Ut of Texas Southwestern University Hospital - William P. Clements Jr. — Pricing
782 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 782 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 782 procedures
Procedures with negotiated rates only
These 782 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 |
|---|---|---|---|
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $23,784 – $180,807 · median $79,805 | 19 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,784 – $137,505 · median $60,694 | 19 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,207 – $88,795 · median $39,194 | 19 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $23,784 – $270,107 · median $119,224 | 19 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $23,784 – $185,220 · median $78,992 | 19 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,784 – $118,304 · median $40,850 | 19 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $23,784 – $203,711 · median $89,916 | 19 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $23,784 – $112,476 · median $49,646 | 19 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $18,997 – $74,566 · median $32,914 | 19 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $23,784 – $130,304 · median $57,514 | 19 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,371 – $76,222 · median $33,644 | 19 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,031 – $61,424 · median $27,112 | 19 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,784 – $111,277 · median $49,116 | 19 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,354 – $53,988 · median $23,831 | 19 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,777 – $38,141 · median $20,854 | 19 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,784 – $126,393 · median $55,789 | 19 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,245 – $75,686 · median $33,399 | 19 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,460 – $58,894 · median $25,995 | 19 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $17,388 – $67,436 · median $29,765 | 19 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,138 – $30,873 · median $16,880 | 19 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $13,506 – $50,235 · median $23,784 | 19 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,420 – $36,556 · median $19,987 | 19 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,104 – $83,909 · median $37,036 | 19 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,261 – $44,726 · median $23,784 | 19 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $16,128 – $61,849 · median $27,301 | 19 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,423 – $40,999 · median $22,417 | 19 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,919 – $29,904 · median $16,351 | 19 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,611 – $90,584 · median $39,983 | 19 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,636 – $59,675 · median $26,340 | 19 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,793 – $47,072 · median $23,784 | 19 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $17,211 – $66,655 · median $29,420 | 19 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,860 – $34,080 · median $18,633 | 19 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,376 – $23,784 · median $12,611 | 19 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,172 – $48,784 · median $23,784 | 19 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,836 – $29,542 · median $16,153 | 19 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,221 – $26,815 · median $14,661 | 19 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,318 – $58,264 · median $25,717 | 19 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,140 – $35,313 · median $19,308 | 19 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,844 – $25,136 · median $13,743 | 19 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,857 – $51,790 · median $23,784 | 19 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,053 – $34,931 · median $19,099 | 19 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,194 – $57,718 · median $24,584 | 19 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,104 – $30,725 · median $16,799 | 19 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,201 – $66,611 · median $29,122 | 19 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,013 – $30,320 · median $16,578 | 19 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,684 – $46,589 · median $23,784 | 19 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,400 – $32,036 · median $17,516 | 19 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,304 – $75,930 · median $33,514 | 19 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,855 – $29,623 · median $16,197 | 19 plans |
| 088 | CONCUSSION WITH MCC | $12,838 – $47,269 · median $23,784 | 19 plans |
| 089 | CONCUSSION WITH CC | $10,277 – $35,926 · median $19,643 | 19 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,653 – $28,725 · median $15,706 | 19 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $15,954 – $61,082 · median $26,961 | 19 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,176 – $35,480 · median $19,399 | 19 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,139 – $26,449 · median $14,462 | 19 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $23,784 – $122,258 · median $53,964 | 19 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,296 – $80,323 · median $35,455 | 19 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,296 – $80,323 · median $35,455 | 19 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $23,784 – $120,127 · median $53,016 | 19 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,573 – $72,687 · median $32,084 | 19 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,706 – $46,686 · median $23,784 | 19 plans |
| 100 | SEIZURES WITH MCC | $17,182 – $66,524 · median $29,363 | 19 plans |
| 101 | SEIZURES WITHOUT MCC | $9,140 – $30,883 · median $16,886 | 19 plans |
| 102 | HEADACHES WITH MCC | $10,938 – $38,851 · median $21,243 | 19 plans |
| 103 | HEADACHES WITHOUT MCC | $8,600 – $28,490 · median $15,577 | 19 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $19,233 – $75,619 · median $33,088 | 19 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,109 – $39,612 · median $21,658 | 19 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,747 – $51,300 · median $23,784 | 19 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,787 – $55,911 · median $24,679 | 19 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,327 – $36,144 · median $19,762 | 19 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,966 – $38,975 · median $21,310 | 19 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,300 – $23,784 · median $12,428 | 19 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,244 – $26,915 · median $14,716 | 19 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,030 – $43,690 · median $23,784 | 19 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,415 – $27,669 · median $15,128 | 19 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,401 – $80,789 · median $35,660 | 19 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,568 – $32,779 · median $17,923 | 19 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,746 – $46,864 · median $23,784 | 19 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,322 – $27,260 · median $14,905 | 19 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,552 – $46,006 · median $23,784 | 19 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $23,784 – $141,714 · median $62,550 | 19 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,416 – $71,990 · median $31,776 | 19 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,060 – $52,688 · median $23,784 | 19 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,784 – $110,640 · median $48,835 | 19 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,454 – $58,864 · median $25,982 | 19 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,130 – $39,699 · median $21,706 | 19 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,517 – $76,869 · median $33,930 | 19 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,583 – $41,710 · median $22,805 | 19 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,226 – $26,831 · median $14,670 | 19 plans |
| 149 | DYSEQUILIBRIUM | $7,823 – $25,049 · median $13,696 | 19 plans |
