Jefferson Regional — Pricing
765 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 765 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 765
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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.
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Showing all 765 procedures
Procedures with negotiated rates only
These 765 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $218,427 – $369,142 · median $285,143 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,324 – $149,267 · median $115,301 | 9 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $165,436 – $279,587 · median $230,559 | 9 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,962 – $182,456 · median $150,461 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,363 – $135,814 · median $104,909 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,142 – $61,080 · median $47,181 | 9 plans |
| 007 | LUNG TRANSPLANT | $100,938 – $170,585 · median $131,768 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,684 – $73,826 · median $57,027 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $55,930 – $94,521 · median $73,013 | 9 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,511 – $71,844 · median $59,245 | 9 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,861 – $55,535 · median $45,796 | 9 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,462 – $37,960 · median $31,304 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $93,671 – $158,305 · median $122,282 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,218 – $78,108 · median $60,335 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,341 – $71,556 · median $55,274 | 9 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $336,581 – $568,821 · median $439,385 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,609 – $93,980 · median $72,595 | 9 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,332 – $103,651 · median $85,475 | 9 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,262 – $69,732 · median $57,504 | 9 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,766 – $41,854 · median $34,515 | 9 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $44,664 – $75,482 · median $62,245 | 9 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,491 – $51,529 · median $42,493 | 9 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,438 – $59,891 · median $49,389 | 9 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,234 – $40,956 · median $33,774 | 9 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,664 – $33,233 · median $27,405 | 9 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $46,831 – $79,144 · median $65,265 | 9 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,591 – $44,939 · median $37,059 | 9 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,110 – $28,916 · median $23,845 | 9 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $34,922 – $59,019 · median $48,669 | 9 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,610 – $28,070 · median $23,148 | 9 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,961 – $21,904 · median $18,063 | 9 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,169 – $50,986 · median $42,045 | 9 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,632 – $31,489 · median $25,967 | 9 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,143 – $25,591 · median $21,104 | 9 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,660 – $43,365 · median $35,760 | 9 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,647 – $21,374 · median $17,625 | 9 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,162 – $15,484 · median $12,769 | 9 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,095 – $50,861 · median $41,942 | 9 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,137 – $28,962 · median $23,883 | 9 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,466 – $22,758 · median $18,767 | 9 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,118 – $23,859 · median $19,675 | 9 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,632 – $12,898 · median $10,637 | 9 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,901 – $20,113 · median $16,586 | 9 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,947 – $13,431 · median $11,075 | 9 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,107 – $30,601 · median $25,235 | 9 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,098 – $17,066 · median $14,073 | 9 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,324 – $22,518 · median $18,569 | 9 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,672 – $16,346 · median $13,479 | 9 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,169 – $12,116 · median $9,991 | 9 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,490 – $36,318 · median $29,949 | 9 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,696 – $23,147 · median $19,088 | 9 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,942 – $18,491 · median $15,249 | 9 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,674 – $26,490 · median $21,844 | 9 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,875 – $13,308 · median $10,974 | 9 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,334 – $9,015 · median $7,434 | 9 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,448 – $19,346 · median $15,954 | 9 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,737 – $11,386 · median $9,390 | 9 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,226 – $10,522 · median $8,677 | 9 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $12,976 – $21,929 · median $18,084 | 9 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $7,997 – $13,515 · median $11,145 | 9 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,894 – $9,961 · median $8,214 | 9 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,504 – $21,132 · median $17,427 | 9 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,034 – $13,578 · median $11,197 | 9 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,946 – $25,258 · median $20,829 | 9 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,432 – $10,870 · median $8,964 | 9 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,108 – $23,842 · median $19,661 | 9 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,981 – $11,797 · median $9,728 | 9 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,815 – $30,107 · median $24,827 | 9 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,879 – $18,386 · median $15,162 | 9 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,450 – $12,590 · median $10,382 | 9 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,708 – $29,926 · median $24,679 | 9 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,154 – $17,160 · median $14,151 | 9 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,129 – $12,049 · median $9,936 | 9 plans |
| 088 | CONCUSSION WITH MCC | $10,536 – $17,806 · median $14,684 | 9 plans |
| 089 | CONCUSSION WITH CC | $8,563 – $14,471 · median $11,934 | 9 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,416 – $10,844 · median $8,942 | 9 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,688 – $23,133 · median $19,077 | 9 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,974 – $13,475 · median $11,112 | 9 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,207 – $10,489 · median $8,650 | 9 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $27,431 – $46,359 · median $38,229 | 9 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,103 – $33,974 · median $28,017 | 9 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,103 – $33,974 · median $28,017 | 9 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,152 – $47,576 · median $39,233 | 9 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,887 – $30,229 · median $24,928 | 9 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,619 – $17,946 · median $14,799 | 9 plans |
| 100 | SEIZURES WITH MCC | $15,096 – $25,512 · median $21,038 | 9 plans |
| 101 | SEIZURES WITHOUT MCC | $7,035 – $11,889 · median $9,804 | 9 plans |
| 102 | HEADACHES WITH MCC | $8,737 – $14,765 · median $12,176 | 9 plans |
