Antelope Valley Medical Center — Pricing
785 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 785 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.
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Showing all 785 procedures
Procedures with negotiated rates only
These 785 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 |
|---|---|---|---|
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $8,078 – $152,667 · median $103,813 | 21 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $8,078 – $150,020 · median $102,014 | 21 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION | $8,078 – $101,297 · median $68,882 | 21 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY | $8,078 – $101,297 · median $68,882 | 21 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $8,078 – $118,052 · median $80,275 | 21 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $8,078 – $82,423 · median $56,048 | 21 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $8,078 – $77,978 · median $53,025 | 21 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $8,078 – $76,569 · median $52,067 | 21 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $8,078 – $49,258 · median $33,495 | 21 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $8,078 – $129,469 · median $88,039 | 21 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $8,078 – $93,509 · median $63,586 | 21 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $8,078 – $117,549 · median $79,934 | 21 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $8,078 – $84,396 · median $57,389 | 21 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $8,078 – $90,562 · median $61,582 | 21 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $8,078 – $65,045 · median $44,231 | 21 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $8,078 – $49,915 · median $33,943 | 21 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $8,078 – $33,785 · median $22,974 | 21 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $8,078 – $28,872 · median $19,633 | 21 plans |
| 245 | AICD GENERATOR PROCEDURES | $8,078 – $70,720 · median $48,090 | 21 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $8,078 – $34,569 · median $23,507 | 21 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $8,078 – $24,118 · median $16,400 | 21 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $8,078 – $49,145 · median $33,419 | 21 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY | $8,078 – $32,132 · median $21,850 | 21 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $8,078 – $50,827 · median $34,562 | 21 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $8,078 – $30,133 · median $20,490 | 21 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $8,078 – $26,174 · median $17,799 | 21 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $8,078 – $105,894 · median $72,008 | 21 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $8,078 – $65,568 · median $44,586 | 21 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $8,078 – $81,565 · median $55,464 | 21 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $8,078 – $55,437 · median $37,697 | 21 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $8,078 – $40,197 · median $27,334 | 21 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $8,078 – $35,029 · median $23,820 | 21 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $8,078 – $17,671 · median $12,016 | 21 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $6,650 – $37,666 · median $25,613 | 21 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $6,650 – $27,112 · median $18,436 | 21 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $6,650 – $22,163 · median $15,071 | 21 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY | $284,741 – $427,111 · median $291,859 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $115,700 – $183,665 · median $118,593 | 20 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $215,890 – $323,835 · median $221,288 | 20 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $141,216 – $211,824 · median $144,747 | 20 plans |
| 005 | LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT | $105,358 – $158,036 · median $107,992 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $47,902 – $71,853 · median $49,100 | 20 plans |
| 007 | LUNG TRANSPLANT | $132,090 – $198,135 · median $135,392 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $57,701 – $86,552 · median $59,144 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $56,529 – $110,417 · median $74,348 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY | $56,177 – $84,266 · median $57,581 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION | $43,639 – $65,458 · median $44,730 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $30,127 – $45,191 · median $30,881 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $122,648 – $183,973 · median $125,715 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $60,993 – $91,490 · median $62,518 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $55,956 – $83,934 · median $57,355 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $438,254 – $657,381 · median $449,210 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $73,195 – $109,793 · median $75,025 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY | $80,631 – $126,823 · median $82,646 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION | $54,554 – $92,550 · median $55,918 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $33,121 – $59,415 · median $33,949 | 20 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $58,974 – $88,461 · median $60,448 | 20 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | $40,559 – $60,839 · median $41,573 | 20 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $46,988 – $70,482 · median $48,163 | 20 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $32,430 – $48,646 · median $33,241 | 20 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $26,493 – $39,739 · median $27,155 | 20 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $61,789 – $92,684 · median $63,334 | 20 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $35,493 – $53,239 · median $36,380 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $23,174 – $34,761 · median $23,754 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH COMORBITY | $46,317 – $69,476 · median $47,475 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION | $22,524 – $33,786 · median $23,087 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,784 – $26,676 · median $18,228 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | $40,142 – $60,213 · median $41,146 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $25,152 – $37,728 · median $25,781 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $20,618 – $30,927 · median $21,134 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $34,283 – $51,424 · median $35,140 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $17,376 – $26,063 · median $17,810 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,848 – $19,272 · median $13,169 | 20 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $40,046 – $60,069 · median $41,047 | 20 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | $23,210 – $34,815 · median $23,790 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,440 – $27,660 · median $18,901 | 20 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $19,287 – $28,930 · median $19,769 | 20 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $10,860 – $16,290 · median $11,131 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $16,406 – $24,610 · median $16,817 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $11,269 – $16,904 · median $11,551 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $24,470 – $36,704 · median $25,081 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $14,064 – $21,096 · median $14,416 | 20 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $18,256 – $27,383 · median $18,712 | 20 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $13,510 – $20,265 · median $13,848 | 20 plans |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY | $10,258 – $15,388 · median $10,515 | 20 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $28,865 – $43,297 · median $29,586 | 20 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $18,739 – $28,108 · median $19,207 | 20 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $15,160 – $22,740 · median $15,539 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $21,309 – $31,963 · median $21,842 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $11,175 – $16,762 · median $11,454 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $7,875 – $11,812 · median $8,071 | 20 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $15,817 – $23,726 · median $16,212 | 20 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $9,697 – $14,546 · median $9,940 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,033 – $13,550 · median $9,259 | 20 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $17,803 – $26,704 · median $18,248 | 20 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $11,334 – $17,001 · median $11,617 | 20 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,602 – $12,902 · median $8,817 | 20 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $17,190 – $25,785 · median $17,620 | 20 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $11,382 – $17,074 · median $11,667 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $20,362 – $30,543 · median $20,871 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY | $9,300 – $13,951 · median $9,533 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $19,273 – $28,910 · median $19,755 | 20 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $10,013 – $15,020 · median $10,264 | 20 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $24,090 – $36,135 · median $24,692 | 20 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $15,079 – $22,618 · median $15,456 | 20 plans |
