 – $77,321 · median $53,325 | 17 plans |
| 799 | Splenic Procedures With Mcc | $46,142 – $136,616 · median $94,218 | 17 plans |
| 800 | Splenic Procedures With Cc | $23,777 – $113,064 · median $77,975 | 17 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $14,630 – $100,730 · median $69,469 | 17 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $32,638 – $129,154 · median $89,072 | 17 plans |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $16,028 – $100,045 · median $68,997 | 17 plans |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $9,968 – $93,157 · median $64,246 | 17 plans |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $25,516 – $104,826 · median $72,294 | 17 plans |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $11,706 – $91,923 · median $63,395 | 17 plans |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $7,736 – $88,919 · median $61,324 | 17 plans |
| 811 | Red Blood Cell Disorders With Mcc | $10,781 – $93,819 · median $64,703 | 17 plans |
| 812 | Red Blood Cell Disorders Without Mcc | $6,214 – $87,161 · median $60,111 | 17 plans |
| 813 | Coagulation Disorders | $12,418 – $95,476 · median $65,846 | 17 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $22,765 – $103,713 · median $71,526 | 17 plans |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $9,848 – $88,473 · median $61,016 | 17 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $5,929 – $83,241 · median $57,407 | 17 plans |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $68,148 – $154,914 · median $106,837 | 17 plans |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $20,117 – $105,246 · median $72,584 | 17 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $12,693 – $91,075 · median $62,811 | 17 plans |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $55,018 – $137,382 · median $94,746 | 17 plans |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $23,137 – $105,616 · median $72,839 | 17 plans |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $14,304 – $93,067 · median $64,184 | 17 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $50,804 – $138,656 · median $95,624 | 17 plans |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $21,183 – $106,240 · median $73,269 | 17 plans |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $16,318 – $97,921 · median $67,532 | 17 plans |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $30,231 – $117,866 · median $81,287 | 17 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $11,145 – $95,198 · median $65,654 | 17 plans |
| 834 | Acute Leukemia With Mcc | $65,879 – $149,779 · median $103,296 | 17 plans |
| 835 | Acute Leukemia With Cc | $25,030 – $103,153 · median $71,140 | 17 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $14,634 – $91,288 · median $62,957 | 17 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $52,879 – $140,388 · median $96,819 | 17 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $21,178 – $103,175 · median $71,155 | 17 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $11,270 – $94,361 · median $65,077 | 17 plans |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $37,364 – $118,892 · median $81,995 | 17 plans |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $19,577 – $96,929 · median $66,848 | 17 plans |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $12,125 – $88,424 · median $60,982 | 17 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $16,741 – $101,907 · median $70,281 | 17 plans |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $12,921 – $91,259 · median $62,937 | 17 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $8,538 – $86,249 · median $59,482 | 17 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $23,852 – $110,093 · median $75,926 | 17 plans |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $12,568 – $92,503 · median $63,795 | 17 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $9,143 – $86,218 · median $59,461 | 17 plans |
| 849 | Radiotherapy | $8,188 – $111,696 · median $77,032 | 17 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $49,434 – $142,228 · median $98,088 | 17 plans |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $17,879 – $101,952 · median $70,312 | 17 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $12,226 – $95,091 · median $65,580 | 17 plans |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $33,270 – $136,887 · median $94,405 | 17 plans |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $16,365 – $103,916 · median $71,666 | 17 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $11,577 – $93,663 · median $64,595 | 17 plans |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $16,346 – $99,563 · median $68,664 | 17 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $7,653 – $88,252 · median $60,864 | 17 plans |
| 864 | Fever And Inflammatory Conditions | $6,435 – $86,743 · median $59,823 | 17 plans |
| 865 | Viral Illness With Mcc | $14,615 – $95,106 · median $65,591 | 17 plans |
