Rio Grande Regional Hospital (Acute Care) — Pricing
784 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 784 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 784
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 784 procedures
Procedures with negotiated rates only
These 784 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $893 – $4,500 · median $1,792 | 22 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $893 – $6,500 · median $1,866 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $893 – $6,500 · median $1,866 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $893 – $6,500 · median $1,866 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $893 – $6,500 · median $1,866 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $893 – $6,500 · median $1,866 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $893 – $6,500 · median $1,866 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $893 – $4,500 · median $1,830 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $893 – $4,500 · median $1,830 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $893 – $4,500 · median $1,830 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $893 – $4,500 · median $1,830 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $893 – $4,500 · median $1,830 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $893 – $4,500 · median $1,830 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $1,275 – $3,178 · median $2,010 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $1,275 – $3,178 · median $2,010 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $1,120 – $3,100 · median $2,488 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $1,120 – $3,100 · median $2,488 | 13 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $5,140 – $100,600 · median $55,056 | 11 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,144 – $70,006 · median $29,578 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,144 – $75,000 · median $31,399 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,144 – $70,006 · median $28,824 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,144 – $24,425 · median $11,400 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,144 – $24,425 · median $11,400 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,144 – $10,120 · median $8,367 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $52,939 – $116,917 · median $90,210 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $52,939 – $116,917 · median $90,210 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA | $52,939 – $116,917 · median $90,210 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $48,276 – $90,935 · median $70,163 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $48,276 – $90,935 · median $70,163 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER | $48,276 – $90,935 · median $70,163 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,939 – $112,584 · median $86,868 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $52,939 – $112,584 · median $86,868 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,460 – $55,056 · median $48,661 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $28,460 – $55,056 · median $41,362 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $33,949 – $90,935 · median $66,665 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,607 – $70,621 · median $54,542 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $6,549 – $24,746 · median $18,140 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,549 – $24,746 · median $18,140 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $5,140 – $53,610 · median $39,299 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $5,140 – $53,610 · median $39,299 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $5,140 – $53,610 · median $39,299 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $56,714 – $70,000 · median $65,000 | 8 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $65,000 – $151,859 · median $65,000 | 8 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT | $65,000 – $102,966 · median $65,000 | 8 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $65,000 – $120,911 · median $65,000 | 8 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $65,000 – $79,304 · median $65,000 | 8 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL | $41,000 – $97,196 · median $41,000 | 8 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,000 – $75,000 · median $41,000 | 8 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY | $41,000 – $75,000 · median $41,000 | 8 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,000 – $75,000 · median $41,000 | 8 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $53,987 – $70,000 · median $65,000 | 8 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $53,987 – $70,000 · median $65,000 | 8 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX | $53,987 – $70,000 · median $65,000 | 8 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $19,608 – $35,000 · median $30,500 | 8 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $19,608 – $35,000 · median $30,500 | 8 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,608 – $35,000 · median $30,500 | 8 plans |
| 603 | CELLULITIS WITHOUT MCC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 652 | KIDNEY TRANSPLANT | $5,140 – $232,669 · median $193,811 | 8 plans |
| 683 | RENAL FAILURE WITH CC | $1,275 – $2,010 · median $2,010 | 8 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $1,200 – $22,000 · median $14,250 | 8 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $1,200 – $12,000 · median $8,150 | 8 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $48,276 – $90,935 · median $70,163 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $48,276 – $90,935 · median $70,163 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $28,460 – $53,610 · median $41,362 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $28,460 – $53,610 · median $41,362 | 7 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A | $28,460 – $53,610 · median $41,362 | 7 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,460 – $53,610 · median $41,362 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,541 – $33,041 · median $25,493 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,541 – $33,041 · median $25,493 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,541 – $33,041 · median $25,493 | 7 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $1,200 – $28,200 · median $18,200 | 7 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $1,275 – $3,178 · median $2,828 | 7 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $1,275 – $3,178 · median $2,828 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $1,275 – $7,756 · median $6,934 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $1,275 – $7,756 · median $6,934 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,114 – $2,900 · median $2,581 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $2,114 – $2,900 · median $2,581 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,114 – $2,900 · median $2,581 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,114 – $2,900 · median $2,581 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,114 – $2,900 · median $2,581 | 6 plans |
| 885 | PSYCHOSES | $2,114 – $2,900 · median $2,581 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,114 – $2,900 · median $2,581 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,114 – $2,900 · median $2,581 | 6 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,114 – $2,900 · median $2,581 | 6 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,114 – $2,900 · median $2,581 | 6 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,114 – $2,900 · median $2,581 | 6 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,114 – $2,900 · median $2,581 | 6 plans |
| 795 | NORMAL NEWBORN | $1,200 – $5,093 · median $3,808 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $2,114 – $2,900 · median $2,581 | 5 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $5,140 – $80,575 · median $6,349 | 4 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $5,140 – $58,388 · median $6,349 | 4 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $5,140 – $22,460 · median $6,349 | 4 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES | $5,140 – $22,460 · median $6,349 | 4 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $5,140 – $78,781 · median $6,349 | 4 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $5,140 – $49,853 · median $6,349 | 4 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $5,140 – $51,244 · median $6,349 | 4 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $5,140 – $49,691 · median $6,349 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Pediatric | $166,769 – $222,990 · median $188,974 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Pediatric | $57,947 – $77,482 · median $65,663 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Pediatric | $57,947 – $77,482 · median $65,663 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Pediatric | $57,947 – $77,482 · median $65,663 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Pediatric | $107,886 – $144,255 · median $122,250 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Pediatric | $107,886 – $144,255 · median $122,250 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Pediatric | $107,886 – $144,255 · median $122,250 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Pediatric | $30,634 – $40,962 · median $34,713 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Pediatric | $66,927 – $89,489 · median $75,838 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Pediatric | $66,171 – $88,478 · median $74,982 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Pediatric | $83,934 – $112,228 · median $95,109 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Pediatric | $38,607 – $51,623 · median $43,748 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC Pediatric | $20,805 – $27,818 · median $23,575 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Pediatric | $43,546 – $58,226 · median $49,344 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC Pediatric | $33,465 – $44,747 · median $37,921 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC Pediatric | $67,673 – $90,486 · median $76,683 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC Pediatric | $55,525 – $74,243 · median $62,918 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Pediatric | $18,643 – $24,927 · median $21,125 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC Pediatric | $27,531 – $36,812 · median $31,197 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC Pediatric | $27,531 – $36,812 · median $31,197 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Pediatric | $27,531 – $36,812 · median $31,197 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC Pediatric | $46,694 – $62,434 · median $52,911 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC Pediatric | $23,836 – $31,871 · median $27,009 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Pediatric | $15,435 – $20,638 · median $17,490 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Pediatric | $78,596 – $105,090 · median $89,060 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Pediatric | $33,199 – $44,391 · median $37,619 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Pediatric | $48,243 – $64,508 · median $54,667 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC Pediatric | $21,902 – $29,285 · median $24,818 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Pediatric | $21,902 – $29,285 · median $24,818 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC Pediatric | $21,257 – $28,424 · median $24,088 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Pediatric | $21,257 – $28,424 · median $24,088 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Pediatric | $14,811 – $19,804 · median $16,783 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Pediatric | $14,811 – $19,804 · median $16,783 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Pediatric | $12,819 – $17,141 · median $14,527 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Pediatric | $12,819 – $17,141 · median $14,527 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Pediatric | $12,819 – $17,141 · median $14,527 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric | $34,148 – $45,659 · median $38,695 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric | $34,148 – $45,659 · median $38,695 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Pediatric | $34,148 – $45,659 · median $38,695 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Pediatric | $22,422 – $29,980 · median $25,407 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Pediatric | $22,422 – $29,980 · median $25,407 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Pediatric | $22,422 – $29,980 · median $25,407 | 3 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Pediatric | $16,714 – $22,348 · median $18,939 | 3 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Pediatric | $16,714 – $22,348 · median $18,939 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Pediatric | $12,612 – $16,863 · median $14,291 | 3 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC Pediatric | $28,154 – $37,645 · median $31,902 | 3 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC Pediatric | $17,529 – $23,438 · median $19,863 | 3 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Pediatric | $11,265 – $15,062 · median $12,765 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Pediatric | $15,104 – $20,196 · median $17,115 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Pediatric | $14,362 – $19,203 · median $16,274 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC Pediatric | $21,461 – $28,695 · median $24,318 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC Pediatric | $21,461 – $28,695 · median $24,318 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC Pediatric | $21,461 – $28,695 · median $24,318 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC Pediatric | $15,639 – $20,911 · median $17,721 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC Pediatric | $15,639 – $20,911 · median $17,721 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC Pediatric | $13,043 – $17,441 · median $14,780 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Pediatric | $13,043 – $17,441 · median $14,780 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Pediatric | $20,652 – $27,615 · median $23,402 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Pediatric | $20,652 – $27,615 · median $23,402 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Pediatric | $20,652 – $27,615 · median $23,402 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Pediatric | $5,435 – $7,267 · median $6,158 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Pediatric | $13,057 – $17,458 · median $14,796 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Pediatric | $5,435 – $7,267 · median $6,158 | 3 plans |
| 088 | CONCUSSION WITH MCC Pediatric | $24,424 – $32,657 · median $27,676 | 3 plans |
| 089 | CONCUSSION WITH CC Pediatric | $14,170 – $18,947 · median $16,057 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC Pediatric | $10,415 – $13,926 · median $11,802 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Pediatric | $13,102 – $17,518 · median $14,846 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Pediatric | $14,222 – $19,017 · median $16,115 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Pediatric | $11,719 – $15,669 · median $13,279 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Pediatric | $44,791 – $59,891 · median $50,755 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Pediatric | $44,791 – $59,891 · median $50,755 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Pediatric | $44,791 – $59,891 · median $50,755 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Pediatric | $34,215 – $45,751 · median $38,771 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Pediatric | $34,215 – $45,751 · median $38,771 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Pediatric | $34,215 – $45,751 · median $38,771 | 3 plans |
| 100 | SEIZURES WITH MCC Pediatric | $16,518 – $22,086 · median $18,716 | 3 plans |
| 101 | SEIZURES WITHOUT MCC Pediatric | $15,080 – $20,163 · median $17,088 | 3 plans |
| 102 | HEADACHES WITH MCC Pediatric | $14,351 – $19,190 · median $16,262 | 3 plans |
| 103 | HEADACHES WITHOUT MCC Pediatric | $14,172 – $18,949 · median $16,059 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC Pediatric | $15,417 – $20,615 · median $17,470 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC Pediatric | $15,417 – $20,615 · median $17,470 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT Pediatric | $16,469 – $22,021 · median $18,662 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC Pediatric | $17,502 – $23,402 · median $19,832 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC Pediatric | $10,334 – $13,817 · median $11,710 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Pediatric | $10,610 – $14,187 · median $12,023 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Pediatric | $10,610 – $14,187 · median $12,023 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS Pediatric | $11,777 – $15,747 · median $13,344 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Pediatric | $16,421 – $21,957 · median $18,607 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC Pediatric | $12,593 – $16,838 · median $14,270 | 3 plans |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE Pediatric | $18,624 – $24,903 · median $21,104 | 3 plans |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC Pediatric | $16,589 – $22,182 · median $18,798 | 3 plans |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC Pediatric | $19,168 – $25,628 · median $21,719 | 3 plans |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC Pediatric | $17,740 – $23,720 · median $20,101 | 3 plans |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC Pediatric | $9,378 – $12,539 · median $10,626 | 3 plans |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC Pediatric | $9,378 – $12,539 · median $10,626 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC Pediatric | $7,524 – $10,061 · median $8,526 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Pediatric | $13,845 – $18,514 · median $15,689 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC Pediatric | $19,472 – $26,037 · median $22,065 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC Pediatric | $11,366 – $15,198 · median $12,879 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES Pediatric | $12,570 – $16,807 · median $14,243 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC Pediatric | $18,624 – $24,903 · median $21,104 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC Pediatric | $17,486 – $23,380 · median $19,814 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Pediatric | $16,589 – $22,182 · median $18,798 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Pediatric | $9,378 – $12,539 · median $10,626 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Pediatric | $7,292 – $9,751 · median $8,264 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $13,174 – $17,615 · median $14,928 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Pediatric | $20,237 – $27,059 · median $22,931 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Pediatric | $20,237 – $27,059 · median $22,931 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Pediatric | $20,237 – $27,059 · median $22,931 | 3 plans |