| 084 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY | $10,623 – $15,934 · median $10,889 | 20 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $23,951 – $35,927 · median $24,550 | 20 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $14,136 – $21,204 · median $14,489 | 20 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $10,207 – $15,310 · median $10,462 | 20 plans |
| 088 | CONCUSSION WITH MCC | $14,633 – $21,950 · median $14,999 | 20 plans |
| 089 | CONCUSSION WITH COMPLICATION | $12,069 – $18,104 · median $12,371 | 20 plans |
| 090 | CONCUSSION WITHOUT COMPLICATION/COMORBITY | $9,280 – $13,920 · median $9,512 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $18,729 – $28,093 · median $19,197 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $11,303 – $16,955 · median $11,586 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $9,008 – $13,512 · median $9,233 | 20 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $36,584 – $54,877 · median $37,499 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $27,063 – $40,595 · median $27,740 | 20 plans |
| 096 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $27,063 – $40,595 · median $27,740 | 20 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $37,520 – $56,280 · median $38,458 | 20 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION | $24,184 – $36,276 · median $24,789 | 20 plans |
| 099 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY | $14,741 – $22,111 · median $15,109 | 20 plans |
| 100 | SEIZURES WITH COMORBITY | $20,558 – $30,836 · median $21,071 | 20 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $10,084 – $15,126 · median $10,336 | 20 plans |
| 102 | HEADACHES WITH MCC | $12,295 – $18,442 · median $12,602 | 20 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $9,413 – $14,119 · median $9,648 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $24,753 – $37,130 · median $25,372 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,645 – $21,968 · median $15,012 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,487 – $24,731 · median $16,900 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $19,254 – $28,881 · median $19,736 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,930 – $17,896 · median $12,229 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY | $12,724 – $19,086 · median $13,042 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,901 – $13,352 · median $9,124 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,031 – $13,547 · median $9,257 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,343 – $21,514 · median $14,701 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $8,719 – $13,079 · median $8,937 | 20 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $22,919 – $34,379 · median $23,492 | 20 plans |
| 136 | SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,226 – $16,838 · median $11,506 | 20 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $16,065 – $24,098 · median $16,467 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,918 – $14,877 · median $10,166 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,457 – $20,186 · median $13,794 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,138 – $66,207 · median $45,242 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $23,032 – $34,547 · median $23,607 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $17,110 – $25,665 · median $17,538 | 20 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $38,885 – $58,328 · median $39,857 | 20 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,493 – $27,739 · median $18,955 | 20 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,119 – $19,679 · median $13,447 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $22,386 – $33,580 · median $22,946 | 20 plans |
| 147 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION | $13,820 – $20,730 · median $14,166 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,016 – $13,524 · median $9,241 | 20 plans |
| 149 | DYSEQUILIBRIUM | $8,555 – $12,833 · median $8,769 | 20 plans |
| 150 | EPISTAXIS WITH COMORBITY | $14,428 – $21,641 · median $14,788 | 20 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $8,377 – $12,565 · median $8,586 | 20 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $12,916 – $19,374 · median $13,239 | 20 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $8,419 – $12,629 · median $8,630 | 20 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $16,777 – $25,166 · median $17,197 | 20 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $10,225 – $15,337 · median $10,481 | 20 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,942 – $11,914 · median $8,141 | 20 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $18,330 – $27,494 · median $18,788 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,157 – $15,236 · median $10,411 | 20 plans |
| 159 | DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY | $8,119 – $12,178 · median $8,322 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $46,331 – $69,496 · median $47,489 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $26,504 – $39,756 · median $27,167 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $20,329 – $30,493 · median $20,837 | 20 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $38,795 – $58,193 · median $39,765 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,207 – $28,810 · median $19,687 | 20 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,781 – $22,172 · median $15,151 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $14,854 – $22,281 · median $15,225 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $9,096 – $13,644 · median $9,323 | 20 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $16,769 – $25,154 · median $17,188 | 20 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $10,828 – $16,241 · median $11,098 | 20 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $8,589 – $12,884 · median $8,804 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $18,828 – $28,242 · median $19,299 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $11,790 – $17,684 · median $12,084 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $8,577 – $12,866 · median $8,792 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $16,437 – $24,655 · median $16,848 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $11,720 – $17,580 · median $12,013 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $8,908 – $13,363 · median $9,131 | 20 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $16,726 – $25,090 · median $17,145 | 20 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $10,960 – $16,440 · median $11,234 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $8,207 – $12,310 · median $8,412 | 20 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $13,454 – $20,182 · median $13,791 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $12,161 – $18,242 · median $12,465 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $9,481 – $14,221 · median $9,718 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $7,445 – $11,168 · median $7,631 | 20 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $14,254 – $21,382 · median $14,611 | 20 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $9,105 – $13,657 · median $9,333 | 20 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $7,308 – $10,963 · median $7,491 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $20,055 – $30,083 · median $20,557 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $10,555 – $15,833 · median $10,819 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY | $8,197 – $12,295 · median $8,401 | 20 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $18,809 – $28,213 · median $19,279 | 20 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $12,076 – $18,114 · median $12,378 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $8,185 – $12,278 · median $8,390 | 20 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $10,779 – $16,168 · median $11,048 | 20 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $7,729 – $11,593 · median $7,922 | 20 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $9,120 – $13,680 · median $9,348 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $19,486 – $29,229 · median $19,973 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $10,474 – $15,711 · median $10,736 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $66,108 – $99,161 · median $67,760 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,780 – $43,169 · median $29,499 | 20 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $50,785 – $76,178 · median $52,055 | 20 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $29,811 – $44,716 · median $30,556 | 20 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $14,963 – $22,445 · median $15,337 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $36,269 – $54,404 · median $37,176 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $27,229 – $40,844 · median $27,910 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,987 – $28,480 · median $19,461 | 20 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $28,260 – $42,390 · median $28,967 | 20 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $18,138 – $27,207 · median $18,592 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,004 – $18,006 · median $12,304 | 20 plans |
| 263 | VEIN LIGATION & STRIPPING | $31,906 – $47,859 · median $32,703 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $34,774 – $52,161 · median $35,643 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $37,585 – $56,377 · median $38,525 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $63,006 – $94,508 · median $64,581 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $49,156 – $73,734 · median $50,385 | 20 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $42,722 – $64,084 · median $43,790 | 20 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $34,279 – $51,418 · median $35,135 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $8,078 – $109,729 · median $73,884 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $8,078 – $92,658 · median $62,390 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $8,078 – $71,572 · median $48,192 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $17,188 – $25,782 · median $17,618 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $10,251 – $15,377 · median $10,508 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $8,266 – $12,400 · median $8,473 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $21,003 – $31,505 · median $21,528 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $7,953 – $11,930 · median $8,152 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,009 – $10,513 · median $7,184 | 20 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $28,349 – $42,524 · median $29,058 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $18,229 – $27,344 · median $18,685 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,359 – $16,436 · median $10,618 | 20 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $13,945 – $20,917 · median $14,293 | 20 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $9,541 – $14,312 · median $9,780 | 20 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $6,675 – $10,013 · median $6,842 | 20 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $16,761 – $25,141 · median $17,180 | 20 plans |
| 297 | CARDIAC ARREST; UNEXPLAINED WITH COMPLICATION | $7,364 – $11,046 · median $7,548 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,552 – $8,329 · median $5,691 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $17,478 – $26,217 · median $17,915 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $11,754 – $17,631 · median $12,048 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,232 – $12,348 · median $8,438 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $13,062 – $19,592 · median $13,388 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $7,761 – $11,642 · median $7,955 | 20 plans |
| 304 | HYPERTENSION WITH COMORBITY | $12,995 – $19,492 · median $13,320 | 20 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $8,590 – $12,886 · median $8,805 | 20 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $16,902 – $25,353 · median $17,324 | 20 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $10,192 – $15,287 · median $10,446 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $13,136 – $19,705 · median $13,465 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $8,394 – $12,591 · median $8,604 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,676 – $10,015 · median $6,843 | 20 plans |
| 311 | ANGINA PECTORIS | $8,052 – $12,078 · median $8,253 | 20 plans |
| 312 | SYNCOPE & COLLAPSE | $9,770 – $14,655 · median $10,015 | 20 plans |
| 313 | CHEST PAIN | $8,235 – $12,353 · median $8,441 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $22,060 – $33,091 · median $22,612 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $10,699 – $16,048 · median $10,966 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,851 – $11,777 · median $8,047 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,139 – $69,209 · median $47,293 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY | $25,302 – $37,953 · median $25,935 | 20 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $8,078 – $42,746 · median $28,782 | 20 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $8,078 – $28,196 · median $18,985 | 20 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $51,451 – $77,176 · median $52,737 | 20 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $25,696 – $38,544 · median $26,338 | 20 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $17,170 – $25,755 · median $17,599 | 20 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $47,492 – $71,238 · median $48,679 | 20 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $25,220 – $37,830 · median $25,850 | 20 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,986 – $26,979 · median $18,436 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $37,610 – $56,415 · median $38,551 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $24,663 – $36,994 · median $25,280 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,531 – $26,296 · median $17,969 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $37,106 – $55,659 · median $38,034 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $22,298 – $33,447 · median $22,856 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $16,489 – $24,733 · median $16,901 | 20 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $27,100 – $40,649 · median $27,777 | 20 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $16,182 – $24,272 · median $16,586 | 20 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,956 – $19,434 · median $13,280 | 20 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $24,191 – $36,287 · median $24,796 | 20 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $14,198 – $21,297 · median $14,553 | 20 plans |
| 349 | ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,760 – $14,640 · median $10,004 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $26,179 – $39,268 · median $26,833 | 20 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $16,382 – $24,573 · median $16,792 | 20 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,770 – $19,155 · median $13,089 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $30,332 – $45,498 · median $31,090 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $17,981 – $26,972 · median $18,431 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $14,564 – $21,847 · median $14,928 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $45,429 – $68,144 · median $46,565 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $24,494 – $36,741 · median $25,106 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,100 – $22,650 · median $15,478 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $17,065 – $25,597 · median $17,491 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $11,073 – $16,609 · median $11,349 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,041 – $12,061 · median $8,242 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $18,900 – $28,350 · median $19,372 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $11,283 – $16,925 · median $11,565 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $8,310 – $12,465 · median $8,518 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $22,602 – $33,903 · median $23,167 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $13,193 – $19,790 · median $13,523 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $10,304 – $15,456 · median $10,562 | 20 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $19,456 – $29,184 · median $19,942 | 20 