| 150 | EPISTAXIS WITH MCC | $12,622 – $46,314 · median $23,784 | 19 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,903 – $25,401 · median $13,888 | 19 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,752 – $38,024 · median $20,790 | 19 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,553 – $23,849 · median $13,040 | 19 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,468 – $54,494 · median $24,053 | 19 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,230 – $31,285 · median $17,105 | 19 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,255 – $23,784 · median $12,320 | 19 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,552 – $54,869 · median $24,219 | 19 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,283 – $31,516 · median $17,232 | 19 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,159 – $23,784 · median $12,085 | 19 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $23,784 – $154,444 · median $68,170 | 19 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,202 – $84,338 · median $37,226 | 19 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,265 – $62,459 · median $27,569 | 19 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,784 – $129,047 · median $56,946 | 19 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $15,987 – $61,226 · median $27,024 | 19 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,408 – $45,366 · median $23,784 | 19 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,784 – $104,584 · median $50,745 | 19 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,825 – $47,219 · median $23,784 | 19 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,330 – $27,294 · median $14,923 | 19 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,394 – $54,169 · median $23,908 | 19 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,673 – $33,245 · median $18,177 | 19 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,991 – $25,793 · median $14,102 | 19 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $15,386 – $58,565 · median $25,850 | 19 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,566 – $37,203 · median $20,341 | 19 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,504 – $28,065 · median $15,345 | 19 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,173 – $53,187 · median $23,784 | 19 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,247 – $35,789 · median $19,568 | 19 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,052 – $26,057 · median $14,247 | 19 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,118 – $52,946 · median $23,784 | 19 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,763 – $33,641 · median $18,393 | 19 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,723 – $24,600 · median $13,450 | 19 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,527 – $41,469 · median $22,673 | 19 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,662 – $37,642 · median $20,581 | 19 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,667 – $28,788 · median $15,740 | 19 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,065 – $23,784 · median $11,858 | 19 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,134 – $44,159 · median $23,784 | 19 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,371 – $27,478 · median $15,024 | 19 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,880 – $23,784 · median $11,411 | 19 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $16,417 – $63,140 · median $27,866 | 19 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,657 – $33,172 · median $18,137 | 19 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,467 – $23,784 · median $12,833 | 19 plans |
| 199 | PNEUMOTHORAX WITH MCC | $15,519 – $59,152 · median $26,109 | 19 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,545 – $37,109 · median $20,290 | 19 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,291 – $23,784 · median $12,402 | 19 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,481 – $32,394 · median $17,712 | 19 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,438 – $23,784 · median $12,758 | 19 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,303 – $27,173 · median $14,857 | 19 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,445 – $63,257 · median $27,921 | 19 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,020 – $30,353 · median $16,596 | 19 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $23,784 – $216,733 · median $95,650 | 19 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,463 – $89,944 · median $39,693 | 19 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $23,784 – $371,286 · median $169,074 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $23,784 – $361,092 · median $164,551 | 19 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $23,784 – $328,929 · median $150,281 | 19 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $23,784 – $220,098 · median $101,996 | 19 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,784 – $202,764 · median $94,305 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $23,784 – $263,709 · median $121,345 | 19 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $23,784 – $180,522 · median $84,437 | 19 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $23,784 – $156,525 · median $73,790 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $23,784 – $169,841 · median $79,698 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,784 – $105,869 · median $51,315 | 19 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $23,784 – $288,807 · median $132,480 | 19 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $23,784 – $208,197 · median $96,715 | 19 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $23,784 – $266,399 · median $122,538 | 19 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $23,784 – $181,323 · median $84,792 | 19 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $23,784 – $200,545 · median $93,321 | 19 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $23,784 – $140,149 · median $66,524 | 19 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $23,784 – $171,668 · median $80,508 | 19 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,784 – $99,254 · median $48,380 | 19 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,588 – $51,460 · median $27,175 | 19 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,784 – $115,606 · median $55,635 | 19 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,204 – $76,780 · median $38,409 | 19 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,816 – $61,508 · median $31,633 | 19 plans |
| 245 | AICD GENERATOR PROCEDURES | $23,784 – $166,552 · median $78,238 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $19,656 – $78,818 · median $39,313 | 19 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,986 – $53,257 · median $27,972 | 19 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $23,784 – $116,915 · median $56,216 | 19 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,474 – $87,011 · median $42,948 | 19 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $15,398 – $59,623 · median $30,797 | 19 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,954 – $89,176 · median $43,908 | 19 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,977 – $57,725 · median $29,954 | 19 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,915 – $29,888 · median $16,341 | 19 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,383 – $95,617 · median $46,766 | 19 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,461 – $59,906 · median $30,922 | 19 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,784 – $116,090 · median $55,850 | 19 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $16,519 – $64,674 · median $33,038 | 19 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,647 – $51,730 · median $27,295 | 19 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,450 – $91,411 · median $44,900 | 19 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,784 – $119,120 · median $57,194 | 19 plans |