| 866 | Viral Illness Without Mcc | $5,931 – $86,495 · median $59,652 | 17 plans |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $25,118 – $103,255 · median $71,210 | 17 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $9,960 – $88,707 · median $61,177 | 17 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $7,004 – $84,579 · median $58,330 | 17 plans |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $65,927 – $169,254 · median $116,727 | 17 plans |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $18,717 – $101,190 · median $69,787 | 17 plans |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $8,836 – $88,600 · median $61,104 | 17 plans |
| 901 | Wound Debridements For Injuries With Mcc | $47,664 – $132,065 · median $91,079 | 17 plans |
| 902 | Wound Debridements For Injuries With Cc | $13,939 – $100,807 · median $69,522 | 17 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $10,229 – $90,604 · median $62,486 | 17 plans |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $26,139 – $124,894 · median $86,134 | 17 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $13,143 – $94,902 · median $65,450 | 17 plans |
| 906 | Hand Procedures For Injuries | $11,970 – $101,489 · median $69,992 | 17 plans |
| 907 | Other O.R. Procedures For Injuries With Mcc | $33,243 – $127,171 · median $87,704 | 17 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $16,165 – $101,912 · median $70,284 | 17 plans |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $10,801 – $92,564 · median $63,837 | 17 plans |
| 913 | Traumatic Injury With Mcc | $18,318 – $96,973 · median $66,878 | 17 plans |
| 914 | Traumatic Injury Without Mcc | $6,737 – $86,713 · median $59,802 | 17 plans |
| 915 | Allergic Reactions With Mcc | $12,964 – $97,617 · median $67,322 | 17 plans |
| 916 | Allergic Reactions Without Mcc | $3,952 – $83,710 · median $57,731 | 17 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $13,109 – $96,066 · median $66,253 | 17 plans |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $5,631 – $86,324 · median $59,534 | 17 plans |
| 919 | Complications Of Treatment With Mcc | $17,788 – $99,661 · median $68,731 | 17 plans |
| 920 | Complications Of Treatment With Cc | $9,646 – $88,313 · median $60,905 | 17 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $5,543 – $84,013 · median $57,940 | 17 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $19,177 – $98,546 · median $67,962 | 17 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $4,240 – $88,524 · median $61,051 | 17 plans |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $41,604 – $124,283 · median $85,713 | 17 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $18,077 – $106,592 · median $73,512 | 17 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $14,964 – $102,357 · median $70,591 | 17 plans |
| 947 | Signs And Symptoms With Mcc | $10,160 – $91,971 · median $63,428 | 17 plans |
| 948 | Signs And Symptoms Without Mcc | $6,750 – $85,549 · median $58,999 | 17 plans |
| 949 | Aftercare With Cc/Mcc | $14,276 – $90,879 · median $62,675 | 17 plans |
| 950 | Aftercare Without Cc/Mcc | $7,046 – $83,182 · median $57,367 | 17 plans |
| 951 | Other Factors Influencing Health Status | $3,866 – $82,200 · median $56,689 | 17 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $64,611 – $166,779 · median $115,020 | 17 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $45,156 – $126,126 · median $86,983 | 17 plans |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $66,590 – $178,953 · median $123,416 | 17 plans |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $36,228 – $132,302 · median $91,242 | 17 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $26,983 – $114,909 · median $79,248 | 17 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $31,505 – $112,029 · median $77,261 | 17 plans |
| 964 | Other Multiple Significant Trauma With Cc | $14,587 – $95,576 · median $65,915 | 17 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $10,815 – $87,466 · median $60,321 | 17 plans |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $53,055 – $158,427 · median $109,260 | 17 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $31,649 – $110,708 · median $76,351 | 17 plans |
| 974 | Hiv With Major Related Condition With Mcc | $33,633 – $114,113 · median $78,699 | 17 plans |
| 975 | Hiv With Major Related Condition With Cc | $15,259 – $92,322 · median $63,670 | 17 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $10,832 – $86,948 · median $59,964 | 17 plans |
| 977 | Hiv With Or Without Other Related Condition | $12,539 – $92,359 · median $63,696 | 17 plans |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $43,120 – $138,847 · median $95,757 | 17 plans |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $19,264 – $108,258 · median $74,661 | 17 plans |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $10,697 – $98,061 · median $67,628 | 17 plans |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $31,290 – $121,543 · median $83,823 | 17 plans |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $13,069 – $97,096 · median $66,963 | 17 plans |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $9,464 – $91,010 · median $62,765 | 17 plans |
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $316,155 – $588,502 · median $331,962 | 14 plans |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $135,982 – $237,968 · median $162,441 | 14 plans |
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $123,726 – $216,521 · median $152,552 | 14 plans |
| 006 | Liver Transplant Without Mcc | $55,644 – $138,097 · median $96,308 | 14 plans |