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $10,875 – $16,313 · median $11,147 | 20 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $7,328 – $10,991 · median $7,511 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $20,815 – $31,222 · median $21,335 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $11,916 – $17,874 · median $12,214 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $9,051 – $13,577 · median $9,278 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $14,926 – $22,389 · median $15,299 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $9,600 – $14,400 · median $9,840 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $16,968 – $25,451 · median $17,392 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $10,831 – $16,246 · median $11,101 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $7,843 – $11,765 · median $8,039 | 20 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $15,899 – $23,849 · median $16,297 | 20 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $8,942 – $13,413 · median $9,165 | 20 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $6,453 – $9,679 · median $6,614 | 20 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $13,788 – $20,681 · median $14,132 | 20 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $8,839 – $13,258 · median $9,060 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $17,140 – $25,709 · median $17,568 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $10,419 – $15,629 · median $10,680 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,516 – $11,274 · median $7,704 | 20 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $56,343 – $84,515 · median $57,752 | 20 plans |
| 406 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION | $30,314 – $45,471 · median $31,072 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $23,421 – $35,132 · median $24,007 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $37,052 – $55,578 · median $37,979 | 20 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $22,993 – $34,490 · median $23,568 | 20 plans |
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $17,022 – $25,533 · median $17,448 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $34,396 – $51,594 · median $35,256 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION | $22,236 – $33,353 · median $22,791 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,759 – $26,639 · median $18,203 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $37,022 – $55,533 · median $37,947 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION | $21,873 – $32,810 · median $22,420 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $14,750 – $22,125 · median $15,118 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $35,447 – $53,171 · median $36,333 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION | $18,539 – $27,809 · median $19,003 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,116 – $22,674 · median $15,494 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $43,001 – $64,501 · median $44,076 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $23,100 – $34,651 · median $23,678 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,137 – $24,206 · median $16,541 | 20 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $20,875 – $31,313 · median $21,397 | 20 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $11,640 – $17,460 · median $11,931 | 20 plans |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY | $8,159 – $12,239 · median $8,363 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $19,544 – $29,316 · median $20,032 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $12,398 – $18,597 · median $12,708 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY | $9,585 – $14,377 · median $9,825 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $17,453 – $26,179 · median $17,889 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $9,462 – $14,194 · median $9,699 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $7,236 – $10,855 · median $7,417 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $19,118 – $28,678 · median $19,596 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $10,719 – $16,079 · median $10,987 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $8,029 – $12,044 · median $8,230 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $17,865 – $26,797 · median $18,311 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $12,027 – $18,040 · median $12,327 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $9,322 – $13,982 · median $9,555 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $86,044 – $129,067 · median $88,196 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $61,332 – $91,998 · median $62,865 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $43,199 – $65,612 · median $44,279 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | $56,875 – $87,452 · median $58,297 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $27,881 – $41,822 · median $28,578 | 20 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $58,662 – $87,993 · median $60,129 | 20 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $32,486 – $48,729 · median $33,298 | 20 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $19,412 – $29,118 · median $19,897 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $53,658 – $80,488 · median $55,000 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $36,657 – $54,986 · median $37,574 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $28,773 – $43,159 · median $29,492 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $31,661 – $47,491 · median $32,452 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $20,477 – $30,716 · median $20,989 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $49,844 – $74,765 · median $51,090 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $30,779 – $46,168 · median $31,548 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $25,667 – $38,500 · median $26,308 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY | $44,418 – $66,626 · median $45,528 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $23,990 – $35,984 · median $24,589 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,895 – $19,343 · median $13,218 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,928 – $53,892 · median $36,826 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $25,848 – $38,772 · median $26,494 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,769 – $29,653 · median $20,263 | 20 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $30,436 – $45,655 · median $31,197 | 20 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $22,155 – $33,232 · median $22,708 | 20 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $17,461 – $26,191 · median $17,897 | 20 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $29,015 – $43,522 · median $29,740 | 20 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $33,624 – $50,436 · median $34,465 | 20 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $22,120 – $33,180 · median $22,673 | 20 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $16,804 – $25,207 · median $17,225 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,857 – $30,934 · median $19,329 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $12,253 – $18,380 · median $12,560 | 20 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $38,126 – $57,189 · median $39,079 | 20 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $26,627 – $39,940 · median $27,292 | 20 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $21,263 – $31,895 · median $21,795 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $37,661 – $56,491 · median $38,602 | 20 plans |
| 496 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION | $19,212 – $28,817 · median $19,692 | 20 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $13,180 – $20,744 · median $13,510 | 20 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $31,495 – $47,242 · median $32,282 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $17,977 – $32,021 · median $21,561 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $32,993 – $49,490 · median $33,818 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $18,647 – $27,970 · median $19,113 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,573 – $21,860 · median $14,938 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $29,209 – $43,813 · median $29,939 | 20 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $19,873 – $29,809 · median $20,370 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $19,099 – $28,649 · median $19,577 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,607 – $21,910 · median $14,972 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,237 – $28,855 · median $19,718 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,280 – $24,420 · median $16,687 | 20 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $31,532 – $47,298 · median $32,320 | 20 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $22,002 – $33,002 · median $22,552 | 20 plans |