| 103 | HEADACHES WITHOUT MCC | $6,518 – $11,016 · median $9,084 | 9 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,325 – $30,970 · median $25,539 | 9 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,546 – $17,822 · median $14,697 | 9 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,964 – $20,218 · median $16,673 | 9 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,093 – $23,817 · median $19,640 | 9 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,456 – $14,291 · median $11,785 | 9 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,067 – $15,323 · median $12,636 | 9 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,125 – $10,351 · median $8,536 | 9 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,225 – $10,519 · median $8,675 | 9 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,313 – $17,428 · median $14,372 | 9 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,984 – $10,114 · median $8,340 | 9 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,914 – $28,584 · median $23,572 | 9 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,914 – $13,374 · median $11,029 | 9 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,638 – $19,669 · median $16,220 | 9 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,907 – $11,673 · median $9,626 | 9 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,631 – $16,277 · median $13,423 | 9 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,245 – $56,184 · median $46,332 | 9 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,000 – $28,730 · median $23,692 | 9 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,443 – $21,028 · median $17,341 | 9 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,202 – $49,352 · median $40,697 | 9 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,507 – $22,826 · median $18,824 | 9 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,371 – $15,837 · median $13,060 | 9 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,504 – $27,891 · median $23,000 | 9 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,910 – $16,749 · median $13,812 | 9 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,213 – $10,500 · median $8,659 | 9 plans |
| 149 | DYSEQUILIBRIUM | $5,858 – $9,900 · median $8,164 | 9 plans |
| 150 | EPISTAXIS WITH MCC | $10,378 – $17,539 · median $14,463 | 9 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,721 – $9,669 · median $7,973 | 9 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,214 – $15,572 · median $12,842 | 9 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,754 – $9,724 · median $8,019 | 9 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,186 – $20,595 · median $16,984 | 9 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,143 – $12,073 · median $9,955 | 9 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,387 – $9,103 · median $7,507 | 9 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,381 – $22,614 · median $18,649 | 9 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,091 – $11,984 · median $9,883 | 9 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,522 – $9,333 · median $7,696 | 9 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,933 – $59,036 · median $48,684 | 9 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,673 – $33,247 · median $27,417 | 9 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,920 – $25,215 · median $20,793 | 9 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,133 – $49,234 · median $40,601 | 9 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,056 – $23,755 · median $19,589 | 9 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,650 – $17,999 · median $14,843 | 9 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,199 – $39,206 · median $32,331 | 9 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,706 – $18,094 · median $14,921 | 9 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,274 – $10,604 · median $8,744 | 9 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,180 – $20,585 · median $16,975 | 9 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,607 – $12,856 · median $10,602 | 9 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,885 – $9,945 · median $8,201 | 9 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,765 – $23,262 · median $19,183 | 9 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,348 – $14,108 · median $11,634 | 9 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,875 – $9,929 · median $8,188 | 9 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,925 – $20,152 · median $16,619 | 9 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,294 – $14,017 · median $11,559 | 9 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,130 – $10,360 · median $8,543 | 9 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,147 – $20,529 · median $16,929 | 9 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,709 – $13,029 · median $10,744 | 9 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,590 – $9,447 · median $7,791 | 9 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,629 – $16,273 · median $13,420 | 9 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,634 – $14,591 · median $12,032 | 9 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,571 – $11,104 · median $9,157 | 9 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,004 – $8,457 · median $6,974 | 9 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,245 – $17,314 · median $14,278 | 9 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,281 – $10,616 · median $8,754 | 9 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,899 – $8,279 · median $6,827 | 9 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,709 – $24,859 · median $20,500 | 9 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,398 – $12,502 · median $10,310 | 9 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,582 – $9,434 · median $7,780 | 9 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,750 – $23,237 · median $19,163 | 9 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,568 – $14,480 · median $11,941 | 9 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,574 – $9,420 · median $7,768 | 9 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,570 – $12,793 · median $10,550 | 9 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,222 – $8,826 · median $7,278 | 9 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,293 – $10,635 · median $8,770 | 9 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,271 – $24,119 · median $19,889 | 9 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,335 – $12,397 · median $10,223 | 9 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,154 – $84,760 · median $69,897 | 9 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,424 – $36,207 · median $29,858 | 9 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $84,756 – $143,238 · median $118,120 | 9 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,608 – $131,158 · median $108,158 | 9 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,250 – $128,863 · median $106,266 | 9 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,250 – $86,612 · median $71,424 | 9 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,250 – $86,612 · median $71,424 | 9 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,847 – $101,142 · median $83,406 | 9 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,566 – $70,246 · median $57,928 | 9 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,285 – $66,392 · median $54,749 | 9 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $38,562 – $65,169 · median $53,741 | 9 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,548 – $41,486 · median $34,211 | 9 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $65,705 – $111,042 · median $91,570 | 9 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,254 – $79,859 · median $65,855 | 9 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,589 – $100,706 · median $83,046 | 9 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,578 – $71,957 · median $59,339 | 9 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $45,742 – $77,304 · median $63,748 | 9 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,649 – $55,177 · median $45,501 | 9 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,361 – $64,831 · median $53,462 | 9 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,218 – $37,548 · median $30,964 | 9 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,790 – $18,236 · median $15,038 | 9 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,886 – $42,057 · median $34,682 | 9 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,609 – $28,069 · median $23,147 | 9 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,088 – $23,809 · median $19,634 | 9 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,561 – $60,098 · median $49,559 | 9 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,011 – $28,749 · median $23,707 | 9 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,649 – $19,686 · median $16,234 | 9 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,189 – $45,949 · median $37,892 | 9 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,231 – $34,190 · median $28,195 | 9 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,887 – $23,469 · median $19,354 | 9 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,024 – $35,531 · median $29,301 | 9 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,234 – $22,365 · median $18,443 | 9 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,513 – $14,387 · median $11,864 | 9 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $24,491 – $41,389 · median $34,131 | 9 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,761 – $26,636 · median $21,965 | 9 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $25,353 – $42,847 · median $35,334 | 9 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,735 – $24,902 · median $20,536 | 9 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,704 – $21,470 · median $17,705 | 9 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,830 – $40,273 · median $33,211 | 9 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,038 – $44,004 · median $36,287 | 9 plans |
| 265 | AICD LEAD PROCEDURES | $28,201 – $47,660 · median $39,303 | 9 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,767 – $80,726 · median $66,570 | 9 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,107 – $62,711 · median $51,714 | 9 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $53,609 – $90,598 · median $74,711 | 9 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,917 – $55,630 · median $45,875 | 9 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $41,125 – $69,502 · median $57,314 | 9 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,719 – $46,845 · median $38,630 | 9 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,899 – $33,629 · median $27,732 | 9 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,155 – $54,343 · median $44,813 | 9 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,657 – $43,360 · median $35,756 | 9 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,577 – $93,924 · median $77,454 | 9 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $46,817 – $79,121 · median $65,247 | 9 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $35,998 – $60,837 · median $50,168 | 9 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,385 – $73,320 · median $60,463 | 9 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,109 – $47,505 · median $39,175 | 9 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,503 – $21,130 · median $17,425 | 9 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,164 – $12,107 · median $9,984 | 9 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,636 – $9,525 · median $7,855 | 9 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,439 – $26,092 · median $21,516 | 9 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,395 – $9,118 · median $7,519 | 9 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,668 – $7,889 · median $6,506 | 9 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,247 – $29,148 · median $24,037 | 9 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,341 – $14,096 · median $11,624 | 9 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,093 – $35,647 · median $29,396 | 9 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,304 – $22,484 · median $18,541 | 9 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,246 – $12,246 · median $10,099 | 9 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,006 – $16,911 · median $13,945 | 9 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,617 – $11,183 · median $9,222 | 9 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,412 – $7,456 · median $6,148 | 9 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,174 – $20,574 · median $16,966 | 9 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,942 – $8,351 · median $6,887 | 9 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,547 – $5,995 · median $4,944 | 9 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,726 – $21,507 · median $17,735 | 9 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,320 – $14,062 · median $11,596 | 9 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,610 – $9,480 · median $7,818 | 9 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,327 – $15,762 · median $12,998 | 9 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,247 – $8,868 · median $7,313 | 9 plans |
| 304 | HYPERTENSION WITH MCC | $9,275 – $15,675 · median $12,926 | 9 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,885 – $9,946 · median $8,202 | 9 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,282 – $20,757 · median $17,117 | 9 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,118 – $12,029 · median $9,920 | 9 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,384 – $15,860 · median $13,078 | 9 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,734 – $9,691 · median $7,992 | 9 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,412 – $7,457 · median $6,149 | 9 plans |
| 311 | ANGINA PECTORIS | $5,471 – $9,246 · median $7,624 | 9 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,794 – $11,481 · median $9,468 | 9 plans |
| 313 | CHEST PAIN | $5,612 – $9,484 · median $7,821 | 9 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,253 – $27,467 · median $22,650 | 9 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,508 – $12,689 · median $10,464 | 9 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,317 – $8,985 · median $7,409 | 9 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $52,117 – $88,077 · median $72,632 | 9 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $34,785 – $58,787 · median $48,478 | 9 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,748 – $31,684 · median $26,128 | 9 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,207 – $35,839 · median $29,555 | 9 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,741 – $23,223 · median $19,151 | 9 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,729 – $57,002 · median $47,006 | 9 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,560 – $41,506 · median $34,228 | 9 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,023 – $42,289 · median $34,873 | 9 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,873 – $65,696 · median $54,176 | 9 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,051 – $32,196 · median $26,550 | 9 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,489 – $21,106 · median $17,405 | 9 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,827 – $60,547 · median $49,929 | 9 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,685 – $31,577 · median $26,040 | 9 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,117 – $22,168 · median $18,281 | 9 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,221 – $47,693 · median $39,330 | 9 plans |
| 333 | RECTAL RESECTION WITH CC | $18,256 – $30,852 · median $25,442 | 9 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,766 – $21,575 · median $17,792 | 9 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,833 – $47,037 · median $38,789 | 9 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,436 – $27,777 · median $22,906 | 9 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,964 – $20,220 · median $16,674 | 9 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,131 – $34,022 · median $28,056 | 9 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,728 – $19,821 · median $16,345 | 9 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,246 – $15,625 · median $12,885 | 9 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,893 – $30,239 · median $24,936 | 9 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,201 – $17,240 · median $14,217 | 9 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,786 – $11,468 · median $9,457 | 9 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,423 – $32,824 · median $27,068 | 9 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,882 – $20,081 · median $16,560 | 9 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,102 – $15,383 · median $12,685 | 9 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,619 – $38,226 · median $31,523 | 9 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,113 – $22,161 · median $18,275 | 9 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,483 – $17,717 · median $14,610 | 9 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,239 – $57,864 · median $47,717 | 9 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,126 – $30,632 · median $25,261 | 9 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,896 – $18,414 · median $15,185 | 9 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,408 – $20,969 · median $17,292 | 9 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,796 – $13,175 · median $10,865 | 9 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,462 – $9,231 · median $7,612 | 9 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,820 – $23,356 · median $19,260 | 9 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,958 – $13,449 · median $11,091 | 9 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,670 – $9,582 · median $7,901 | 9 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,670 – $28,172 · median $23,232 | 9 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,428 – $15,933 · median $13,139 | 9 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,204 – $12,175 · median $10,040 | 9 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,248 – $24,079 · median $19,857 | 9 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,644 – $12,918 · median $10,653 | 9 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,914 – $8,304 · median $6,848 | 9 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,294 – $25,847 · median $21,314 | 9 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,445 – $14,272 · median $11,770 | 9 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,240 – $10,546 · median $8,697 | 9 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,762 – $18,187 · median $14,998 | 9 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,663 – $11,260 · median $9,285 | 9 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,333 – $20,843 · median $17,188 | 9 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,610 – $12,860 · median $10,605 | 9 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,310 – $8,974 · median $7,401 | 9 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,511 – $19,453 · median $16,042 | 9 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,156 – $10,404 · median $8,579 | 9 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,240 – $7,166 · median $5,909 | 9 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,886 – $16,707 · median $13,777 | 9 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,076 – $10,269 · median $8,468 | 9 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,465 – $21,067 · median $17,372 | 9 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,293 – $12,325 · median $10,164 | 9 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,059 – $8,549 · median $7,050 | 9 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,667 – $31,547 · median $26,015 | 9 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,797 – $19,938 · median $16,441 | 9 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,922 – $15,078 · median $12,434 | 9 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,337 – $52,960 · median $43,673 | 9 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $42,639 – $72,060 · median $59,423 | 9 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,605 – $38,203 · median $31,503 | 9 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,300 – $29,237 · median $24,110 | 9 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,791 – $46,968 · median $38,731 | 9 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,971 – $28,680 · median $23,651 | 9 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,375 – $20,914 · median $17,246 | 9 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,747 – $43,512 · median $35,882 | 9 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,388 – $27,695 · median $22,838 | 9 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,942 – $21,873 · median $18,037 | 9 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $27,768 – $46,928 · median $38,699 | 9 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,109 – $27,223 · median $22,450 | 9 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,626 – $17,958 · median $14,809 | 9 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,600 – $31,435 · median $25,922 | 9 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,185 – $22,282 · median $18,375 | 9 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,645 – $17,991 · median $14,836 | 9 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,556 – $44,880 · median $37,010 | 9 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,543 – $22,887 · median $18,874 | 9 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,908 – $18,435 · median $15,202 | 9 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,370 – $54,705 · median $45,112 | 9 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,053 – $28,820 · median $23,766 | 9 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,694 – $19,763 · median $16,297 | 9 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $85,903 – $145,176 · median $119,718 | 9 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,264 – $95,086 · median $78,412 | 9 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,820 – $74,055 · median $61,069 | 9 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $70,224 – $118,678 · median $97,867 | 9 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $44,951 – $75,967 · median $62,645 | 9 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,341 – $25,926 · median $21,380 | 9 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,232 – $13,913 · median $11,473 | 9 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,553 – $9,385 · median $7,740 | 9 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,316 – $24,194 · median $19,951 | 9 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,816 – $14,899 · median $12,287 | 9 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,651 – $11,240 · median $9,269 | 9 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,706 – $21,474 · median $17,708 | 9 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,557 – $11,081 · median $9,138 | 9 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,843 – $8,185 · median $6,750 | 9 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,988 – $23,641 · median $19,495 | 9 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,524 – $12,715 · median $10,486 | 9 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,454 – $9,217 · median $7,600 | 9 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,024 – $22,010 · median $18,150 | 9 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,530 – $14,416 · median $11,888 | 9 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,448 – $10,898 · median $8,987 | 9 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,079 – $88,013 · median $72,579 | 9 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,054 – $55,862 · median $46,066 | 9 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,541 – $70,204 · median $57,893 | 9 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,179 – $42,552 · median $35,090 | 9 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,499 – $110,693 · median $91,282 | 9 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $46,478 – $78,548 · median $64,774 | 9 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,523 – $54,963 · median $45,325 | 9 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,048 – $72,751 · median $59,994 | 9 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,733 – $35,039 · median $28,894 | 9 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,424 – $75,076 · median $61,911 | 9 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,277 – $41,028 · median $33,833 | 9 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,215 – $24,023 · median $19,810 | 9 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,573 – $68,568 · median $56,544 | 9 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,487 – $46,454 · median $38,308 | 9 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,419 – $36,198 · median $29,850 | 9 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,642 – $39,955 · median $32,948 | 9 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,034 – $25,408 · median $20,953 | 9 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,636 – $63,606 · median $52,452 | 9 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,963 – $38,807 · median $32,002 | 9 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,028 – $32,158 · median $26,519 | 9 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $33,460 – $56,548 · median $46,632 | 9 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,738 – $29,976 · median $24,720 | 9 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,199 – $15,546 · median $12,820 | 9 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,926 – $45,505 · median $37,526 | 9 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,168 – $32,394 · median $26,713 | 9 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,489 – $24,486 · median $20,192 | 9 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,699 – $38,362 · median $31,635 | 9 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,325 – $27,590 · median $22,752 | 9 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,713 – $21,484 · median $17,717 | 9 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $21,605 – $36,513 · median $30,110 | 9 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,153 – $42,509 · median $35,054 | 9 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,299 – $27,545 · median $22,715 | 9 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,207 – $20,631 · median $17,013 | 9 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,787 – $23,301 · median $19,215 | 9 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,705 – $14,711 · median $12,131 | 9 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,618 – $48,364 · median $39,883 | 9 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,767 – $33,407 · median $27,548 | 9 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,639 – $26,430 · median $21,796 | 9 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,260 – $47,759 · median $39,384 | 9 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,060 – $23,762 · median $19,595 | 9 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,418 – $15,916 · median $13,125 | 9 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $23,514 – $39,738 · median $32,770 | 9 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,704 – $26,540 · median $21,886 | 9 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,667 – $41,688 · median $34,378 | 9 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,625 – $23,027 · median $18,989 | 9 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,490 – $17,729 · median $14,620 | 9 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,755 – $36,765 · median $30,318 | 9 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,569 – $24,622 · median $20,304 | 9 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,974 – $23,615 · median $19,474 | 9 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,516 – $17,772 · median $14,656 | 9 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,080 – $23,795 · median $19,622 | 9 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,804 – $19,948 · median $16,450 | 9 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $23,543 – $39,787 · median $32,810 | 9 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,208 – $27,391 · median $22,587 | 9 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,903 – $21,806 · median $17,982 | 9 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,271 – $20,737 · median $17,101 | 9 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,968 – $13,466 · median $11,105 | 9 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,840 – $41,979 · median $34,618 | 9 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,197 – $27,374 · median $22,573 | 9 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,978 – $20,242 · median $16,692 | 9 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,130 – $49,229 · median $40,596 | 9 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,590 – $26,347 · median $21,727 | 9 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,644 – $19,678 · median $16,227 | 9 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,371 – $37,807 · median $31,178 | 9 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,506 – $27,895 · median $23,004 | 9 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,219 – $20,650 · median $17,029 | 9 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,283 – $10,618 · median $8,756 | 9 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,992 – $16,887 · median $13,926 | 9 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,295 – $10,638 · median $8,773 | 9 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,438 – $12,570 · median $10,366 | 9 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,614 – $9,488 · median $7,824 | 9 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,352 – $25,946 · median $21,396 | 9 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,104 – $17,075 · median $14,081 | 9 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,137 – $10,372 · median $8,553 | 9 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,769 – $23,269 · median $19,189 | 9 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,013 – $13,541 · median $11,167 | 9 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,882 – $9,940 · median $8,197 | 9 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,343 – $32,690 · median $26,957 | 9 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,990 – $15,193 · median $12,529 | 9 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,518 – $11,015 · median $9,083 | 9 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,050 – $25,435 · median $20,974 | 9 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,409 – $15,902 · median $13,113 | 9 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,813 – $11,514 · median $9,495 | 9 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,064 – $22,078 · median $18,207 | 9 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,493 – $12,663 · median $10,442 | 9 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,104 – $17,075 · median $14,081 | 9 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,470 – $10,934 · median $9,017 | 9 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,303 – $17,411 · median $14,358 | 9 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,474 – $10,941 · median $9,022 | 9 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,589 – $19,586 · median $16,151 | 9 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,962 – $11,766 · median $9,702 | 9 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,536 – $24,565 · median $20,257 | 9 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,777 – $14,833 · median $12,232 | 9 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,266 – $10,589 · median $8,732 | 9 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,105 – $18,768 · median $15,477 | 9 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,980 – $11,796 · median $9,727 | 9 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,031 – $20,333 · median $16,767 | 9 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,595 – $12,835 · median $10,584 | 9 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,840 – $9,870 · median $8,139 | 9 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,924 – $38,741 · median $31,948 | 9 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,169 – $22,255 · median $18,352 | 9 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,935 – $15,100 · median $12,452 | 9 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,064 – $86,298 · median $71,165 | 9 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,057 – $45,727 · median $37,708 | 9 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,006 – $23,671 · median $19,520 | 9 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,202 – $64,561 · median $53,239 | 9 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,660 – $34,916 · median $28,793 | 9 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,521 – $21,160 · median $17,450 | 9 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $25,242 – $42,659 · median $35,178 | 9 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,469 – $22,762 · median $18,770 | 9 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,248 – $19,009 · median $15,676 | 9 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,017 – $25,378 · median $20,928 | 9 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,441 – $22,715 · median $18,731 | 9 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,685 – $28,198 · median $23,253 | 9 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,036 – $25,411 · median $20,955 | 9 plans |