| 265 | AICD LEAD PROCEDURES | $23,784 – $121,577 · median $58,284 | 19 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $23,784 – $204,178 · median $94,933 | 19 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $23,784 – $160,346 · median $75,485 | 19 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $23,784 – $227,245 · median $105,167 | 19 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $23,784 – $141,805 · median $67,259 | 19 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $23,784 – $174,943 · median $81,961 | 19 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $23,784 – $117,392 · median $56,427 | 19 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,090 – $85,280 · median $42,180 | 19 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $23,784 – $133,271 · median $63,472 | 19 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,784 – $106,370 · median $51,537 | 19 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $23,784 – $240,857 · median $111,206 | 19 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $23,784 – $211,118 · median $98,011 | 19 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $23,784 – $158,546 · median $74,687 | 19 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $23,784 – $170,522 · median $80,000 | 19 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,784 – $109,212 · median $52,798 | 19 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,582 – $55,007 · median $24,276 | 19 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,141 – $30,890 · median $16,889 | 19 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,654 – $24,298 · median $13,285 | 19 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,956 – $65,525 · median $28,920 | 19 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,774 – $24,828 · median $13,575 | 19 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,416 – $23,784 · median $10,284 | 19 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $18,906 – $74,168 · median $32,735 | 19 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,411 – $36,513 · median $19,964 | 19 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,824 – $91,526 · median $40,399 | 19 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,093 – $52,832 · median $23,784 | 19 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,574 – $32,806 · median $17,937 | 19 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,037 – $43,727 · median $23,784 | 19 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,683 – $28,862 · median $15,781 | 19 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,320 – $23,784 · median $10,059 | 19 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,559 – $54,899 · median $24,232 | 19 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,497 – $23,784 · median $12,906 | 19 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,511 – $23,784 · median $8,091 | 19 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $14,402 – $54,209 · median $23,924 | 19 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,266 – $35,872 · median $19,614 | 19 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,565 – $23,903 · median $13,069 | 19 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,967 – $38,979 · median $21,312 | 19 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,255 – $23,784 · median $12,320 | 19 plans |
| 304 | HYPERTENSION WITH MCC | $11,054 – $39,368 · median $21,525 | 19 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,847 – $25,156 · median $13,754 | 19 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $13,493 – $50,178 · median $23,784 | 19 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,176 – $31,040 · median $16,972 | 19 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,289 – $40,413 · median $22,096 | 19 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,761 – $24,774 · median $13,545 | 19 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,402 – $23,784 · median $10,251 | 19 plans |
| 311 | ANGINA PECTORIS | $7,451 – $23,784 · median $12,798 | 19 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,759 – $29,197 · median $15,964 | 19 plans |
| 313 | CHEST PAIN | $7,565 – $23,903 · median $13,069 | 19 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $18,454 – $72,160 · median $31,850 | 19 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,447 – $32,247 · median $17,631 | 19 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,333 – $23,784 · median $12,507 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $23,784 – $210,845 · median $97,890 | 19 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $23,784 – $147,193 · median $64,970 | 19 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,673 – $77,562 · median $34,236 | 19 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $23,695 – $97,025 · median $47,391 | 19 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,850 – $61,661 · median $31,701 | 19 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $23,784 – $145,169 · median $68,751 | 19 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,784 – $108,895 · median $52,658 | 19 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,784 – $97,546 · median $47,622 | 19 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $23,784 – $170,187 · median $75,118 | 19 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $20,530 – $81,366 · median $35,912 | 19 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,220 – $53,395 · median $23,784 | 19 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,784 – $153,868 · median $67,914 | 19 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $20,043 – $79,208 · median $34,959 | 19 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,654 – $55,325 · median $24,418 | 19 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,784 – $116,229 · median $51,302 | 19 plans |
| 333 | RECTAL RESECTION WITH CC | $18,240 – $71,212 · median $31,433 | 19 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $14,712 – $55,573 · median $24,531 | 19 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,784 – $121,437 · median $53,590 | 19 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $18,142 – $70,787 · median $31,241 | 19 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,778 – $51,438 · median $23,784 | 19 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $22,544 – $90,289 · median $39,852 | 19 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,427 – $49,903 · median $23,784 | 19 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,587 – $41,727 · median $22,815 | 19 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,066 – $79,305 · median $35,005 | 19 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,690 – $42,182 · median $23,064 | 19 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,832 – $29,519 · median $16,140 | 19 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,459 – $81,088 · median $35,773 | 19 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,547 – $50,423 · median $23,784 | 19 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,508 – $36,945 · median $20,200 | 19 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,784 – $98,278 · median $43,379 | 19 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,033 – $57,004 · median $25,159 | 19 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,252 – $44,672 · median $23,784 | 19 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $23,784 – $142,934 · median $63,090 | 19 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,198 – $75,461 · median $33,307 | 19 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,417 – $45,406 · median $23,784 | 19 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,798 – $55,958 · median $24,699 | 19 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,865 – $34,100 · median $18,644 | 19 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,449 – $23,784 · median $12,787 | 19 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $15,388 – $58,586 · median $25,853 | 19 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,954 – $34,492 · median $18,859 | 19 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,656 – $24,305 · median $13,289 | 19 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $18,135 – $70,756 · median $31,228 | 19 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,461 – $41,174 · median $22,512 | 19 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,848 – $29,586 · median $16,176 | 19 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $15,919 – $60,925 · median $26,891 | 19 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,626 – $33,038 · median $18,064 | 19 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,986 – $23,784 · median $11,664 | 19 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,721 – $64,483 · median $28,460 | 19 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,406 – $36,496 · median $19,954 | 19 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,837 – $25,109 · median $13,729 | 19 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,730 – $42,363 · median $23,163 | 19 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,746 – $29,140 · median $15,933 | 19 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,456 – $54,444 · median $24,031 | 19 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,676 – $33,255 · median $18,183 | 19 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,240 – $23,784 · median $12,281 | 19 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,285 – $49,260 · median $23,784 | 19 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,232 – $26,865 · median $14,689 | 19 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,309 – $23,784 · median $10,024 | 19 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,883 – $43,057 · median $23,542 | 19 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,071 – $26,148 · median $14,297 | 19 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,692 – $55,489 · median $24,492 | 19 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,289 – $31,543 · median $17,247 | 19 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,983 – $23,784 · median $11,660 | 19 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $20,906 – $83,024 · median $36,647 | 19 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,613 – $50,711 · median $23,784 | 19 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,668 – $37,669 · median $20,596 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $23,784 – $131,667 · median $63,501 | 19 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $23,784 – $181,906 · median $80,290 | 19 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,405 – $94,103 · median $41,536 | 19 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,320 – $71,564 · median $31,588 | 19 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $23,784 – $117,322 · median $51,784 | 19 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,023 – $70,247 · median $31,007 | 19 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,899 – $51,974 · median $23,784 | 19 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,861 – $91,697 · median $40,131 | 19 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,288 – $71,427 · median $31,526 | 19 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,741 – $55,707 · median $24,588 | 19 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,784 – $117,406 · median $51,821 | 19 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,127 – $66,283 · median $29,256 | 19 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,531 – $45,915 · median $23,784 | 19 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,140 – $79,637 · median $35,148 | 19 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $14,710 – $55,576 · median $24,528 | 19 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,134 – $44,153 · median $23,784 | 19 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,784 – $118,263 · median $52,201 | 19 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,553 – $54,873 · median $24,220 | 19 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,281 – $49,236 · median $23,784 | 19 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $23,784 – $136,289 · median $60,157 | 19 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,435 – $76,507 · median $33,770 | 19 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,859 – $51,796 · median $23,784 | 19 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,784 – $351,238 · median $162,746 | 19 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $23,784 – $237,877 · median $111,746 | 19 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $23,784 – $184,479 · median $87,573 | 19 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $23,784 – $279,473 · median $130,465 | 19 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $23,784 – $183,303 · median $87,065 | 19 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $16,984 – $65,649 · median $28,975 | 19 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,260 – $35,846 · median $19,599 | 19 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,438 – $23,784 · median $12,759 | 19 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $15,967 – $61,139 · median $26,986 | 19 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,698 – $37,786 · median $20,660 | 19 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,108 – $26,309 · median $14,385 | 19 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $14,750 – $55,754 · median $24,606 | 19 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,675 – $28,825 · median $15,761 | 19 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,822 – $23,784 · median $11,270 | 19 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,464 – $63,344 · median $27,959 | 19 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,477 – $32,377 · median $17,703 | 19 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,485 – $23,784 · median $12,873 | 19 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,907 – $56,448 · median $24,912 | 19 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,371 – $36,338 · median $19,868 | 19 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,200 – $26,714 · median $14,606 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,784 – $224,658 · median $105,728 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,784 – $136,828 · median $66,091 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $23,784 – $172,566 · median $82,220 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,784 – $103,405 · median $51,008 | 19 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $23,784 – $283,783 · median $125,259 | 19 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $23,784 – $192,314 · median $84,886 | 19 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $23,784 – $144,686 · median $63,863 | 19 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $23,784 – $205,641 · median $88,604 | 19 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $23,784 – $95,959 · median $47,648 | 19 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,784 – $180,977 · median $79,881 | 19 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,784 – $98,808 · median $43,610 | 19 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,298 – $58,170 · median $25,677 | 19 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $23,784 – $170,710 · median $81,381 | 19 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $23,784 – $114,768 · median $56,137 | 19 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,006 – $87,903 · median $44,011 | 19 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,784 – $109,527 · median $53,771 | 19 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $16,427 – $63,183 · median $32,855 | 19 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $23,784 – $162,758 · median $71,839 | 19 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,784 – $97,078 · median $42,850 | 19 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $20,071 – $79,325 · median $35,014 | 19 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $23,784 – $150,272 · median $66,329 | 19 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,482 – $72,284 · median $31,906 | 19 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,966 – $38,972 · median $21,308 | 19 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,784 – $115,234 · median $50,863 | 19 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,853 – $78,360 · median $34,588 | 19 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,598 – $59,504 · median $26,264 | 19 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,784 – $98,553 · median $43,497 | 19 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $17,859 – $69,530 · median $35,719 | 19 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $14,166 – $53,160 · median $28,332 | 19 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,438 – $85,387 · median $37,688 | 19 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,784 – $108,023 · median $53,024 | 19 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $18,207 – $71,065 · median $36,414 | 19 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,119 – $52,949 · median $28,238 | 19 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,031 – $65,857 · median $34,063 | 19 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,535 – $41,505 · median $23,070 | 19 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $23,784 – $118,994 · median $52,522 | 19 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,325 – $80,458 · median $35,511 | 19 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,427 – $63,183 · median $27,885 | 19 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $23,784 – $117,965 · median $52,070 | 19 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,089 – $66,112 · median $29,181 | 19 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,323 – $45,004 · median $23,784 | 19 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,262 – $84,603 · median $37,343 | 19 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $10,948 – $38,898 · median $21,268 | 19 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,784 – $106,176 · median $46,865 | 19 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,665 – $59,812 · median $26,396 | 19 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,735 – $46,817 · median $23,784 | 19 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,182 – $88,684 · median $39,143 | 19 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,441 – $58,830 · median $25,956 | 19 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,441 – $58,830 · median $25,956 | 19 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,506 – $50,231 · median $23,784 | 19 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,826 – $64,946 · median $28,666 | 19 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,929 – $43,248 · median $23,646 | 19 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,781 – $95,772 · median $42,271 | 19 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $17,000 – $65,727 · median $29,006 | 19 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $14,328 – $53,874 · median $23,784 | 19 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,555 – $50,449 · median $23,784 | 19 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,881 – $34,167 · median $18,681 | 19 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,784 – $103,620 · median $45,737 | 19 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,381 – $67,409 · median $29,753 | 19 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,458 – $50,017 · median $23,784 | 19 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,784 – $120,093 · median $53,007 | 19 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $17,081 – $66,072 · median $29,164 | 19 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,008 – $48,023 · median $23,784 | 19 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,784 – $97,668 · median $43,108 | 19 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $18,110 – $70,646 · median $31,179 | 19 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,701 – $51,096 · median $23,784 | 19 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,326 – $27,274 · median $14,912 | 19 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,227 – $44,565 · median $23,784 | 19 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,303 – $27,173 · median $14,857 | 19 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,120 – $30,792 · median $16,836 | 19 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,249 – $23,784 · median $12,303 | 19 plans |
| 539 | OSTEOMYELITIS WITH MCC | $17,462 – $67,781 · median $29,911 | 19 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,956 – $43,375 · median $23,716 | 19 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,787 – $29,315 · median $16,028 | 19 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,273 – $62,493 · median $27,585 | 19 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,193 – $35,547 · median $19,436 | 19 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,885 – $25,324 · median $13,846 | 19 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,277 – $84,670 · median $37,373 | 19 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,925 – $38,795 · median $21,211 | 19 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,813 – $25,005 · median $13,672 | 19 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,403 – $67,506 · median $29,796 | 19 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,283 – $40,380 · median $22,078 | 19 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,690 – $28,889 · median $15,795 | 19 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,073 – $57,178 · median $25,238 | 19 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,459 – $32,297 · median $17,659 | 19 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,046 – $43,774 · median $23,784 | 19 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,482 – $27,967 · median $15,292 | 19 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,353 – $45,121 · median $23,784 | 19 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,345 – $27,361 · median $14,960 | 19 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,888 – $51,930 · median $23,784 | 19 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,703 – $28,946 · median $15,827 | 19 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,207 – $62,198 · median $27,455 | 19 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,781 – $38,161 · median $20,865 | 19 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,353 – $27,398 · median $14,980 | 19 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,237 – $49,049 · median $23,784 | 19 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,929 – $29,948 · median $16,374 | 19 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,036 – $52,584 · median $23,784 | 19 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,881 – $34,167 · median $18,681 | 19 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,828 – $25,065 · median $13,705 | 19 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,784 – $100,879 · median $44,521 | 19 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,831 – $56,123 · median $24,763 | 19 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,809 – $38,282 · median $20,931 | 19 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,784 – $206,348 · median $91,080 | 19 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,784 – $116,102 · median $51,246 | 19 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,268 – $66,903 · median $29,531 | 19 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $23,784 – $180,783 · median $79,796 | 19 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $22,304 – $89,224 · median $39,383 | 19 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,952 – $56,642 · median $25,001 | 19 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,784 – $109,212 · median $48,207 | 19 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,577 – $59,410 · median $26,223 | 19 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,053 – $48,224 · median $23,784 | 19 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,412 – $58,679 · median $25,900 | 19 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,592 – $55,040 · median $24,296 | 19 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,651 – $68,605 · median $30,281 | 19 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,180 – $66,517 · median $29,360 | 19 plans |
| 592 | SKIN ULCERS WITH MCC | $17,719 – $68,903 · median $30,413 | 19 plans |
| 593 | SKIN ULCERS WITH CC | $11,416 – $40,969 · median $22,400 | 19 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,588 – $28,437 · median $15,548 | 19 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $18,163 – $70,874 · median $31,282 | 19 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,346 – $36,224 · median $19,806 | 19 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,454 – $58,860 · median $25,982 | 19 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,329 – $36,154 · median $19,768 | 19 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,635 – $28,648 · median $15,663 | 19 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,404 – $32,076 · median $17,538 | 19 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,704 – $23,784 · median $10,984 | 19 plans |
| 602 | CELLULITIS WITH MCC | $13,280 – $49,240 · median $23,784 | 19 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,831 – $29,519 · median $16,140 | 19 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,405 – $49,786 · median $23,784 | 19 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,155 – $30,953 · median $16,924 | 19 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,347 – $53,954 · median $23,816 | 19 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,706 – $28,963 · median $15,836 | 19 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $19,402 – $76,363 · median $33,706 | 19 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,006 – $48,016 · median $23,784 | 19 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,784 – $129,513 · median $57,163 | 19 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,776 – $64,748 · median $28,568 | 19 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,585 – $41,720 · median $22,811 | 19 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,786 – $81,056 · median $29,078 | 19 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,246 – $47,476 · median $23,784 | 19 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,224 – $43,456 · median $23,784 | 19 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,784 – $125,461 · median $55,344 | 19 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,634 – $64,138 · median $28,290 | 19 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,756 – $33,614 · median $18,379 | 19 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,784 – $96,070 · median $42,404 | 19 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,583 – $50,573 · median $23,784 | 19 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,750 – $42,450 · median $23,210 | 19 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,784 – $132,241 · median $58,357 | 19 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $19,176 – $75,401 · median $33,264 | 19 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,766 – $46,954 · median $23,784 | 19 plans |