| 512 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $17,708 – $26,562 · median $18,150 | 20 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $16,887 – $25,330 · median $17,309 | 20 plans |
| 514 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $11,296 – $16,945 · median $11,579 | 20 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $33,217 – $49,826 · median $34,048 | 20 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $21,988 – $32,983 · median $22,538 | 20 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $16,506 – $24,759 · median $16,918 | 20 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $38,791 – $58,187 · median $39,761 | 20 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $21,200 – $31,799 · median $21,730 | 20 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $16,072 – $24,108 · median $16,474 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,010 – $45,015 · median $30,760 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,389 – $33,584 · median $22,949 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH COMORBITY | $16,820 – $25,229 · median $17,240 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $9,107 – $13,660 · median $9,335 | 20 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $13,926 – $20,890 · median $14,275 | 20 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $9,122 – $13,683 · median $9,350 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,608 – $15,912 · median $10,873 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,238 – $12,357 · median $8,444 | 20 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $20,891 – $31,336 · median $21,413 | 20 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $14,071 – $21,107 · median $14,423 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $8,918 – $13,376 · median $9,141 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $18,833 – $28,249 · median $19,304 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $11,354 – $17,031 · median $11,638 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,585 – $12,878 · median $8,800 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $26,076 – $39,114 · median $26,728 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $12,624 – $18,936 · median $12,940 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY | $9,412 – $14,118 · median $9,647 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $20,498 – $30,747 · median $21,010 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $13,169 – $19,753 · median $13,498 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY | $9,796 – $14,693 · median $10,040 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $17,917 – $26,876 · median $18,365 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $10,679 – $16,018 · median $10,946 | 20 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $14,071 – $21,107 · median $14,423 | 20 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $9,350 – $14,025 · median $9,584 | 20 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $14,329 – $21,494 · median $14,688 | 20 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $9,355 – $14,033 · median $9,589 | 20 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $16,001 – $24,002 · median $16,401 | 20 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $9,989 – $14,984 · median $10,239 | 20 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $19,829 – $29,744 · median $20,325 | 20 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $12,348 – $18,521 · median $12,656 | 20 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $9,085 – $13,627 · median $9,312 | 20 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $15,373 – $23,059 · median $15,757 | 20 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $10,012 – $15,018 · median $10,263 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $16,576 – $24,863 · median $16,990 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $10,811 – $16,217 · median $11,082 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,532 – $12,798 · median $8,745 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $30,728 – $46,092 · median $31,496 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $18,053 – $27,080 · median $18,504 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $12,552 – $18,828 · median $12,866 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $67,289 – $100,934 · median $68,972 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,098 – $54,148 · median $37,001 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,142 – $28,713 · median $19,620 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $50,578 – $77,007 · median $51,842 | 20 plans |
| 577 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $27,787 – $41,681 · median $28,482 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,212 – $25,817 · median $17,642 | 20 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $33,740 – $50,610 · median $34,583 | 20 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $18,443 – $27,664 · median $18,904 | 20 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $15,558 – $23,337 · median $15,947 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $20,454 – $30,681 · median $20,966 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,407 – $27,610 · median $18,867 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $22,622 – $33,934 · median $23,188 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,480 – $30,719 · median $20,992 | 20 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $20,542 – $30,813 · median $21,056 | 20 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $12,957 – $19,436 · median $13,281 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,722 – $14,582 · median $9,965 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,420 – $33,630 · median $22,980 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $11,906 – $17,859 · median $12,204 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $17,826 – $26,739 · median $18,272 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,400 – $18,600 · median $12,710 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,735 – $13,103 · median $8,954 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | $11,492 – $17,238 · median $11,779 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,070 – $10,606 · median $7,247 | 20 plans |
| 602 | CELLULITIS WITH COMORBITY | $15,337 – $23,006 · median $15,720 | 20 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $9,763 – $14,645 · median $10,007 | 20 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $15,852 – $23,777 · median $16,248 | 20 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $10,220 – $15,330 · median $10,475 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $16,268 – $24,402 · median $16,674 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $10,123 – $15,184 · median $10,376 | 20 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $23,140 – $34,710 · median $23,718 | 20 plans |
| 615 | ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,114 – $22,671 · median $15,492 | 20 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $36,260 – $54,391 · median $37,167 | 20 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $19,884 – $29,826 · median $20,381 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,307 – $22,960 · median $15,689 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $30,184 – $45,276 · median $30,939 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,150 – $25,725 · median $17,579 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $16,219 – $24,329 · median $16,625 | 20 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $36,987 – $55,481 · median $37,912 | 20 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $19,110 – $28,666 · median $19,588 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,482 – $20,432 · median $13,758 | 20 plans |
| 625 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY | $31,528 – $47,292 · median $32,316 | 20 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $16,128 – $24,192 · median $16,531 | 20 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,395 – $21,593 · median $14,755 | 20 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $38,685 – $58,027 · median $39,652 | 20 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $23,008 – $34,512 · median $23,583 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,724 – $23,586 · median $16,117 | 20 plans |
| 637 | DIABETES WITH COMORBITY | $15,493 – $23,240 · median $15,880 | 20 plans |
