Good Samaritan Hospital, Lp — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770
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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 770 procedures
Procedures with negotiated rates only
These 770 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 | $223,757 – $394,864 · median $263,243 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $90,521 – $159,743 · median $106,495 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $169,490 – $299,099 · median $199,400 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $110,632 – $195,234 · median $130,156 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $82,369 – $145,357 · median $96,905 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $37,084 – $65,442 · median $43,628 | 4 plans |
| 007 | LUNG TRANSPLANT | $103,439 – $182,540 · median $121,693 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,807 – $79,071 · median $52,714 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $57,347 – $101,201 · median $67,467 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,606 – $76,951 · median $51,301 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,723 – $59,511 · median $39,674 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,074 – $40,718 · median $27,145 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $95,997 – $169,407 · median $112,938 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $47,402 – $83,650 · median $55,767 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,432 – $76,644 · median $51,096 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $344,754 – $608,390 · median $405,593 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $57,019 – $100,622 · median $67,081 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $62,880 – $110,964 · median $73,976 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $42,326 – $74,693 · median $49,795 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,433 – $44,882 · median $29,921 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,810 – $80,842 · median $53,894 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,296 – $55,228 · median $36,819 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,363 – $64,170 · median $42,780 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,889 – $43,921 · median $29,281 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,209 – $35,663 · median $23,775 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,029 – $84,757 · median $56,505 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $27,302 – $48,181 · median $32,121 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,593 – $31,047 · median $20,698 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,834 – $63,237 · median $42,158 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,081 – $30,143 · median $20,095 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,344 – $23,549 · median $15,699 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,967 – $54,648 · median $36,432 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,152 – $33,798 · median $22,532 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,579 – $27,492 · median $18,328 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,349 – $46,498 · median $30,998 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,023 – $22,981 · median $15,321 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,454 – $16,684 · median $11,122 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,891 – $54,514 · median $36,343 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,621 – $31,096 · median $20,731 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,862 – $24,462 · median $16,308 | 4 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $14,529 – $25,639 · median $17,093 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,887 – $13,919 · median $9,279 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,259 – $21,633 · median $14,422 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,210 – $14,488 · median $9,658 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,614 – $32,848 · median $21,899 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,413 – $18,375 · median $12,250 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,716 – $24,205 · median $16,137 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,976 – $17,605 · median $11,737 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,413 – $13,082 · median $8,721 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,078 – $38,962 · median $25,974 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,097 – $24,877 · median $16,585 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,276 – $19,899 · median $13,266 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $16,123 – $28,452 · median $18,968 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $8,135 – $14,357 · median $9,571 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,534 – $9,766 · median $6,511 | 4 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,794 – $20,814 · median $13,876 | 4 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,971 – $12,301 · median $8,201 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,447 – $11,377 · median $7,585 | 4 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $13,360 – $23,576 · median $15,717 | 4 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $8,261 – $14,578 · median $9,718 | 4 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,107 – $10,777 · median $7,185 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,877 – $22,724 · median $15,149 | 4 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $8,299 – $14,645 · median $9,764 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,377 – $27,135 · median $18,090 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,658 – $11,749 · median $7,833 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,519 – $25,621 · median $17,081 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,220 – $12,741 · median $8,494 | 4 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $18,315 – $32,320 · median $21,547 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,212 – $19,787 · median $13,191 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,700 – $13,589 · median $9,059 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,205 – $32,127 · median $21,418 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,469 – $18,475 · median $12,317 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,372 – $13,010 · median $8,673 | 4 plans |
| 088 | CONCUSSION WITH MCC | $10,861 – $19,167 · median $12,778 | 4 plans |
| 089 | CONCUSSION WITH CC | $8,840 – $15,600 · median $10,400 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,642 – $11,721 · median $7,814 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,089 – $24,863 · median $16,575 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,237 – $14,535 · median $9,690 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,427 – $11,342 · median $7,561 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,163 – $49,699 · median $33,133 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,658 – $36,456 · median $24,304 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,658 – $36,456 · median $24,304 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,900 – $51,001 · median $34,001 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,389 – $32,451 · median $21,634 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,946 – $19,316 · median $12,877 | 4 plans |
| 100 | SEIZURES WITH MCC | $15,531 – $27,407 · median $18,271 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $7,276 – $12,840 · median $8,560 | 4 plans |