| 149 | DYSEQUILIBRIUM Pediatric | $8,854 – $11,839 · median $10,033 | 3 plans |
| 150 | EPISTAXIS WITH MCC Pediatric | $8,847 – $11,830 · median $10,025 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC Pediatric | $8,847 – $11,830 · median $10,025 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC Pediatric | $15,645 – $20,919 · median $17,728 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC Pediatric | $14,066 – $18,808 · median $15,939 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Pediatric | $21,257 – $28,422 · median $24,087 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Pediatric | $9,782 – $13,079 · median $11,084 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Pediatric | $12,365 – $16,533 · median $14,011 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC Pediatric | $22,751 – $30,422 · median $25,781 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC Pediatric | $5,626 – $7,522 · median $6,375 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC Pediatric | $12,361 – $16,527 · median $14,006 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC Pediatric | $49,586 – $66,302 · median $56,189 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC Pediatric | $49,586 – $66,302 · median $56,189 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC Pediatric | $49,586 – $66,302 · median $56,189 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Pediatric | $60,176 – $80,460 · median $68,187 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Pediatric | $52,649 – $70,397 · median $59,659 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $28,252 – $37,777 · median $32,015 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY | $5,140 – $6,873 · median $5,824 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Pediatric | $21,486 – $28,730 · median $24,347 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC Pediatric | $21,486 – $28,730 · median $24,347 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Pediatric | $32,361 – $43,271 · median $36,670 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Pediatric | $28,756 – $38,450 · median $32,585 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC Pediatric | $52,939 – $70,786 · median $59,988 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC Pediatric | $52,939 – $70,786 · median $59,988 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC Pediatric | $52,939 – $70,786 · median $59,988 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC Pediatric | $8,235 – $11,011 · median $9,331 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC Pediatric | $14,593 – $19,512 · median $16,535 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC Pediatric | $10,508 – $14,050 · median $11,907 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC Pediatric | $25,072 – $33,523 · median $28,410 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC Pediatric | $18,046 – $24,130 · median $20,449 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC Pediatric | $12,551 – $16,781 · median $14,221 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE Pediatric | $25,469 – $34,054 · median $28,859 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Pediatric | $38,213 – $51,095 · median $43,301 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Pediatric | $38,213 – $51,095 · median $43,301 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Pediatric | $38,213 – $51,095 · median $43,301 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC Pediatric | $24,720 – $33,054 · median $28,012 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC Pediatric | $16,962 – $22,680 · median $19,220 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Pediatric | $12,647 – $16,911 · median $14,331 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC Pediatric | $26,847 – $35,897 · median $30,422 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC Pediatric | $14,440 – $19,307 · median $16,362 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC Pediatric | $11,422 – $15,272 · median $12,942 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC Pediatric | $19,053 – $25,476 · median $21,590 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC Pediatric | $18,707 – $25,013 · median $21,197 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS Pediatric | $11,439 – $15,295 · median $12,962 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Pediatric | $11,388 – $15,227 · median $12,905 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Pediatric | $16,155 – $21,602 · median $18,307 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Pediatric | $80,685 – $107,884 · median $91,428 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Pediatric | $36,003 – $48,140 · median $40,797 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT Pediatric | $211,211 – $282,411 · median $239,332 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC Pediatric | $83,651 – $111,851 · median $94,789 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Pediatric | $83,651 – $111,851 · median $94,789 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Pediatric | $87,501 – $116,997 · median $99,150 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Pediatric | $50,698 – $67,789 · median $57,449 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Pediatric | $75,396 – $100,814 · median $85,435 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Pediatric | $75,396 – $100,814 · median $85,435 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Pediatric | $75,396 – $100,814 · median $85,435 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Pediatric | $57,133 – $76,393 · median $64,740 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Pediatric | $39,942 – $53,407 · median $45,260 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Pediatric | $46,802 – $62,579 · median $53,033 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES Pediatric | $61,472 – $82,195 · median $69,657 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC Pediatric | $51,635 – $69,042 · median $58,510 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC Pediatric | $39,234 – $52,460 · median $44,458 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Pediatric | $22,694 – $30,344 · median $25,716 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Pediatric | $50,608 – $67,668 · median $57,346 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Pediatric | $50,608 – $67,668 · median $57,346 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Pediatric | $50,608 – $67,668 · median $57,346 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Pediatric | $24,686 – $33,007 · median $27,972 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Pediatric | $24,686 – $33,007 · median $27,972 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Pediatric | $18,907 – $25,281 · median $21,424 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Pediatric | $18,907 – $25,281 · median $21,424 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Pediatric | $18,907 – $25,281 · median $21,424 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING Pediatric | $21,198 – $28,345 · median $24,021 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Pediatric | $41,230 – $55,129 · median $46,720 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $40,421 – $55,056 · median $52,939 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Pediatric | $129,745 – $173,483 · median $147,020 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Pediatric | $98,947 – $132,303 · median $112,121 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Pediatric | $83,056 – $111,055 · median $94,115 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Pediatric | $44,056 – $58,907 · median $49,921 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Pediatric | $62,438 – $83,488 · median $70,752 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $52,939 – $58,388 · median $55,056 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $52,939 – $58,388 · median $55,056 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Pediatric | $93,453 – $124,957 · median $105,896 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Pediatric | $29,941 – $40,034 · median $33,928 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Pediatric | $18,843 – $25,195 · median $21,352 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Pediatric | $16,470 – $22,024 · median $18,664 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Pediatric | $24,027 – $32,127 · median $27,227 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Pediatric | $24,027 – $32,127 · median $27,227 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Pediatric | $24,027 – $32,127 · median $27,227 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Pediatric | $42,542 – $56,884 · median $48,207 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Pediatric | $42,542 – $56,884 · median $48,207 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Pediatric | $42,542 – $56,884 · median $48,207 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC Pediatric | $18,866 – $25,226 · median $21,378 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC Pediatric | $18,866 – $25,226 · median $21,378 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC Pediatric | $18,866 – $25,226 · median $21,378 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC Pediatric | $11,631 – $15,552 · median $13,180 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC Pediatric | $11,631 – $15,552 · median $13,180 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC Pediatric | $28,483 – $38,086 · median $32,276 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC Pediatric | $28,483 – $38,086 · median $32,276 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Pediatric | $28,483 – $38,086 · median $32,276 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC Pediatric | $16,272 – $21,757 · median $18,438 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC Pediatric | $16,272 – $21,757 · median $18,438 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Pediatric | $11,052 – $14,779 · median $12,524 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC Pediatric | $15,882 – $21,236 · median $17,997 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC Pediatric | $10,978 – $14,678 · median $12,439 | 3 plans |
| 304 | HYPERTENSION WITH MCC Pediatric | $9,675 – $12,936 · median $10,963 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC Pediatric | $9,675 – $12,936 · median $10,963 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Pediatric | $16,583 – $22,173 · median $18,791 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Pediatric | $9,339 – $12,487 · median $10,582 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Pediatric | $14,036 – $18,769 · median $15,905 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Pediatric | $12,780 – $17,089 · median $14,482 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Pediatric | $9,845 – $13,163 · median $11,155 | 3 plans |
| 311 | ANGINA PECTORIS Pediatric | $8,593 – $11,490 · median $9,738 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE Pediatric | $16,908 – $22,608 · median $19,159 | 3 plans |
| 313 | CHEST PAIN Pediatric | $9,842 – $13,160 · median $11,152 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Pediatric | $18,852 – $25,206 · median $21,361 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Pediatric | $17,529 – $23,438 · median $19,863 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric | $13,559 – $18,129 · median $15,364 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Pediatric | $53,566 – $71,623 · median $60,697 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Pediatric | $36,511 – $48,819 · median $41,372 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Pediatric | $50,616 – $67,679 · median $57,355 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Pediatric | $44,402 – $59,370 · median $50,314 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Pediatric | $20,582 – $27,521 · median $23,323 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Pediatric | $61,927 – $82,804 · median $70,173 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Pediatric | $52,261 – $69,879 · median $59,219 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Pediatric | $26,309 – $35,178 · median $29,812 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC Pediatric | $38,595 – $51,605 · median $43,734 | 3 plans |
| 333 | RECTAL RESECTION WITH CC Pediatric | $35,030 – $46,839 · median $39,694 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC Pediatric | $24,338 – $32,543 · median $27,578 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC Pediatric | $63,053 – $84,308 · median $71,447 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC Pediatric | $38,073 – $50,908 · median $43,142 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Pediatric | $20,554 – $27,483 · median $23,290 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Pediatric | $47,321 – $63,274 · median $53,622 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Pediatric | $29,196 – $39,038 · median $33,083 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Pediatric | $18,795 – $25,131 · median $21,297 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC Pediatric | $22,413 – $29,969 · median $25,397 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC Pediatric | $19,839 – $26,527 · median $22,481 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Pediatric | $19,839 – $26,527 · median $22,481 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Pediatric | $34,884 – $46,643 · median $39,528 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Pediatric | $18,142 – $24,257 · median $20,557 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Pediatric | $13,276 – $17,751 · median $15,043 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Pediatric | $38,354 – $51,283 · median $43,461 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Pediatric | $14,106 – $18,861 · median $15,984 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Pediatric | $12,842 – $17,170 · median $14,551 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Pediatric | $59,510 – $79,571 · median $67,433 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Pediatric | $65,035 – $86,959 · median $73,694 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $47,899 – $64,047 · median $54,277 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC Pediatric | $17,166 – $22,954 · median $19,452 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC Pediatric | $17,166 – $22,954 · median $19,452 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Pediatric | $17,166 – $22,954 · median $19,452 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Pediatric | $20,643 – $27,602 · median $23,392 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Pediatric | $20,643 – $27,602 · median $23,392 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Pediatric | $20,643 – $27,602 · median $23,392 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC Pediatric | $27,296 – $36,497 · median $30,930 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC Pediatric | $27,296 – $36,497 · median $30,930 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC Pediatric | $11,989 – $16,030 · median $13,585 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC Pediatric | $16,595 – $22,190 · median $18,804 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC Pediatric | $15,990 – $21,381 · median $18,120 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Pediatric | $15,240 – $20,376 · median $17,268 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC Pediatric | $20,483 – $27,388 · median $23,210 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC Pediatric | $20,483 – $27,388 · median $23,210 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Pediatric | $20,483 – $27,388 · median $23,210 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC Pediatric | $18,122 – $24,231 · median $20,535 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Pediatric | $16,573 – $22,159 · median $18,779 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC Pediatric | $25,565 – $34,184 · median $28,970 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC Pediatric | $25,565 – $34,184 · median $28,970 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Pediatric | $25,565 – $34,184 · median $28,970 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC Pediatric | $18,558 – $24,814 · median $21,028 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC Pediatric | $18,558 – $24,814 · median $21,028 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Pediatric | $12,772 – $17,078 · median $14,473 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Pediatric | $13,348 – $17,848 · median $15,125 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Pediatric | $16,212 – $21,677 · median $18,371 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Pediatric | $12,902 – $17,252 · median $14,620 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric | $12,357 – $16,523 · median $14,003 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC Pediatric | $41,161 – $55,037 · median $46,641 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC Pediatric | $29,698 – $39,710 · median $33,653 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC Pediatric | $20,405 – $27,283 · median $23,121 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Pediatric | $52,440 – $70,119 · median $59,423 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Pediatric | $52,440 – $70,119 · median $59,423 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Pediatric | $28,371 – $37,934 · median $32,148 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric | $65,703 – $87,851 · median $74,450 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric | $39,573 – $52,914 · median $44,842 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Pediatric | $25,409 – $33,975 · median $28,792 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC Pediatric | $57,851 – $77,354 · median $65,554 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC Pediatric | $36,477 – $48,775 · median $41,334 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Pediatric | $26,041 – $34,820 · median $29,508 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Pediatric | $55,080 – $73,647 · median $62,413 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Pediatric | $21,604 – $28,888 · median $24,481 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Pediatric | $21,604 – $28,888 · median $24,481 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Pediatric | $29,525 – $39,478 · median $33,456 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Pediatric | $29,525 – $39,478 · median $33,456 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Pediatric | $17,715 – $23,686 · median $20,073 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Pediatric | $63,392 – $84,761 · median $71,832 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Pediatric | $29,252 – $39,113 · median $33,146 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Pediatric | $18,954 – $25,343 · median $21,477 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Pediatric | $19,497 – $26,069 · median $22,093 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Pediatric | $19,497 – $26,069 · median $22,093 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $19,497 – $26,069 · median $22,093 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Pediatric | $48,519 – $64,876 · median $54,980 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Pediatric | $25,358 – $33,906 · median $28,733 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Pediatric | $25,358 – $33,906 · median $28,733 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Pediatric | $25,358 – $33,906 · median $28,733 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Pediatric | $30,961 – $41,398 · median $35,084 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Pediatric | $30,961 – $41,398 · median $35,084 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Pediatric | $30,961 – $41,398 · median $35,084 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Pediatric | $21,545 – $28,808 · median $24,414 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Pediatric | $21,545 – $28,808 · median $24,414 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Pediatric | $21,545 – $28,808 · median $24,414 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Pediatric | $36,126 – $48,305 · median $40,936 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Pediatric | $27,857 – $37,247 · median $31,565 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Pediatric | $19,581 – $26,183 · median $22,189 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC Pediatric | $24,043 – $32,148 · median $27,244 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC Pediatric | $16,032 – $21,437 · median $18,167 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Pediatric | $13,035 – $17,429 · median $14,770 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Pediatric | $45,619 – $60,999 · median $51,694 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Pediatric | $45,619 – $60,999 · median $51,694 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric | $37,098 – $49,603 · median $42,037 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric | $37,098 – $49,603 · median $42,037 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Pediatric | $37,098 – $49,603 · median $42,037 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Pediatric | $36,460 – $48,750 · median $41,314 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC Pediatric | $36,460 – $48,750 · median $41,314 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Pediatric | $36,460 – $48,750 · median $41,314 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Pediatric | $29,981 – $40,088 · median $33,973 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Pediatric | $29,981 – $40,088 · median $33,973 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Pediatric | $31,855 – $42,593 · median $36,096 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Pediatric | $31,855 – $42,593 · median $36,096 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Pediatric | $31,855 – $42,593 · median $36,096 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric | $29,946 – $40,041 · median $33,933 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Pediatric | $29,946 – $40,041 · median $33,933 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Pediatric | $29,946 – $40,041 · median $33,933 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Pediatric | $35,453 – $47,405 · median $40,174 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Pediatric | $35,453 – $47,405 · median $40,174 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Pediatric | $21,810 – $29,161 · median $24,713 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Pediatric | $24,306 – $32,501 · median $27,543 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Pediatric | $50,849 – $67,992 · median $57,620 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Pediatric | $40,690 – $54,407 · median $46,108 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Pediatric | $23,973 – $32,054 · median $27,165 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Pediatric | $18,348 – $24,532 · median $20,790 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Pediatric | $18,348 – $24,532 · median $20,790 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Pediatric | $42,645 – $57,021 · median $48,323 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Pediatric | $30,809 – $41,196 · median $34,911 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Pediatric | $16,151 – $21,595 · median $18,302 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric | $14,508 – $19,399 · median $16,440 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric | $22,109 – $29,562 · median $25,052 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Pediatric | $17,354 – $23,205 · median $19,665 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Pediatric | $31,673 – $42,351 · median $35,890 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Pediatric | $31,673 – $42,351 · median $35,890 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC Pediatric | $23,607 – $31,565 · median $26,750 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC Pediatric | $23,607 – $31,565 · median $26,750 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC Pediatric | $12,552 – $16,783 · median $14,223 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC Pediatric | $19,018 – $25,428 · median $21,549 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC Pediatric | $19,018 – $25,428 · median $21,549 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC Pediatric | $19,018 – $25,428 · median $21,549 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES Pediatric | $18,086 – $24,183 · median $20,494 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Pediatric | $15,413 – $20,608 · median $17,465 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Pediatric | $15,413 – $20,608 · median $17,465 | 3 plans |
| 509 | ARTHROSCOPY Pediatric | $15,171 – $20,286 · median $17,192 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Pediatric | $15,413 – $20,608 · median $17,465 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Pediatric | $10,624 – $14,205 · median $12,038 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Pediatric | $10,624 – $14,205 · median $12,038 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Pediatric | $12,419 – $16,607 · median $14,073 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Pediatric | $12,419 – $16,607 · median $14,073 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Pediatric | $21,296 – $28,476 · median $24,132 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Pediatric | $27,076 – $36,204 · median $30,681 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Pediatric | $15,522 – $20,754 · median $17,589 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Pediatric | $35,302 – $47,202 · median $40,002 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Pediatric | $18,983 – $25,382 · median $21,510 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Pediatric | $16,438 – $21,979 · median $18,626 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Pediatric | $36,460 – $48,750 · median $41,314 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Pediatric | $29,981 – $40,088 · median $33,973 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC Pediatric | $12,069 – $16,136 · median $13,675 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC Pediatric | $12,069 – $16,136 · median $13,675 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC Pediatric | $11,738 – $15,694 · median $13,300 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC Pediatric | $11,738 – $15,694 · median $13,300 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Pediatric | $9,697 – $12,966 · median $10,988 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Pediatric | $9,697 – $12,966 · median $10,988 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC Pediatric | $23,086 – $30,870 · median $26,161 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC Pediatric | $23,086 – $30,870 · median $26,161 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC Pediatric | $23,086 – $30,870 · median $26,161 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric | $16,858 – $22,541 · median $19,103 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric | $16,858 – $22,541 · median $19,103 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Pediatric | $16,858 – $22,541 · median $19,103 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC Pediatric | $36,258 – $48,481 · median $41,085 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC Pediatric | $19,964 – $26,693 · median $22,621 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Pediatric | $13,431 – $17,958 · median $15,219 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC Pediatric | $18,169 – $24,294 · median $20,588 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC Pediatric | $18,169 – $24,294 · median $20,588 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC Pediatric | $18,169 – $24,294 · median $20,588 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC Pediatric | $15,201 – $20,326 · median $17,225 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC Pediatric | $15,201 – $20,326 · median $17,225 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC Pediatric | $17,076 – $22,832 · median $19,349 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Pediatric | $9,097 – $12,164 · median $10,309 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric | $7,905 – $10,570 · median $8,958 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Pediatric | $7,905 – $10,570 · median $8,958 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Pediatric | $13,795 – $18,445 · median $15,631 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Pediatric | $13,795 – $18,445 · median $15,631 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Pediatric | $11,013 – $14,725 · median $12,479 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Pediatric | $11,013 – $14,725 · median $12,479 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Pediatric | $11,013 – $14,725 · median $12,479 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Pediatric | $21,540 – $28,800 · median $24,407 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Pediatric | $6,168 – $8,247 · median $6,989 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Pediatric | $12,973 – $17,346 · median $14,700 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Pediatric | $12,973 – $17,346 · median $14,700 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Pediatric | $12,973 – $17,346 · median $14,700 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC Pediatric | $28,250 – $37,774 · median $32,011 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC Pediatric | $18,158 – $24,279 · median $20,576 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC Pediatric | $12,173 – $16,275 · median $13,793 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Pediatric | $29,240 – $39,098 · median $33,134 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Pediatric | $29,240 – $39,098 · median $33,134 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Pediatric | $16,151 – $21,595 · median $18,302 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Pediatric | $53,051 – $70,935 · median $60,115 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Pediatric | $24,271 – $32,453 · median $27,503 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Pediatric | $17,275 – $23,098 · median $19,574 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Pediatric | $43,117 – $57,653 · median $48,859 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Pediatric | $13,079 – $17,489 · median $14,821 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Pediatric | $16,619 – $22,221 · median $18,832 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC Pediatric | $12,830 – $17,155 · median $14,538 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Pediatric | $13,332 – $17,827 · median $15,107 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Pediatric | $22,107 – $29,559 · median $25,050 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Pediatric | $14,872 – $19,886 · median $16,853 | 3 plans |
| 592 | SKIN ULCERS WITH MCC Pediatric | $18,354 – $24,541 · median $20,797 | 3 plans |
| 593 | SKIN ULCERS WITH CC Pediatric | $18,354 – $24,541 · median $20,797 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC Pediatric | $18,354 – $24,541 · median $20,797 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC Pediatric | $17,547 – $23,461 · median $19,883 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC Pediatric | $13,380 – $17,891 · median $15,162 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC Pediatric | $17,989 – $24,052 · median $20,384 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC Pediatric | $16,673 – $22,294 · median $18,893 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Pediatric | $11,279 – $15,081 · median $12,781 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Pediatric | $11,447 – $15,307 · median $12,972 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Pediatric | $11,447 – $15,307 · median $12,972 | 3 plans |
| 602 | CELLULITIS WITH MCC Pediatric | $18,095 – $24,195 · median $20,504 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Pediatric | $18,386 – $24,583 · median $20,833 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Pediatric | $11,368 – $15,200 · median $12,881 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC Pediatric | $19,222 – $25,703 · median $21,782 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC Pediatric | $8,281 – $11,073 · median $9,384 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Pediatric | $25,416 – $33,984 · median $28,800 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Pediatric | $25,416 – $33,984 · median $28,800 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric | $26,998 – $36,098 · median $30,592 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric | $26,998 – $36,098 · median $30,592 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Pediatric | $33,828 – $45,231 · median $38,331 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric | $31,847 – $42,582 · median $36,086 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric | $31,847 – $42,582 · median $36,086 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Pediatric | $31,847 – $42,582 · median $36,086 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Pediatric | $32,776 – $43,825 · median $37,140 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Pediatric | $17,483 – $23,376 · median $19,810 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Pediatric | $12,670 – $16,942 · median $14,358 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Pediatric | $50,405 – $67,397 · median $57,117 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Pediatric | $35,292 – $47,188 · median $39,990 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $23,256 – $31,097 · median $26,353 | 3 plans |
| 637 | DIABETES WITH MCC Pediatric | $13,624 – $18,218 · median $15,438 | 3 plans |
| 638 | DIABETES WITH CC Pediatric | $13,270 – $17,744 · median $15,037 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC Pediatric | $13,330 – $17,823 · median $15,104 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Pediatric | $12,446 – $16,641 · median $14,103 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Pediatric | $11,807 – $15,788 · median $13,379 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM Pediatric | $16,362 – $21,878 · median $18,541 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC Pediatric | $25,402 – $33,964 · median $28,784 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC Pediatric | $16,139 – $21,579 · median $18,287 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC Pediatric | $15,368 – $20,549 · median $17,414 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC Pediatric | $51,624 – $69,027 · median $58,498 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC Pediatric | $51,624 – $69,027 · median $58,498 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Pediatric | $51,624 – $69,027 · median $58,498 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Pediatric | $32,808 – $43,868 · median $37,176 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Pediatric | $32,808 – $43,868 · median $37,176 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Pediatric | $32,808 – $43,868 · median $37,176 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Pediatric | $51,456 – $68,803 · median $58,308 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Pediatric | $30,912 – $41,333 · median $35,028 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Pediatric | $17,017 – $22,755 · median $19,283 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC Pediatric | $41,820 – $55,919 · median $47,389 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC Pediatric | $22,264 – $29,770 · median $25,228 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC Pediatric | $14,408 – $19,265 · median $16,326 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC Pediatric | $39,472 – $52,777 · median $44,727 | 3 plans |
| 666 | PROSTATECTOMY WITH CC Pediatric | $23,970 – $32,051 · median $27,162 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC Pediatric | $12,705 – $16,988 · median $14,397 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC Pediatric | $13,308 – $17,794 · median $15,080 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC Pediatric | $13,308 – $17,794 · median $15,080 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Pediatric | $9,462 – $12,651 · median $10,722 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC Pediatric | $21,943 – $29,341 · median $24,865 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC Pediatric | $12,257 – $16,388 · median $13,888 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Pediatric | $29,520 – $39,471 · median $33,450 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Pediatric | $29,520 – $39,471 · median $33,450 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Pediatric | $29,520 – $39,471 · median $33,450 | 3 plans |