| 638 | DIABETES WITH COMPLICATION | $10,019 – $15,029 · median $10,270 | 20 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $7,234 – $10,852 · median $7,415 | 20 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $14,469 – $21,704 · median $14,831 | 20 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $8,824 – $13,237 · median $9,045 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,345 – $23,018 · median $15,729 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $17,614 – $26,420 · median $18,054 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $11,324 – $16,986 · median $11,607 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,724 – $13,086 · median $8,942 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,554 – $72,832 · median $49,768 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $38,472 – $57,708 · median $39,434 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $33,649 – $50,473 · median $34,490 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $53,567 – $80,351 · median $54,907 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $29,292 – $43,938 · median $30,024 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $22,378 – $33,568 · median $22,938 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $33,186 – $49,779 · median $34,015 | 20 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $19,476 – $29,214 · median $19,963 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,659 – $24,988 · median $17,075 | 20 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $26,675 – $40,013 · median $27,342 | 20 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $14,328 – $21,493 · median $14,687 | 20 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $11,429 – $17,144 · median $11,715 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $31,947 – $47,921 · median $32,746 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $16,339 – $24,508 · median $16,747 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,546 – $17,318 · median $11,834 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $32,552 – $48,828 · median $33,366 | 20 plans |
| 666 | PROSTATECTOMY WITH COMPLICATION | $18,659 – $27,988 · median $19,125 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,146 – $18,219 · median $12,450 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $30,514 – $45,771 · median $31,277 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $16,661 – $24,991 · median $17,077 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,841 – $16,261 · median $11,112 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $19,121 – $28,682 · median $19,600 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,876 – $17,814 · median $12,173 | 20 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $43,493 – $65,240 · median $44,580 | 20 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $24,627 – $36,940 · median $25,242 | 20 plans |
| 675 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,566 – $26,349 · median $18,005 | 20 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $15,942 – $23,912 · median $16,340 | 20 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $9,813 – $14,719 · median $10,058 | 20 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $7,023 – $10,534 · median $7,198 | 20 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $19,210 – $28,814 · median $19,690 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,555 – $17,332 · median $11,844 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,947 – $13,420 · median $9,171 | 20 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $12,694 – $19,041 · median $13,011 | 20 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $9,141 – $13,712 · median $9,370 | 20 plans |
| 693 | URINARY STONES WITH COMORBITY | $14,559 – $21,839 · median $14,923 | 20 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $8,860 – $13,290 · median $9,081 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,527 – $18,790 · median $12,840 | 20 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $7,921 – $11,882 · median $8,119 | 20 plans |
| 697 | URETHRAL STRICTURE | $11,858 – $17,788 · median $12,155 | 20 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $17,698 – $26,546 · median $18,140 | 20 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $11,222 – $16,834 · median $11,503 | 20 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,930 – $11,895 · median $8,128 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $21,201 – $31,801 · median $21,731 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,480 – $24,721 · median $16,892 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $24,510 – $36,765 · median $25,123 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,134 – $22,700 · median $15,512 | 20 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $22,046 – $33,069 · median $22,597 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,080 – $18,120 · median $12,382 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $16,168 – $24,253 · median $16,573 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY | $11,652 – $17,478 · median $11,943 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,601 – $35,401 · median $24,191 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,840 – $23,761 · median $16,236 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $20,089 – $30,133 · median $20,591 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $14,545 – $21,818 · median $14,909 | 20 plans |
| 722 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $19,270 – $28,906 · median $19,752 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,516 – $18,774 · median $12,829 | 20 plans |
| 724 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $7,584 – $11,376 · median $7,773 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,794 – $19,191 · median $13,114 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $8,255 – $12,383 · median $8,462 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $15,961 – $23,941 · median $16,360 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $9,159 – $13,738 · median $9,388 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,665 – $17,498 · median $11,957 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,749 – $11,623 · median $7,943 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,514 – $33,771 · median $23,077 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $14,569 – $21,854 · median $14,934 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,142 – $58,143 · median $38,071 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,811 – $32,717 · median $22,357 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,815 – $23,723 · median $16,210 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $37,226 – $55,840 · median $38,157 | 20 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $19,269 – $28,904 · median $19,751 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,386 – $23,078 · median $15,770 | 20 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $19,525 – $29,287 · median $20,013 | 20 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $13,508 – $20,262 · median $13,846 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,695 – $32,542 · median $22,237 | 20 plans |
| 745 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITHOUT COMPLICATION/COMORBITY | $12,463 – $18,695 · median $12,775 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,535 – $27,803 · median $18,999 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,650 – $14,475 · median $9,891 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,993 – $22,489 · median $15,368 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $26,946 – $40,418 · median $27,619 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,889 – $23,833 · median $16,286 | 20 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $19,594 – $29,392 · median $20,084 | 20 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $11,960 – $17,940 · median $12,259 | 20 plans |
| 756 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $10,671 – $16,006 · median $10,937 | 20 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $15,444 – $23,167 · median $15,831 | 20 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $10,858 – $16,287 · median $11,129 | 20 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $7,664 – $11,496 · median $7,855 | 20 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $11,147 – $16,720 · median $11,425 | 20 plans |
| 761 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,721 – $10,082 · median $6,889 | 20 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $18,056 – $27,084 · median $18,508 | 20 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,098 – $16,647 · median $11,375 | 20 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $7,574 – $11,361 · median $7,763 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $9,463 – $14,195 · median $9,700 | 20 plans |