| 592 | SKIN ULCERS WITH MCC | $15,084 – $25,493 · median $21,022 | 9 plans |
| 593 | SKIN ULCERS WITH CC | $9,246 – $15,626 · median $12,886 | 9 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,756 – $11,418 · median $9,416 | 9 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,529 – $27,935 · median $23,036 | 9 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,437 – $14,259 · median $11,759 | 9 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,994 – $21,960 · median $18,109 | 9 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,818 – $14,902 · median $12,289 | 9 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,997 – $10,135 · median $8,358 | 9 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,119 – $13,720 · median $11,314 | 9 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,716 – $7,969 · median $6,572 | 9 plans |
| 602 | CELLULITIS WITH MCC | $11,078 – $18,722 · median $15,439 | 9 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,788 – $11,472 · median $9,460 | 9 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,474 – $19,391 · median $15,991 | 9 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,140 – $12,066 · median $9,950 | 9 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,794 – $19,932 · median $16,437 | 9 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,065 – $11,939 · median $9,846 | 9 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,084 – $28,871 · median $23,808 | 9 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,907 – $18,432 · median $15,200 | 9 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,182 – $45,937 · median $37,882 | 9 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,578 – $24,636 · median $20,316 | 9 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,055 – $18,682 · median $15,406 | 9 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,505 – $38,034 · median $31,364 | 9 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,473 – $21,080 · median $17,383 | 9 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,757 – $19,869 · median $16,385 | 9 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,742 – $46,883 · median $38,662 | 9 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,982 – $23,630 · median $19,486 | 9 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,758 – $16,491 · median $13,599 | 9 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,540 – $39,782 · median $32,806 | 9 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,687 – $19,751 · median $16,287 | 9 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,353 – $17,497 · median $14,429 | 9 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,048 – $49,091 · median $40,482 | 9 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,982 – $28,700 · median $23,667 | 9 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,376 – $19,225 · median $15,854 | 9 plans |
| 637 | DIABETES WITH MCC | $11,198 – $18,925 · median $15,606 | 9 plans |
| 638 | DIABETES WITH CC | $6,985 – $11,805 · median $9,735 | 9 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,842 – $8,183 · median $6,748 | 9 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,410 – $17,593 · median $14,508 | 9 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,066 – $10,251 · median $8,453 | 9 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,084 – $18,732 · median $15,448 | 9 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,830 – $21,683 · median $17,881 | 9 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,989 – $13,502 · median $11,134 | 9 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,988 – $10,120 · median $8,346 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,644 – $61,929 · median $47,837 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $28,884 – $48,814 · median $37,707 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $25,172 – $42,540 · median $32,860 | 9 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $40,502 – $68,449 · median $56,446 | 9 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,819 – $36,874 · median $30,407 | 9 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,497 – $27,881 · median $22,992 | 9 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,816 – $41,938 · median $34,584 | 9 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,264 – $24,106 · median $19,878 | 9 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,095 – $20,441 · median $16,856 | 9 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,805 – $33,470 · median $27,601 | 9 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,302 – $17,410 · median $14,357 | 9 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,070 – $13,639 · median $11,247 | 9 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,862 – $40,327 · median $33,256 | 9 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,849 – $20,025 · median $16,513 | 9 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,160 – $13,790 · median $11,372 | 9 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,328 – $41,114 · median $33,904 | 9 plans |
| 666 | PROSTATECTOMY WITH CC | $13,635 – $23,042 · median $19,002 | 9 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,622 – $14,571 · median $12,016 | 9 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,759 – $38,463 · median $31,719 | 9 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,097 – $20,444 · median $16,859 | 9 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,617 – $12,873 · median $10,616 | 9 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,991 – $23,644 · median $19,498 | 9 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,414 – $14,220 · median $11,726 | 9 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $32,749 – $55,345 · median $45,640 | 9 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,228 – $30,805 · median $25,403 | 9 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,794 – $21,621 · median $17,830 | 9 plans |
| 682 | RENAL FAILURE WITH MCC | $11,543 – $19,508 · median $16,087 | 9 plans |
| 683 | RENAL FAILURE WITH CC | $6,826 – $11,536 · median $9,513 | 9 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,679 – $7,907 · median $6,521 | 9 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,059 – $23,759 · median $19,593 | 9 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,167 – $13,802 · median $11,382 | 9 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,160 – $10,410 · median $8,585 | 9 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,044 – $15,284 · median $12,604 | 9 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,310 – $10,663 · median $8,793 | 9 plans |
| 693 | URINARY STONES WITH MCC | $10,479 – $17,710 · median $14,605 | 9 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,093 – $10,297 · median $8,491 | 9 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,915 – $15,067 · median $12,425 | 9 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,370 – $9,076 · median $7,484 | 9 plans |
| 697 | URETHRAL STRICTURE | $8,401 – $14,197 · median $11,708 | 9 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,895 – $21,792 · median $17,971 | 9 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,911 – $13,370 · median $11,025 | 9 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,377 – $9,088 · median $7,494 | 9 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,591 – $26,349 · median $21,728 | 9 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,958 – $20,209 · median $16,665 | 9 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,138 – $30,653 · median $25,278 | 9 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,921 – $18,457 · median $15,221 | 9 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,242 – $27,449 · median $22,635 | 9 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,571 – $14,486 · median $11,946 | 9 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,718 – $19,803 · median $16,331 | 9 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,242 – $13,928 · median $11,486 | 9 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,438 – $29,471 · median $24,303 | 9 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,465 – $19,377 · median $15,979 | 9 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,735 – $24,902 · median $20,536 | 9 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,469 – $17,692 · median $14,589 | 9 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,105 – $23,838 · median $19,658 | 9 