| 637 | DIABETES WITH MCC | $13,182 – $48,801 · median $23,784 | 19 plans |
| 638 | DIABETES WITH CC | $9,106 – $30,735 · median $16,805 | 19 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,909 – $23,784 · median $11,481 | 19 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,212 – $44,505 · median $23,784 | 19 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,080 – $26,188 · median $14,319 | 19 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,555 – $41,589 · median $22,739 | 19 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $14,702 – $55,536 · median $24,511 | 19 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,985 – $34,633 · median $18,936 | 19 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,059 – $26,104 · median $14,273 | 19 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $23,784 – $186,791 · median $82,448 | 19 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $23,509 – $94,562 · median $41,739 | 19 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,877 – $69,607 · median $30,723 | 19 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,784 – $109,166 · median $48,186 | 19 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $15,993 – $61,256 · median $27,038 | 19 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,543 – $50,396 · median $23,784 | 19 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,711 – $86,597 · median $38,222 | 19 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,303 – $44,900 · median $23,784 | 19 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,933 – $34,401 · median $18,809 | 19 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,784 – $104,531 · median $46,139 | 19 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $13,720 – $51,180 · median $23,784 | 19 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,336 – $36,184 · median $19,784 | 19 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,784 – $115,053 · median $50,783 | 19 plans |
| 666 | PROSTATECTOMY WITH CC | $14,626 – $55,198 · median $24,364 | 19 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,943 – $34,438 · median $18,830 | 19 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,784 – $97,719 · median $43,132 | 19 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,872 – $51,857 · median $23,784 | 19 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,397 – $32,022 · median $17,509 | 19 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $15,204 – $57,758 · median $25,494 | 19 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,446 – $36,670 · median $20,050 | 19 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $23,784 – $140,407 · median $61,964 | 19 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,625 – $77,351 · median $34,141 | 19 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,006 – $52,450 · median $23,784 | 19 plans |
| 682 | RENAL FAILURE WITH MCC | $13,527 – $50,332 · median $23,784 | 19 plans |
| 683 | RENAL FAILURE WITH CC | $8,892 – $29,787 · median $16,286 | 19 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,764 – $23,784 · median $11,131 | 19 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,429 – $63,186 · median $27,890 | 19 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,131 – $35,273 · median $19,286 | 19 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,647 – $24,268 · median $13,269 | 19 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,020 – $39,220 · median $21,444 | 19 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,240 – $26,895 · median $14,705 | 19 plans |
| 693 | URINARY STONES WITH MCC | $13,289 – $49,270 · median $23,784 | 19 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,080 – $26,185 · median $14,317 | 19 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,699 – $37,789 · median $20,662 | 19 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,402 – $23,784 · median $12,673 | 19 plans |
| 697 | URETHRAL STRICTURE | $9,746 – $33,570 · median $18,355 | 19 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,880 – $56,327 · median $24,861 | 19 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,883 – $34,174 · median $18,685 | 19 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,420 – $23,784 · median $12,717 | 19 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,844 – $65,026 · median $28,701 | 19 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $13,380 – $49,675 · median $23,784 | 19 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,161 – $75,297 · median $33,235 | 19 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,523 – $50,309 · median $23,784 | 19 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,617 – $64,024 · median $28,213 | 19 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,259 – $35,842 · median $19,597 | 19 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,104 – $48,452 · median $23,784 | 19 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,276 – $31,486 · median $17,215 | 19 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $19,246 – $75,672 · median $33,400 | 19 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,903 – $47,557 · median $23,784 | 19 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $16,201 – $62,174 · median $27,443 | 19 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,486 – $41,278 · median $22,569 | 19 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,243 – $57,932 · median $25,570 | 19 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,662 – $37,628 · median $20,574 | 19 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,680 – $24,415 · median $13,349 | 19 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,718 – $42,326 · median $23,143 | 19 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,800 – $24,941 · median $13,637 | 19 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,281 – $49,236 · median $23,784 | 19 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,349 – $27,381 · median $14,971 | 19 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,495 – $36,888 · median $20,169 | 19 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,760 – $23,784 · median $11,120 | 19 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,070 – $70,461 · median $31,100 | 19 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,350 – $40,674 · median $22,239 | 19 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,784 – $131,939 · median $58,237 | 19 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,281 – $66,963 · median $29,556 | 19 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,640 – $50,828 · median $23,784 | 19 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,784 – $133,393 · median $58,878 | 19 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,919 – $60,928 · median $26,893 | 19 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,557 – $46,026 · median $23,784 | 19 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,983 – $61,209 · median $27,017 | 19 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,235 – $40,165 · median $21,961 | 19 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,945 – $65,475 · median $28,900 | 19 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,920 – $34,341 · median $18,776 | 19 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,833 – $56,113 · median $24,767 | 19 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,394 – $32,005 · median $17,499 | 19 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,472 – $45,647 · median $23,784 | 19 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,743 – $86,737 · median $38,285 | 19 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,921 – $43,211 · median $23,626 | 19 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,851 – $60,626 · median $26,760 | 19 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,565 – $37,199 · median $20,339 | 19 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,392 – $31,999 · median $17,496 | 19 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,872 – $47,423 · median $23,784 | 19 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,878 – $34,157 · median $18,676 | 19 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,010 – $23,784 · median $11,724 | 19 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,623 – $33,024 · median $18,056 | 19 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,964 – $23,784 · median $11,614 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $7,285 – $30,336 · median $10,983 | 19 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,677 – $46,562 · median $23,784 | 19 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,307 – $36,053 · median $19,713 | 19 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,566 – $23,906 · median $13,071 | 19 plans |