| 007 | Lung Transplant | $155,402 – $271,954 · median $178,111 | 14 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $67,255 – $151,350 · median $106,989 | 14 plans |
| 010 | Pancreas Transplant | $86,108 – $172,869 · median $122,200 | 14 plans |
| 014 | Allogeneic Bone Marrow Transplant | $144,215 – $252,376 · median $169,084 | 14 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $71,156 – $155,803 · median $110,136 | 14 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $65,188 – $148,990 · median $105,320 | 14 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $459,348 – $906,839 · median $482,315 | 14 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $85,615 – $172,306 · median $121,803 | 14 plans |
| 140 | Major Head And Neck Procedures With Mcc | $51,184 – $133,006 · median $91,728 | 14 plans |
| 141 | Major Head And Neck Procedures With Cc | $26,173 – $104,459 · median $72,040 | 14 plans |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $19,157 – $96,450 · median $66,517 | 14 plans |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $44,959 – $125,901 · median $86,828 | 14 plans |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $20,795 – $98,320 · median $67,807 | 14 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $14,428 – $91,052 · median $62,794 | 14 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $35,717 – $115,352 · median $79,553 | 14 plans |
| 209 | Complex Aortic Arch Procedures | $135,826 – $237,695 · median $162,315 | 14 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $130,489 – $228,356 · median $158,009 | 14 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $68,483 – $152,751 · median $107,979 | 14 plans |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $73,541 – $158,524 · median $112,060 | 14 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $57,130 – $139,792 · median $98,193 | 14 plans |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $82,535 – $168,790 · median $119,317 | 14 plans |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $50,678 – $132,429 · median $91,330 | 14 plans |
| 270 | Other Major Cardiovascular Procedures With Mcc | $63,316 – $146,853 · median $103,810 | 14 plans |
| 271 | Other Major Cardiovascular Procedures With Cc | $42,676 – $123,294 · median $85,031 | 14 plans |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $30,636 – $109,552 · median $75,553 | 14 plans |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $49,506 – $131,091 · median $90,407 | 14 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $39,500 – $119,670 · median $82,531 | 14 plans |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $85,565 – $172,248 · median $121,762 | 14 plans |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $72,079 – $156,856 · median $110,881 | 14 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $55,422 – $137,843 · median $96,026 | 14 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $66,794 – $150,824 · median $106,617 | 14 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $43,277 – $123,981 · median $85,504 | 14 plans |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $80,238 – $166,168 · median $117,464 | 14 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $29,066 – $107,761 · median $74,318 | 14 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $53,555 – $135,712 · median $93,658 | 14 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $28,864 – $107,529 · median $74,158 | 14 plans |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $32,650 – $111,851 · median $77,138 | 14 plans |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $21,156 – $98,732 · median $68,091 | 14 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $51,929 – $133,856 · median $92,315 | 14 plans |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $37,812 – $117,743 · median $81,202 | 14 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $38,525 – $118,557 · median $81,763 | 14 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $41,263 – $121,682 · median $83,919 | 14 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $28,972 – $107,653 · median $74,243 | 14 plans |
| 397 | Appendix Procedures With Mcc | $28,739 – $107,387 · median $74,060 | 14 plans |
| 398 | Appendix Procedures With Cc | $18,163 – $95,316 · median $65,735 | 14 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $13,736 – $90,263 · median $62,250 | 14 plans |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $48,246 – $129,653 · median $89,416 | 14 plans |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $132,254 – $231,445 · median $159,434 | 14 plans |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $86,623 – $173,457 · median $122,616 | 14 plans |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $67,464 – $151,588 · median $107,157 | 14 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $108,115 – $197,988 · median $139,957 | 14 plans |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $69,205 – $153,576 · median $108,562 | 14 plans |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $80,179 – $166,101 · median $117,416 | 14 plans |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $50,890 – $132,670 · median $91,497 | 14 