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,907 – $15,052 · median $12,413 | 9 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,111 – $8,637 · median $7,123 | 9 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,121 – $15,414 · median $12,711 | 9 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,628 – $9,510 · median $7,843 | 9 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,558 – $19,533 · median $16,108 | 9 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,323 – $10,685 · median $8,812 | 9 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,252 – $13,946 · median $11,500 | 9 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,238 – $8,852 · median $7,300 | 9 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,602 – $28,057 · median $23,137 | 9 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,487 – $17,723 · median $14,615 | 9 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $27,861 – $47,085 · median $38,828 | 9 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,061 – $27,143 · median $22,383 | 9 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,446 – $19,344 · median $15,952 | 9 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,925 – $47,194 · median $38,918 | 9 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,105 – $23,837 · median $19,657 | 9 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,115 – $18,785 · median $15,491 | 9 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,301 – $24,169 · median $19,931 | 9 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,670 – $16,343 · median $13,477 | 9 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,971 – $26,992 · median $22,258 | 9 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,866 – $14,984 · median $12,356 | 9 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,540 – $22,882 · median $18,869 | 9 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,701 – $11,324 · median $9,339 | 9 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,813 – $18,274 · median $15,070 | 9 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,013 – $33,821 · median $27,891 | 9 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,503 – $19,440 · median $16,031 | 9 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,355 – $24,260 · median $20,005 | 9 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,479 – $14,329 · median $11,816 | 9 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,486 – $12,652 · median $10,433 | 9 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,161 – $18,862 · median $15,554 | 9 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,631 – $12,896 · median $10,634 | 9 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,172 – $8,741 · median $7,208 | 9 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,853 – $13,271 · median $10,944 | 9 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,447 – $7,515 · median $6,197 | 9 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,509 – $14,116 · median $9,323 | 9 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $9,450 – $22,259 · median $16,476 | 9 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,815 – $13,208 · median $10,878 | 9 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,103 – $8,624 · median $7,112 | 9 plans |
| 779 | ABORTION WITHOUT D&C | $6,557 – $11,082 · median $9,139 | 9 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,786 – $32,340 · median $21,360 | 9 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,786 – $13,964 · median $9,223 | 9 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,786 – $12,617 · median $8,532 | 9 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,786 – $21,728 · median $11,516 | 9 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,786 – $14,711 · median $9,164 | 9 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,786 – $12,630 · median $8,536 | 9 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,450 – $23,739 · median $17,572 | 9 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $9,450 – $78,290 · median $46,789 | 9 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $9,450 – $53,467 · median $31,954 | 9 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $9,450 – $32,262 · median $19,281 | 9 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $9,450 – $54,924 · median $32,824 | 9 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,450 – $19,441 · median $11,619 | 9 plans |
| 795 | NORMAL NEWBORN | $1,557 – $10,175 · median $2,515 | 9 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,509 – $15,372 · median $9,364 | 9 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,509 – $13,178 · median $8,704 | 9 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,509 – $12,607 · median $8,530 | 9 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $9,450 – $59,656 · median $44,157 | 9 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $9,450 – $37,007 · median $27,392 | 9 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $9,450 – $25,145 · median $18,612 | 9 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $9,450 – $52,480 · median $38,845 | 9 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $9,450 – $24,486 · median $18,124 | 9 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,450 – $17,862 · median $13,221 | 9 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,509 – $14,216 · median $9,015 | 9 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,509 – $10,175 · median $7,522 | 9 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,509 – $10,175 · median $6,726 | 9 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $9,450 – $29,083 · median $21,527 | 9 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,450 – $16,675 · median $12,398 | 9 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,158 – $13,786 · median $11,369 | 9 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,946 – $18,498 · median $15,254 | 9 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,157 – $12,095 · median $9,974 | 9 plans |
| 813 | COAGULATION DISORDERS | $11,889 – $20,092 · median $16,569 | 9 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,576 – $28,014 · median $23,101 | 9 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,903 – $13,357 · median $11,015 | 9 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,926 – $10,175 · median $7,684 | 9 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $9,450 – $30,054 · median $22,246 | 9 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,035 – $15,269 · median $11,782 | 9 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,702 – $11,327 · median $10,053 | 9 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $9,450 – $77,254 · median $57,182 | 9 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $9,450 – $29,488 · median $21,827 | 9 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,384 – $15,860 · median $13,078 | 9 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $35,735 – $60,393 · median $49,802 | 9 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,659 – $29,843 · median $24,610 | 9 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,518 – $17,775 · median $14,658 | 9 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $36,460 – $61,618 · median $50,813 | 9 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,014 – $30,444 · median $25,105 | 9 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,280 – $22,443 · median $18,508 | 9 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,630 – $41,625 · median $34,326 | 9 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,730 – $19,824 · median $16,348 | 9 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,373 – $15,840 · median $13,062 | 9 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,624 – $9,505 · median $7,838 | 9 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,076 – $6,888 · median $5,680 | 9 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $42,790 – $72,315 · median $59,634 | 9 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,257 – $27,475 · median $22,657 | 9 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,505 – $16,064 · median $13,247 | 9 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $37,446 – $63,284 · median $52,187 | 9 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,270 – $27,496 · median $22,674 | 9 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,254 – $19,020 · median $15,684 | 9 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,214 – $42,611 · median $35,139 | 9 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,716 – $21,489 · median $17,721 | 9 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,875 – $13,309 · median $10,975 | 9 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,548 – $26,276 · median $21,669 | 9 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,489 – $16,036 · median $13,224 | 9 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,638 – $11,218 · median $9,251 | 9 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,207 – $34,149 · median $28,161 | 9 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,197 – $17,232 · median $14,210 | 9 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,621 – $11,189 · median $9,227 | 9 plans |