| 779 | ABORTION WITHOUT D&C | $9,239 – $31,322 · median $17,126 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,426 – $55,263 · median $16,904 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,426 – $32,490 · median $11,499 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,776 – $26,205 · median $10,271 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,426 – $48,477 · median $15,108 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,426 – $31,854 · median $11,431 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,012 – $27,141 · median $10,271 | 19 plans |
| 795 | NORMAL NEWBORN | $1,020 – $7,365 · median $3,866 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $7,285 – $31,830 · median $12,415 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,285 – $29,046 · median $9,967 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,285 – $29,046 · median $9,967 | 19 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $23,784 – $159,323 · median $70,323 | 19 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,784 – $97,635 · median $43,095 | 19 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,584 – $55,013 · median $24,281 | 19 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $23,784 – $120,120 · median $53,019 | 19 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,630 – $59,644 · median $26,326 | 19 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,531 – $37,045 · median $20,255 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,285 – $29,940 · median $10,203 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,285 – $21,708 · median $8,483 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,990 – $19,119 · median $7,759 | 19 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $19,488 – $76,751 · median $33,874 | 19 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,536 – $41,502 · median $22,692 | 19 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,368 – $31,891 · median $17,437 | 19 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,809 – $47,142 · median $23,784 | 19 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,149 – $30,926 · median $16,909 | 19 plans |
| 813 | COAGULATION DISORDERS | $13,876 – $51,870 · median $23,784 | 19 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,977 – $70,046 · median $30,919 | 19 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,854 – $34,050 · median $18,617 | 19 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,157 – $23,784 · median $12,082 | 19 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $3,050 – $84,951 · median $24,113 | 19 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $3,050 – $43,161 · median $14,633 | 19 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $3,050 – $27,361 · median $9,989 | 19 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $23,784 – $195,092 · median $86,112 | 19 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,050 – $74,801 · median $33,017 | 19 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,819 – $38,322 · median $20,953 | 19 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $23,784 – $156,800 · median $69,210 | 19 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,801 – $73,699 · median $32,529 | 19 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,477 – $41,241 · median $22,549 | 19 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $23,784 – $160,017 · median $70,630 | 19 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,014 – $79,074 · median $34,903 | 19 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,291 – $53,710 · median $23,784 | 19 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,784 – $103,331 · median $45,609 | 19 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,229 – $49,005 · median $23,784 | 19 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $3,050 – $38,567 · median $17,023 | 19 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $3,050 – $25,042 · median $11,054 | 19 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,050 – $23,784 · median $7,688 | 19 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $23,784 – $185,206 · median $81,749 | 19 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,321 – $71,571 · median $31,590 | 19 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,779 – $42,581 · median $23,282 | 19 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $23,784 – $167,778 · median $74,056 | 19 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,506 – $67,962 · median $29,997 | 19 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,533 – $45,919 · median $23,784 | 19 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,784 – $106,877 · median $47,165 | 19 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,027 – $52,540 · median $23,784 | 19 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,125 – $35,246 · median $19,271 | 19 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,486 – $63,438 · median $28,002 | 19 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,208 – $40,048 · median $21,897 | 19 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,498 – $28,038 · median $15,330 | 19 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,480 – $85,571 · median $37,771 | 19 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,779 – $42,578 · median $23,280 | 19 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,363 – $27,441 · median $15,004 | 19 plans |
| 849 | RADIOTHERAPY | $22,367 – $89,502 · median $39,506 | 19 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $23,784 – $308,671 · median $136,244 | 19 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $23,784 – $167,600 · median $73,969 | 19 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $17,279 – $66,960 · median $29,552 | 19 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,462 – $54,471 · median $24,043 | 19 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $23,784 – $151,174 · median $66,727 | 19 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $18,646 – $73,015 · median $32,226 | 19 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,913 – $43,174 · median $23,606 | 19 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,073 – $61,611 · median $27,194 | 19 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,732 – $33,507 · median $18,320 | 19 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,961 – $30,089 · median $16,451 | 19 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,330 – $49,457 · median $23,784 | 19 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,861 – $29,646 · median $16,209 | 19 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $18,384 – $71,852 · median $31,714 | 19 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,111 – $35,186 · median $19,238 | 19 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,612 – $24,110 · median $13,183 | 19 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $23,784 – $233,112 · median $102,887 | 19 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,006 – $65,757 · median $29,019 | 19 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,967 – $34,549 · median $18,890 | 19 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $23,784 – $148,456 · median $65,527 | 19 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $16,519 – $63,582 · median $28,066 | 19 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,389 – $40,849 · median $22,335 | 19 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,784 – $129,379 · median $57,106 | 19 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,633 – $55,228 · median $24,377 | 19 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,673 – $73,132 · median $32,279 | 19 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $23,784 – $133,487 · median $58,919 | 19 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $17,422 – $67,590 · median $29,833 | 19 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,761 – $42,497 · median $23,236 | 19 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $14,407 – $54,226 · median $23,935 | 19 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,100 – $30,705 · median $16,788 | 19 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,311 – $58,234 · median $25,704 | 19 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,193 – $23,784 · median $12,166 | 19 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,569 – $54,943 · median $24,251 | 19 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,860 – $29,636 · median $16,204 | 19 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $15,959 – $61,102 · median $26,971 | 19 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,853 – $34,039 · median $18,611 | 19 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,371 – $23,784 · median $12,598 | 19 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,945 – $56,605 · median $24,986 | 19 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,883 – $34,174 · median $18,685 | 19 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,784 – $106,354 · median $46,943 | 19 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,135 – $70,750 · median $31,228 | 19 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,948 – $65,485 · median $28,904 | 19 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,896 – $43,097 · median $23,564 | 19 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,179 – $26,624 · median $14,557 | 19 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,330 – $36,154 · median $19,768 | 19 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,603 – $23,784 · median $10,739 | 19 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,459 – $23,784 · median $10,387 | 19 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $23,784 – $228,803 · median $100,991 | 19 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,784 – $128,082 · median $56,533 | 19 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $23,784 – $250,109 · median $110,396 | 19 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $23,784 – $137,709 · median $60,784 | 19 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,161 – $88,590 · median $39,103 | 19 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,513 – $50,272 · median $23,784 | 19 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,072 – $30,578 · median $16,719 | 19 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $23,784 – $211,914 · median $93,536 | 19 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $22,232 – $88,909 · median $39,242 | 19 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,784 – $100,061 · median $44,166 | 19 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,918 – $47,628 · median $23,784 | 19 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,755 – $33,607 · median $18,375 | 19 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,073 – $48,315 · median $23,784 | 19 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,784 – $159,317 · median $70,310 | 19 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,683 – $82,049 · median $36,210 | 19 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,784 – $55,898 · median $24,673 | 19 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $23,784 – $117,386 · median $51,805 | 19 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,146 – $57,503 · median $25,380 | 19 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,908 – $38,717 · median $21,169 | 19 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $23,784 – $1,263,669 · median $449,635 | 18 plans |
| 077 | DRG Rates | $13,863 – $51,813 · median $25,298 | 18 plans |
| 078 | DRG Rates | $9,716 – $33,436 · median $16,520 | 18 plans |
| 079 | DRG | $7,212 – $22,341 · median $11,000 | 18 plans |
| 294 | DRG Rates | $11,456 – $41,147 · median $20,330 | 18 plans |
| 295 | DRG Rates | $8,143 – $26,466 · median $13,076 | 18 plans |
| 509 | DRG Rates | $15,454 – $58,860 · median $28,444 | 18 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $23,784 – $187,960 · median $57,914 | 18 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,784 – $187,960 · median $44,487 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $23,784 – $369,270 · median $96,602 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $23,784 – $356,835 · median $93,438 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $23,784 – $187,960 · median $43,884 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $23,784 – $187,960 · median $48,940 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $23,784 – $267,162 · median $70,572 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $23,784 – $439,011 · median $114,390 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $23,784 – $202,250 · median $54,022 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $23,784 – $202,250 · median $54,022 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $23,784 – $265,624 · median $70,182 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $23,784 – $187,960 · median $28,695 | 17 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $23,784 – $943,856 · median $225,901 | 16 plans |
| 007 | LUNG TRANSPLANT | $23,784 – $437,905 · median $113,099 | 16 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $164,209 – $617,230 · median $185,557 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $109,004 – $406,944 · median $123,175 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,306 – $164,307 · median $51,196 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,915 – $109,489 · median $34,934 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,985 – $128,802 · median $40,663 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,297 – $88,088 · median $28,585 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,830 – $71,073 · median $23,538 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,855 – $120,689 · median $38,257 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,318 – $61,505 · median $20,700 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,235 – $45,950 · median $16,085 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,714 – $66,822 · median $22,277 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,088 – $37,774 · median $13,660 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $2,228 – $60,408 · median $16,591 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $4,400 – $199,217 · median $49,474 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $3,526 – $136,054 · median $34,511 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,228 – $82,093 · median $21,728 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,526 – $139,757 · median $35,389 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,228 – $49,467 · median $13,999 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,784 – $131,674 · median $35,389 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $2,520 – $32,123 · median $9,890 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $2,520 – $30,631 · median $9,537 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $2,520 – $32,233 · median $9,917 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,520 – $62,208 · median $16,998 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $2,520 – $55,965 · median $15,540 | 15 plans |
| 885 | PSYCHOSES | $2,520 – $47,232 · median $13,471 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $2,520 – $60,197 · median $16,542 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,520 – $39,853 · median $11,723 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,520 – $20,914 · median $7,235 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $2,520 – $48,519 · median $13,775 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $2,520 – $59,675 · median $16,418 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $2,520 – $29,563 · median $9,284 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $23,784 – $794,951 · median $201,501 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $23,784 – $223,797 · median $58,462 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,784 – $106,569 · median $29,102 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $23,784 – $144,988 · median $38,723 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,395 – $71,902 · median $20,787 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $18,778 – $73,598 · median $21,219 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $2,539 – $51,150 · median $14,399 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $2,539 – $37,411 · median $11,144 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,712 – $78,241 · median $25,664 | 15 plans |
| 888 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 889 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 890 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 891 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 892 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 893 | Psych and Alcohol - DRG | $2,520 – $3,150 · median $2,835 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $23,784 – $23,784 · median $23,784 | 1 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $23,784 – $23,784 · median $23,784 | 1 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $23,784 – $23,784 · median $23,784 | 1 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $23,784 – $23,784 · median $23,784 | 1 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,784 – $23,784 · median $23,784 | 1 plans |
No procedures match that keyword.