| 795 | NORMAL NEWBORN | $2,759 – $4,450 · median $2,997 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $46,808 – $70,991 · median $47,978 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $29,394 – $44,091 · median $30,129 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $20,275 – $30,412 · median $20,782 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $41,290 – $61,936 · median $42,323 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,769 – $29,653 · median $20,263 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $14,676 – $22,014 · median $15,043 | 20 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $23,303 – $34,954 · median $23,885 | 20 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $13,763 – $20,645 · median $14,107 | 20 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $11,542 – $17,314 · median $11,831 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $15,165 – $22,747 · median $15,544 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $10,242 – $15,363 · median $10,498 | 20 plans |
| 813 | COAGULATION DISORDERS | $16,390 – $24,585 · median $16,800 | 20 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | $22,481 – $33,721 · median $23,043 | 20 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $11,212 – $16,819 · median $11,493 | 20 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,344 – $11,016 · median $7,527 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $24,049 – $42,665 · median $24,651 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION | $12,683 – $21,676 · median $13,000 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $9,652 – $14,478 · median $9,893 | 20 plans |
| 820 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY | $60,336 – $90,504 · median $61,845 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,614 – $35,421 · median $24,204 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,136 – $19,705 · median $13,465 | 20 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | $47,374 – $71,061 · median $48,558 | 20 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION | $23,887 – $35,831 · median $24,484 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,609 – $21,913 · median $14,974 | 20 plans |
| 826 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY | $48,315 – $72,473 · median $49,523 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,349 – $36,524 · median $24,958 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $18,198 – $27,297 · median $18,653 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,945 – $49,417 · median $33,768 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,185 – $24,277 · median $16,589 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $13,121 – $19,682 · median $13,449 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION | $8,251 – $12,377 · median $8,458 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $6,239 – $9,359 · median $6,395 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY | $56,540 – $84,809 · median $57,953 | 20 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $22,066 – $33,100 · median $22,618 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,293 – $21,386 · median $13,626 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $49,597 – $74,395 · median $50,836 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $22,083 – $33,124 · median $22,635 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,566 – $23,349 · median $15,955 | 20 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $33,703 – $50,555 · median $34,546 | 20 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $17,465 – $26,197 · median $17,901 | 20 plans |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY | $11,176 – $16,764 · median $11,455 | 20 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $21,145 – $31,717 · median $21,674 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,272 – $19,908 · median $13,604 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,568 – $14,352 · median $9,807 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $27,198 – $40,797 · median $27,878 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION | $14,192 – $21,288 · median $14,546 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,545 – $14,318 · median $9,784 | 20 plans |
| 849 | RADIOTHERAPY | $28,383 – $42,574 · median $29,092 | 20 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $50,957 – $76,435 · median $52,231 | 20 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $21,178 – $31,767 · median $21,708 | 20 plans |
| 855 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $16,106 – $24,159 · median $16,508 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $47,008 – $70,512 · median $48,183 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $22,630 – $33,946 · median $23,196 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $15,049 – $22,574 · median $15,426 | 20 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $19,412 – $29,118 · median $19,897 | 20 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $11,049 – $16,574 · median $11,326 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,933 – $14,900 · median $10,182 | 20 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $16,117 – $24,175 · median $16,520 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $9,750 – $14,625 · median $9,994 | 20 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $22,141 – $33,212 · median $22,695 | 20 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION | $11,386 – $17,078 · median $11,670 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,333 – $12,500 · median $8,542 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $70,939 – $106,409 · median $72,713 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $20,615 – $30,923 · median $21,131 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $11,307 – $16,960 · median $11,589 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $40,083 – $60,125 · median $41,085 | 20 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $10,668 – $16,001 · median $10,934 | 20 plans |
| 881 | DEPRESSIVE NEUROSES | $10,472 – $15,708 · median $10,734 | 20 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $11,818 – $17,727 · median $11,981 | 20 plans |
| 883 | DISORDERS OF PERSONALITY & IMPULSE CONTROL | $20,856 – $31,284 · median $21,378 | 20 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $17,237 – $25,855 · median $17,668 | 20 plans |
| 885 | PSYCHOSES | $15,089 – $22,633 · median $15,466 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,608 – $32,940 · median $22,180 | 20 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,789 – $17,683 · median $12,083 | 20 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $7,191 – $10,786 · median $7,371 | 20 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,279 – $22,919 · median $15,661 | 20 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $18,616 – $27,924 · median $19,082 | 20 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $9,884 – $14,826 · median $10,131 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $43,442 – $65,164 · median $44,528 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $20,332 – $30,498 · median $20,840 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,788 – $19,182 · median $13,108 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $38,141 – $57,211 · median $39,094 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,966 – $23,949 · median $16,365 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,836 – $31,254 · median $21,357 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $39,824 – $59,736 · median $40,820 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $21,149 – $31,723 · median $21,678 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $14,237 – $21,356 · median $14,593 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,497 – $26,246 · median $17,935 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $9,911 – $14,867 · median $10,159 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,973 – $26,960 · median $18,422 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $7,691 – $11,537 · median $7,883 | 20 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $16,827 – $25,240 · median $17,247 | 20 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $9,623 – $14,435 · median $9,864 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $19,484 – $29,226 · median $19,971 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $11,094 – $16,641 · median $11,371 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $7,915 – $11,873 · median $8,113 | 20 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $18,660 – $27,990 · median $19,126 | 20 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $11,250 – $16,875 · median $11,531 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $217,159 – $325,739 · median $222,588 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $73,581 – $110,372 · median $75,421 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,561 – $50,341 · median $34,400 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $40,380 – $60,570 · median $41,267 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $23,330 – $34,995 · median $23,914 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $21,805 – $32,708 · median $22,350 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $37,689 – $56,534 · median $38,632 | 20 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $24,609 – $36,914 · median $25,225 | 20 plans |