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $63,955 – $147,583 · median $104,326 | 14 plans |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $38,765 – $118,831 · median $81,952 | 14 plans |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $44,848 – $125,774 · median $86,740 | 14 plans |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $24,002 – $101,981 · median $70,332 | 14 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $17,927 – $95,046 · median $65,549 | 14 plans |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $34,442 – $113,897 · median $78,550 | 14 plans |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $25,412 – $103,590 · median $71,441 | 14 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $56,417 – $138,979 · median $97,288 | 14 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $44,470 – $125,342 · median $86,443 | 14 plans |
| 652 | Kidney Transplant | $38,754 – $118,818 · median $81,944 | 14 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $29,461 – $108,211 · median $74,629 | 14 plans |
| 784 | Cesarean Section With Sterilization With Cc | $12,721 – $89,104 · median $61,451 | 14 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $11,494 – $87,703 · median $60,485 | 14 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $19,794 – $97,177 · median $67,019 | 14 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $13,402 – $89,881 · median $61,987 | 14 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $11,506 – $87,717 · median $60,494 | 14 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $21,626 – $99,269 · median $68,461 | 14 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $71,322 – $155,992 · median $110,270 | 14 plans |
| 791 | Prematurity With Major Problems | $48,708 – $130,180 · median $89,779 | 14 plans |
| 792 | Prematurity Without Major Problems | $29,390 – $108,131 · median $74,573 | 14 plans |
| 793 | Full Term Neonate With Major Problems | $50,035 – $131,695 · median $90,824 | 14 plans |
| 794 | Neonate With Other Significant Problems | $17,711 – $94,799 · median $65,379 | 14 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $14,004 – $90,569 · median $62,461 | 14 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $12,005 – $88,287 · median $60,887 | 14 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $11,485 – $87,694 · median $60,478 | 14 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $12,950 – $89,366 · median $61,632 | 14 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $9,048 – $84,912 · median $58,560 | 14 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $8,090 – $83,819 · median $57,806 | 14 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $27,379 – $105,835 · median $72,990 | 14 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $13,910 – $90,462 · median $62,387 | 14 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $10,319 – $86,362 · median $59,560 | 14 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $14,430 – $91,055 · median $62,796 | 14 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $8,659 – $84,468 · median $58,254 | 14 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $6,275 – $81,746 · median $56,377 | 14 plans |
| 850 | Acute Leukemia With Other Procedures | $103,914 – $193,192 · median $136,567 | 14 plans |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $46,379 – $127,521 · median $87,946 | 14 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $11,522 – $87,736 · median $60,508 | 14 plans |
| 881 | Depressive Neuroses | $11,291 – $87,472 · median $60,325 | 14 plans |
| 882 | Neuroses Except Depressive | $12,886 – $89,292 · median $61,581 | 14 plans |
| 883 | Disorders Of Personality And Impulse Control | $23,596 – $101,516 · median $70,011 | 14 plans |
| 884 | Organic Disturbances And Intellectual Disability | $19,307 – $96,621 · median $66,635 | 14 plans |
| 885 | Psychoses | $16,762 – $93,716 · median $64,632 | 14 plans |
| 886 | Behavioral And Developmental Disorders | $24,904 – $103,009 · median $71,041 | 14 plans |
| 887 | Other Mental Disorder Diagnoses | $12,851 – $89,252 · median $61,553 | 14 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $7,403 – $83,034 · median $57,265 | 14 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $16,987 – $93,974 · median $64,809 | 14 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $20,941 – $98,487 · median $67,922 | 14 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $10,594 – $86,676 · median $59,776 | 14 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $253,117 – $448,361 · median $265,773 | 14 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $86,072 – $172,828 · median $122,171 | 14 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $38,650 – $118,699 · median $81,861 | 14 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $46,730 – $127,923 · median $88,223 | 14 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $26,527 – $104,863 · median $72,319 | 14 plans |
| 935 | Non-Extensive Burns | $24,720 – $102,800 · median $70,896 | 14 plans |
| 945 | Rehabilitation With Cc/Mcc | $18,583 – $95,795 · median $66,066 | 14 plans |
| 946 | Rehabilitation Without Cc/Mcc | $13,762 – $90,292 · median $62,270 | 14 plans |
| 077 | Hypertensive Encephalopathy With Mcc | $16,894 – $32,470 · median $19,421 | 6 plans |