| 682 | RENAL FAILURE WITH MCC Pediatric | $19,972 – $26,706 · median $22,632 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC Pediatric | $19,972 – $26,706 · median $22,632 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Pediatric | $25,046 – $33,489 · median $28,380 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Pediatric | $16,582 – $22,172 · median $18,790 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Pediatric | $10,528 – $14,077 · median $11,930 | 3 plans |
| 693 | URINARY STONES WITH MCC Pediatric | $11,551 – $15,446 · median $13,089 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC Pediatric | $11,551 – $15,446 · median $13,089 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Pediatric | $18,071 – $24,162 · median $20,476 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Pediatric | $7,747 – $10,358 · median $8,778 | 3 plans |
| 697 | URETHRAL STRICTURE Pediatric | $10,694 – $14,299 · median $12,118 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Pediatric | $12,807 – $17,124 · median $14,512 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Pediatric | $11,417 – $15,266 · median $12,937 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Pediatric | $21,261 – $28,429 · median $24,092 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Pediatric | $15,981 – $21,369 · median $18,109 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC Pediatric | $18,403 – $24,608 · median $20,854 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC Pediatric | $18,403 – $24,608 · median $20,854 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC Pediatric | $31,225 – $41,752 · median $35,383 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC Pediatric | $17,649 – $23,599 · median $19,999 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Pediatric | $13,575 – $18,151 · median $15,383 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Pediatric | $9,534 – $12,748 · median $10,803 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Pediatric | $20,555 – $27,484 · median $23,291 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Pediatric | $20,555 – $27,484 · median $23,291 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Pediatric | $18,131 – $24,243 · median $20,545 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Pediatric | $18,131 – $24,243 · median $20,545 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Pediatric | $24,204 – $32,363 · median $27,426 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Pediatric | $15,975 – $21,360 · median $18,102 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric | $9,210 – $12,314 · median $10,436 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC Pediatric | $16,190 – $21,648 · median $18,346 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Pediatric | $11,906 – $15,920 · median $13,491 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Pediatric | $11,618 – $15,535 · median $13,165 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Pediatric | $11,618 – $15,535 · median $13,165 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Pediatric | $16,966 – $22,685 · median $19,224 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Pediatric | $9,207 – $12,312 · median $10,434 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Pediatric | $25,563 – $34,182 · median $28,967 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Pediatric | $25,563 – $34,182 · median $28,967 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Pediatric | $34,331 – $45,904 · median $38,901 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Pediatric | $34,331 – $45,904 · median $38,901 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Pediatric | $34,331 – $45,904 · median $38,901 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Pediatric | $46,359 – $61,987 · median $52,532 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Pediatric | $21,257 – $28,424 · median $24,088 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Pediatric | $21,604 – $28,888 · median $24,481 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Pediatric | $20,310 – $27,156 · median $23,014 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Pediatric | $14,358 – $19,198 · median $16,270 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Pediatric | $21,483 – $28,725 · median $24,343 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Pediatric | $14,317 – $19,143 · median $16,223 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Pediatric | $15,047 – $20,119 · median $17,050 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Pediatric | $15,047 – $20,119 · median $17,050 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Pediatric | $12,649 – $16,913 · median $14,334 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Pediatric | $34,235 – $45,776 · median $38,793 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $34,235 – $45,776 · median $38,793 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Pediatric | $18,524 – $24,768 · median $20,991 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Pediatric | $18,524 – $24,768 · median $20,991 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric | $18,524 – $24,768 · median $20,991 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Pediatric | $15,435 – $20,638 · median $17,490 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Pediatric | $15,435 – $20,638 · median $17,490 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Pediatric | $15,435 – $20,638 · median $17,490 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Pediatric | $9,790 – $13,091 · median $11,094 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Pediatric | $9,790 – $13,091 · median $11,094 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Pediatric | $16,470 – $22,024 · median $18,664 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Pediatric | $7,426 – $9,930 · median $8,415 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Pediatric | $10,228 – $13,676 · median $11,590 | 3 plans |
| 779 | ABORTION WITHOUT D&C Pediatric | $8,458 – $11,310 · median $9,584 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC Pediatric | $73,463 – $98,230 · median $83,245 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC Pediatric | $39,538 – $52,865 · median $44,801 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC Pediatric | $50,919 – $68,084 · median $57,699 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Pediatric | $29,499 – $39,442 · median $33,426 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Pediatric | $29,499 – $39,442 · median $33,426 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Pediatric | $29,499 – $39,442 · median $33,426 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric | $19,593 – $26,198 · median $22,201 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric | $19,593 – $26,198 · median $22,201 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Pediatric | $19,593 – $26,198 · median $22,201 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC Pediatric | $15,995 – $21,386 · median $18,124 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC Pediatric | $14,863 – $19,873 · median $16,842 | 3 plans |
| 813 | COAGULATION DISORDERS Pediatric | $18,224 – $24,367 · median $20,650 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Pediatric | $23,021 – $30,782 · median $26,086 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Pediatric | $19,790 – $26,461 · median $22,425 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Pediatric | $11,597 – $15,507 · median $13,142 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Pediatric | $10,480 – $14,013 · median $11,876 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Pediatric | $10,480 – $14,013 · median $11,876 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $8,096 – $10,826 · median $9,174 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Pediatric | $86,883 – $116,172 · median $98,451 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Pediatric | $47,518 – $63,538 · median $53,845 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $24,862 – $33,244 · median $28,173 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Pediatric | $43,744 – $58,490 · median $49,568 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Pediatric | $33,630 – $44,968 · median $38,109 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Pediatric | $17,777 – $23,769 · median $20,143 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric | $40,945 – $54,748 · median $46,396 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric | $35,041 – $46,853 · median $39,706 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Pediatric | $19,226 – $25,707 · median $21,785 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Pediatric | $31,156 – $41,659 · median $35,304 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Pediatric | $31,156 – $41,659 · median $35,304 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Pediatric | $10,480 – $14,013 · median $11,876 