| 941 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY | $21,478 – $32,217 · median $22,015 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,626 – $24,939 · median $17,042 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,557 – $18,836 · median $12,871 | 20 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $13,799 – $20,698 · median $14,144 | 20 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $9,050 – $13,575 · median $9,276 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $12,992 – $19,487 · median $13,316 | 20 plans |
| 950 | AFTERCARE WITHOUT COMPLICATION/COMORBITY | $7,300 – $10,950 · median $7,483 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,574 – $9,861 · median $6,739 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $69,109 – $103,664 · median $70,837 | 20 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $39,051 – $58,577 · median $40,028 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $78,110 – $117,165 · median $80,063 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $43,618 – $65,426 · median $44,708 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $30,758 – $46,138 · median $31,527 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $28,629 – $42,943 · median $29,344 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $16,464 – $24,696 · median $16,876 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $10,468 – $15,702 · median $10,730 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $62,934 – $98,799 · median $64,507 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,652 – $42,101 · median $28,344 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $30,170 – $45,255 · median $30,924 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION | $14,058 – $21,087 · median $14,409 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT COMPLICATION/COMORBITY | $10,085 – $15,128 · median $10,337 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,085 – $21,128 · median $14,438 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $48,457 – $72,686 · median $49,669 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $25,841 – $38,761 · median $26,487 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $18,301 – $27,452 · median $18,759 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $35,663 – $53,494 · median $36,554 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $17,588 – $26,382 · median $18,028 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $13,088 – $19,632 · median $13,415 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $31,085 – $46,628 · median $31,707 | 19 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $115,569 – $173,353 · median $117,880 | 19 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $111,065 – $166,598 · median $113,286 | 19 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $58,737 – $88,106 · median $59,912 | 19 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $57,312 – $85,968 · median $58,459 | 19 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $37,465 – $56,198 · median $38,215 | 19 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $68,658 – $102,986 · median $70,031 | 19 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $25,473 – $38,210 · median $25,983 | 19 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $44,767 – $67,151 · median $45,662 | 19 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $32,854 – $49,280 · median $33,511 | 19 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $33,455 – $50,183 · median $34,124 | 19 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $35,766 – $53,649 · median $36,481 | 19 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,393 – $38,090 · median $25,901 | 19 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,197 – $37,795 · median $25,701 | 19 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,272 – $24,408 · median $16,597 | 19 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,536 – $18,804 · median $12,787 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,659 – $62,489 · median $42,492 | 19 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $112,555 – $168,832 · median $114,806 | 19 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,046 – $111,069 · median $75,527 | 19 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,877 – $86,816 · median $59,035 | 19 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $92,183 – $138,275 · median $94,027 | 19 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $59,347 – $89,020 · median $60,534 | 19 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $68,608 – $102,912 · median $69,980 | 19 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $43,890 – $65,835 · median $44,768 | 19 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,916 – $82,374 · median $56,015 | 19 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,658 – $50,487 · median $34,331 | 19 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $11,796 – $17,693 · median $12,032 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $25,806 – $38,709 · median $26,306 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $11,679 – $17,519 · median $11,913 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $10,643 – $15,965 · median $10,856 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $17,648 – $26,472 · median $18,001 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $12,253 – $18,380 · median $12,498 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $10,653 – $15,980 · median $10,866 | 19 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $19,194 – $28,792 · median $19,578 | 19 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $61,133 – $91,700 · median $62,356 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $42,049 – $63,073 · median $42,890 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,747 – $38,620 · median $26,261 | 19 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,169 – $64,753 · median $44,032 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,890 – $23,835 · median $16,208 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY | $12,762 – $19,143 · median $13,017 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $11,075 – $16,612 · median $11,296 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $10,636 – $15,954 · median $10,849 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $11,873 – $17,809 · median $12,110 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $8,579 – $12,869 · median $8,751 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $7,771 – $11,657 · median $7,927 | 19 plans |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $88,638 – $132,957 · median $90,411 | 19 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY | $21,323 – $21,323 · median $21,323 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT COMPLICATION/COMORBITY | $10,005 – $10,005 · median $10,005 | 1 plans |
| 224 | CARDIAC DEFIB IMPLANT WITH CARDIAC CATH WITHOUT AMI/HF/SHOCK WITH COMORBITY | $96,640 – $96,640 · median $96,640 | 1 plans |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH WITH COMORBITY | $87,257 – $87,257 · median $87,257 | 1 plans |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATH WITHOUT COMORBITY | $68,442 – $68,442 · median $68,442 | 1 plans |
| 230 | MAJOR SMALL BOWEL PROCEDURES | $8,078 – $8,078 · median $8,078 | 1 plans |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS | $40,833 – $40,833 · median $40,833 | 1 plans |
| 247 | PERCUTANEOUS CARDIOVASC PROC WITH DRUG-ELUTING STENT WITHOUT COMORBITY | $26,030 – $26,030 · median $26,030 | 1 plans |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH COMORBITY OR 4+ ARTERIES OR STENTS | $41,030 – $41,030 · median $41,030 | 1 plans |
| 249 | PERCUTANEOUS CARDIOVASC PROC WITH NON-DRUG-ELUTING STENT WITHOUT COMORBITY | $24,765 – $24,765 · median $24,765 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH COMPLICATION/COMORBITY | $15,738 – $15,738 · median $15,738 | 1 plans |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY | $16,357 – $16,357 · median $16,357 | 1 plans |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMORBITY | $30,795 – $30,795 · median $30,795 | 1 plans |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITH COMPLICATION | $19,810 – $19,810 · median $19,810 | 1 plans |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAG WITHOUT COMPLICATION/COMORBITY | $14,896 – $14,896 · median $14,896 | 1 plans |
No procedures match that keyword.