| 078 | Hypertensive Encephalopathy With Cc | $10,946 – $20,954 · median $12,583 | 6 plans |
| 079 | Hypertensive Encephalopathy Without Cc/Mcc | $6,820 – $14,001 · median $7,920 | 6 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc | $79,173 – $160,789 · median $91,448 | 6 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc | $62,624 – $109,593 · median $70,823 | 6 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc | $72,347 – $148,873 · median $84,120 | 6 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc | $52,445 – $106,212 · median $60,491 | 6 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc | $59,664 – $134,419 · median $72,700 | 6 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc | $45,497 – $105,435 · median $56,276 | 6 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $33,334 – $62,903 · median $38,321 | 6 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc | $22,914 – $40,100 · median $26,626 | 6 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $32,884 – $63,206 · median $37,804 | 6 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc | $21,800 – $38,151 · median $24,875 | 6 plans |
| 294 | Deep Vein Thrombophlebitis With Cc/Mcc | $9,589 – $25,786 · median $12,879 | 6 plans |
| 295 | Deep Vein Thrombophlebitis Without Cc/Mcc | $4,479 – $16,586 · median $7,313 | 6 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With Mcc | $24,389 – $55,787 · median $29,958 | 6 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With Cc | $17,003 – $34,196 · median $19,547 | 6 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc | $12,565 – $25,198 · median $14,445 | 6 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With Mcc | $16,835 – $47,439 · median $23,231 | 6 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With Cc | $12,481 – $30,517 · median $15,894 | 6 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc | $9,958 – $22,947 · median $12,280 | 6 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With Mcc | $92,959 – $186,089 · median $106,866 | 6 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With Cc | $59,966 – $128,442 · median $71,166 | 6 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc | $46,828 – $96,718 · median $54,550 | 6 plans |
| 459 | Spinal Fusion Except Cervical With Mcc | $52,436 – $139,278 · median $69,934 | 6 plans |
| 460 | Spinal Fusion Except Cervical Without Mcc | $34,058 – $76,816 · median $41,524 | 6 plans |
| 509 | Arthroscopy | $8,986 – $36,887 · median $15,704 | 6 plans |
| 129 | Major Head & Neck Procedures W Cc/Mcc Or Major Device | $18,359 – $21,105 · median $21,105 | 3 plans |
| 130 | Major Head & Neck Procedures W/O Cc/Mcc | $13,233 – $15,212 · median $15,212 | 3 plans |
| 131 | Cranial/Facial Procedures W Cc/Mcc | $19,883 – $22,857 · median $22,857 | 3 plans |
| 132 | Cranial/Facial Procedures W/O Cc/Mcc | $16,797 – $19,310 · median $19,310 | 3 plans |
| 133 | Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | $14,556 – $16,733 · median $16,733 | 3 plans |
| 134 | Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc | $8,539 – $9,816 · median $9,816 | 3 plans |
| 230 | Other cardiothoracic procedures w/o CC/MCC | $30,980 – $35,615 · median $35,615 | 3 plans |
| 237 | Major cardiovasc procedures w MCC | $43,648 – $50,177 · median $50,177 | 3 plans |
| 238 | Major cardiovasc procedures w/o MCC | $23,981 – $27,568 · median $27,568 | 3 plans |
| 484 | Major joint & limb reattachment proc of upper extremity w/o CC/MCC | $19,014 – $21,858 · median $21,858 | 3 plans |
| 490 | Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim | $16,306 – $18,745 · median $18,745 | 3 plans |
| 491 | Back & neck proc exc spinal fusion w/o CC/MCC | $10,195 – $11,720 · median $11,720 | 3 plans |
| 685 | Admit For Renal Dialysis | $7,059 – $8,116 · median $8,116 | 3 plans |
| 691 | Urinary Stones W Esw Lithotripsy W Cc/Mcc | $12,802 – $14,718 · median $14,718 | 3 plans |
| 692 | Urinary Stones W Esw Lithotripsy W/O Cc/Mcc | $10,140 – $11,657 · median $11,657 | 3 plans |
| 765 | Cesarean Section W Cc/Mcc | $7,120 – $8,185 · median $8,185 | 3 plans |
| 766 | Cesarean Section W/O Cc/Mcc | $5,850 – $6,725 · median $6,725 | 3 plans |
| 767 | Vaginal Delivery W Sterilization &/Or D&C | $6,000 – $6,898 · median $6,898 | 3 plans |
| 774 | Vaginal Delivery W Complicating Diagnoses | $4,512 – $5,187 · median $5,187 | 3 plans |
| 775 | Vaginal Delivery W/O Complicating Diagnoses | $3,679 – $4,229 · median $4,229 | 3 plans |
| 777 | Ectopic Pregnancy | $8,522 – $9,797 · median $9,797 | 3 plans |
| 778 | Threatened Abortion | $3,904 – $4,489 · median $4,489 | 3 plans |
| 780 | False Labor | $1,478 – $1,699 · median $1,699 | 3 plans |
| 781 | Other Antepartum Diagnoses W Medical Complications | $4,123 – $4,739 · median $4,739 | 3 plans |
| 782 | Other Antepartum Diagnoses W/O Medical Complications | $3,335 – $3,834 · median $3,834 | 3 plans |
| 984 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc | $44,539 – $51,201 · median $51,201 | 3 plans |
| 985 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc | $18,091 – $20,797 · median $20,797 | 3 plans |
| 986 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc | $7,789 – $8,954 · median $8,954 | 3 plans |
No procedures match that keyword.