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Pediatric | $10,480 – $14,013 · median $11,876 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $8,096 – $10,826 · median $9,174 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC Pediatric | $52,551 – $70,267 · median $59,549 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC Pediatric | $52,551 – $70,267 · median $59,549 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC Pediatric | $29,356 – $39,253 · median $33,265 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Pediatric | $53,762 – $71,885 · median $60,920 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Pediatric | $53,762 – $71,885 · median $60,920 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Pediatric | $53,762 – $71,885 · median $60,920 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Pediatric | $27,811 – $37,188 · median $31,515 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Pediatric | $27,811 – $37,188 · median $31,515 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Pediatric | $15,036 – $20,105 · median $17,038 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric | $28,123 – $37,604 · median $31,868 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric | $15,987 – $21,377 · median $18,116 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Pediatric | $12,698 – $16,979 · median $14,388 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Pediatric | $17,517 – $23,422 · median $19,849 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Pediatric | $17,517 – $23,422 · median $19,849 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Pediatric | $17,517 – $23,422 · median $19,849 | 3 plans |
| 849 | RADIOTHERAPY Pediatric | $17,989 – $24,052 · median $20,384 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $5,140 – $6,873 · median $5,824 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Pediatric | $74,816 – $100,037 · median $84,777 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $74,816 – $100,037 · median $84,777 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Pediatric | $43,798 – $58,563 · median $49,629 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Pediatric | $43,798 – $58,563 · median $49,629 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Pediatric | $43,798 – $58,563 · median $49,629 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Pediatric | $19,437 – $25,990 · median $22,025 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Pediatric | $19,437 – $25,990 · median $22,025 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS Pediatric | $12,955 – $17,323 · median $14,680 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC Pediatric | $14,767 – $19,744 · median $16,733 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC Pediatric | $13,488 – $18,035 · median $15,284 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Pediatric | $27,745 – $37,099 · median $31,439 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Pediatric | $27,745 – $37,099 · median $31,439 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Pediatric | $27,745 – $37,099 · median $31,439 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Pediatric | $68,853 – $92,064 · median $78,020 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Pediatric | $31,612 – $42,270 · median $35,822 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC Pediatric | $31,612 – $42,270 · median $35,822 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Pediatric | $31,612 – $42,270 · median $35,822 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC Pediatric | $26,845 – $35,895 · median $30,420 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Pediatric | $26,845 – $35,895 · median $30,420 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES Pediatric | $13,276 – $17,751 · median $15,043 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Pediatric | $35,746 – $47,797 · median $40,506 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC Pediatric | $35,746 – $47,797 · median $40,506 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Pediatric | $11,830 – $15,818 · median $13,405 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC Pediatric | $18,985 – $25,385 · median $21,512 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC Pediatric | $10,257 – $13,716 · median $11,624 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC Pediatric | $18,970 – $25,366 · median $21,497 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC Pediatric | $6,824 – $9,125 · median $7,732 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Pediatric | $12,155 – $16,252 · median $13,773 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Pediatric | $9,994 – $13,362 · median $11,324 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC Pediatric | $15,945 – $21,320 · median $18,068 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC Pediatric | $15,945 – $21,320 · median $18,068 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Pediatric | $13,432 – $17,959 · median $15,220 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Pediatric | $20,939 – $27,997 · median $23,727 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Pediatric | $7,905 – $10,570 · median $8,958 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Pediatric | $16,961 – $22,679 · median $19,219 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Pediatric | $19,814 – $26,493 · median $22,451 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Pediatric | $16,961 – $22,679 · median $19,219 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC Pediatric | $16,319 – $21,820 · median $18,492 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC Pediatric | $7,350 – $9,828 · median $8,329 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC Pediatric | $12,822 – $17,144 · median $14,529 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC Pediatric | $8,661 – $11,580 · median $9,814 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS Pediatric | $8,651 – $11,567 · median $9,803 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Pediatric | $81,156 – $108,514 · median $91,961 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Pediatric | $48,452 – $64,786 · median $54,903 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Pediatric | $73,171 – $97,838 · median $82,913 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Pediatric | $73,171 – $97,838 · median $82,913 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Pediatric | $73,171 – $97,838 · median $82,913 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Pediatric | $28,498 – $38,106 · median $32,293 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Pediatric | $28,498 – $38,106 · median $32,293 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Pediatric | $28,498 – $38,106 · median $32,293 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Pediatric | $72,171 – $96,499 · median $81,779 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Pediatric | $72,171 – $96,499 · median $81,779 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC Pediatric | $29,737 – $39,762 · median $33,697 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC Pediatric | $29,737 – $39,762 · median $33,697 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Pediatric | $29,737 – $39,762 · median $33,697 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION Pediatric | $15,856 – $21,202 · median $17,968 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Pediatric | $56,633 – $75,724 · median $64,173 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Pediatric | $56,633 – $75,724 · median $64,173 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric | $50,018 – $66,880 · median $56,678 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Pediatric | $29,743 – $39,771 · median $33,704 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Pediatric | $29,743 – $39,771 · median $33,704 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Pediatric | $29,743 – $39,771 · median $33,704 | 3 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $1,275 – $3,956 · median $3,956 | 3 plans |
| 999 | UNGROUPABLE | $1,275 – $3,956 · median $3,956 | 3 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $259,382 – $259,382 · median $259,382 | 1 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $259,382 – $259,382 · median $259,382 | 1 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | $210,452 – $210,452 · median $210,452 | 1 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $1,275 – $1,275 · median $1,275 | 1 plans |
| 007 | LUNG TRANSPLANT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 010 | PANCREAS TRANSPLANT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $1,275 – $1,275 · median $1,275 | 1 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $1,275 – $1,275 · median $1,275 | 1 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $1,275 – $1,275 · median $1,275 | 1 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $1,275 – $1,275 · median $1,275 | 1 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $1,275 – $1,275 · median $1,275 | 1 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $1,275 – $1,275 · median $1,275 | 1 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $1,275 – $1,275 · median $1,275 | 1 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $1,275 – $1,275 · median $1,275 | 1 plans |
| 935 | NON-EXTENSIVE BURNS | $1,275 – $1,275 · median $1,275 | 1 plans |
No procedures match that keyword.