| 849 | RADIOTHERAPY | $21,119 – $35,691 · median $29,432 | 9 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,495 – $114,066 · median $94,064 | 9 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $38,493 – $65,053 · median $53,646 | 9 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,574 – $26,320 · median $21,704 | 9 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,670 – $19,722 · median $16,263 | 9 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,454 – $59,917 · median $49,410 | 9 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,692 – $28,209 · median $23,262 | 9 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,857 – $18,348 · median $15,130 | 9 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,215 – $24,023 · median $19,810 | 9 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,778 – $13,145 · median $10,840 | 9 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,919 – $11,693 · median $9,643 | 9 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,678 – $19,736 · median $16,275 | 9 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,778 – $11,455 · median $9,446 | 9 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,315 – $27,572 · median $22,737 | 9 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,037 – $13,582 · median $11,200 | 9 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,688 – $9,612 · median $7,926 | 9 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $53,873 – $91,045 · median $75,079 | 9 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,140 – $25,587 · median $21,100 | 9 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,976 – $13,479 · median $11,116 | 9 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,124 – $50,910 · median $41,982 | 9 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,484 – $12,648 · median $10,430 | 9 plans |
| 881 | DEPRESSIVE NEUROSES | $7,334 – $12,394 · median $10,221 | 9 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,370 – $14,145 · median $11,664 | 9 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,326 – $25,901 · median $21,359 | 9 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,540 – $21,193 · median $17,477 | 9 plans |
| 885 | PSYCHOSES | $10,887 – $18,399 · median $15,173 | 9 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,176 – $27,337 · median $22,543 | 9 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,347 – $14,106 · median $11,633 | 9 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,808 – $8,126 · median $6,277 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,034 – $18,647 · median $14,404 | 9 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,602 – $22,987 · median $17,756 | 9 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,881 – $11,629 · median $8,982 | 9 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,710 – $55,279 · median $45,586 | 9 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,922 – $25,219 · median $20,796 | 9 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,116 – $15,406 · median $12,705 | 9 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $28,629 – $48,384 · median $39,899 | 9 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,562 – $19,540 · median $16,113 | 9 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,310 – $25,875 · median $21,337 | 9 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $29,925 – $50,573 · median $41,704 | 9 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,551 – $26,282 · median $21,673 | 9 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,232 – $17,291 · median $14,259 | 9 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,741 – $21,532 · median $17,756 | 9 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,902 – $11,664 · median $10,201 | 9 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $9,450 – $22,151 · median $16,396 | 9 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,193 – $10,175 · median $8,101 | 9 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,450 – $20,660 · median $15,292 | 9 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,681 – $11,290 · median $9,310 | 9 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,270 – $24,116 · median $19,887 | 9 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,812 – $13,203 · median $10,887 | 9 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,366 – $9,068 · median $7,478 | 9 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,635 – $23,044 · median $19,003 | 9 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,932 – $13,406 · median $11,055 | 9 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $166,413 – $281,237 · median $231,920 | 9 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $55,906 – $94,482 · median $77,913 | 9 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,104 – $42,426 · median $34,986 | 9 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,353 – $51,296 · median $42,301 | 9 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,230 – $29,119 · median $24,013 | 9 plans |
| 935 | NON-EXTENSIVE BURNS | $16,056 – $27,135 · median $22,377 | 9 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,282 – $47,796 · median $39,415 | 9 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,215 – $30,783 · median $25,385 | 9 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,805 – $26,710 · median $22,026 | 9 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,070 – $20,399 · median $15,196 | 9 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,939 – $15,106 · median $11,253 | 9 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,894 – $16,721 · median $13,789 | 9 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,239 – $10,545 · median $8,695 | 9 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,273 – $15,671 · median $12,923 | 9 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,892 – $8,268 · median $6,818 | 9 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,334 – $7,324 · median $6,040 | 9 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,464 – $88,665 · median $73,117 | 9 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $29,330 – $49,568 · median $40,876 | 9 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,392 – $100,372 · median $82,771 | 9 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,844 – $55,507 · median $45,773 | 9 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,947 – $38,781 · median $31,980 | 9 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,308 – $36,011 · median $29,696 | 9 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,946 – $20,188 · median $16,648 | 9 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,331 – $12,389 · median $10,519 | 9 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $9,450 – $80,632 · median $59,683 | 9 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,557 – $34,741 · median $28,649 | 9 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,494 – $38,016 · median $31,349 | 9 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,094 – $17,058 · median $14,067 | 9 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,036 – $11,891 · median $9,806 | 9 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,115 – $17,094 · median $14,096 | 9 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,569 – $61,802 · median $50,965 | 9 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,162 – $32,384 · median $26,705 | 9 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,359 – $22,577 · median $18,618 | 9 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $26,722 – $45,160 · median $37,241 | 9 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,811 – $21,650 · median $17,854 | 9 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,347 – $15,796 · median $13,026 | 9 plans |
No procedures match that keyword.