| 102 | HEADACHES WITH MCC | $9,018 – $15,914 · median $10,610 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $6,747 – $11,906 · median $7,937 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,838 – $33,243 · median $22,162 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,871 – $19,184 · median $12,789 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,323 – $21,746 · median $14,497 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,503 – $25,594 · median $17,063 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,731 – $15,407 · median $10,272 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,357 – $16,512 · median $11,008 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,343 – $11,194 · median $7,463 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,446 – $11,375 · median $7,583 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,632 – $18,763 · median $12,508 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,200 – $10,941 · median $7,294 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,392 – $30,692 · median $20,461 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,175 – $14,427 · median $9,618 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,990 – $21,159 · median $14,106 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,145 – $12,609 · median $8,406 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,935 – $17,532 · median $11,688 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,117 – $60,206 · median $40,137 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,481 – $30,848 · median $20,565 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,814 – $22,612 · median $15,075 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,976 – $52,900 · median $35,266 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,903 – $24,535 · median $16,357 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,668 – $17,061 · median $11,374 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,972 – $29,951 · median $19,967 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,220 – $18,036 · median $12,024 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,434 – $11,353 · median $7,569 | 4 plans |
| 149 | DYSEQUILIBRIUM | $6,070 – $10,713 · median $7,142 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $10,699 – $18,881 · median $12,587 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,930 – $10,465 · median $6,976 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,507 – $16,778 · median $11,185 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,964 – $10,524 · median $7,016 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,551 – $22,149 · median $14,766 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,387 – $13,035 · median $8,690 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,588 – $9,860 · median $6,574 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,775 – $24,308 · median $16,205 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,333 – $12,941 · median $8,627 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,726 – $10,105 · median $6,737 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $35,845 – $63,255 · median $42,170 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,218 – $35,678 · median $23,785 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,350 – $27,089 · median $18,059 | 4 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $29,905 – $52,774 · median $35,183 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,466 – $25,528 · median $17,019 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,978 – $19,373 · median $12,915 | 4 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $23,829 – $42,051 · median $28,034 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $11,035 – $19,474 · median $12,983 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,497 – $11,465 · median $7,643 | 4 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $12,545 – $22,138 · median $14,758 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,862 – $13,873 · median $9,249 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,098 – $10,760 · median $7,174 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,167 – $25,001 · median $16,667 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,620 – $15,212 · median $10,141 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,088 – $10,744 · median $7,162 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,283 – $21,676 · median $14,450 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,565 – $15,114 · median $10,076 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,349 – $11,204 · median $7,469 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,511 – $22,078 · median $14,719 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,966 – $14,058 · median $9,372 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,796 – $10,228 · median $6,819 | 4 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $9,932 – $17,527 · median $11,685 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $8,913 – $15,729 · median $10,486 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $6,800 – $12,000 · median $8,000 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,196 – $9,169 · median $6,113 | 4 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $10,563 – $18,640 · median $12,427 | 4 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $6,504 – $11,477 · median $7,652 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,088 – $8,979 · median $5,986 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,135 – $26,708 · median $17,806 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $7,647 – $13,495 · median $8,996 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,788 – $10,214 · median $6,809 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,152 – $24,974 · median $16,650 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,846 – $15,610 · median $10,407 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $5,779 – $10,198 · median $6,799 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,823 – $13,806 · median $9,204 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,419 – $9,563 · median $6,375 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,516 – $11,499 · median $7,666 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,686 – $25,917 · median $17,278 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,583 – $13,382 · median $8,921 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,433 – $90,764 · median $60,509 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,011 – $38,843 · median $25,896 | 4 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $90,417 – $159,560 · median $106,373 | 4 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $86,868 – $153,296 · median $102,197 | 4 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $45,623 – $80,512 · median $53,675 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $79,547 – $140,378 · median $93,585 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $78,157 – $137,924 · median $91,949 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $52,555 – $92,744 · median $61,829 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $52,555 – $92,744 · median $61,829 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,359 – $108,281 · median $72,187 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,637 – $75,242 · median $50,162 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $40,302 – $71,121 · median $47,414 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $39,561 – $69,814 · median $46,542 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,210 – $44,489 · median $29,659 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,358 – $118,868 · median $79,245 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,463 – $85,522 · median $57,015 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $61,095 – $107,814 · median $71,876 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $43,674 – $77,072 · median $51,381 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,914 – $82,790 · median $55,193 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,506 – $59,128 · median $39,419 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,356 – $69,452 · median $46,301 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $22,824 – $40,277 · median $26,851 | 4 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $11,121 – $19,626 · median $13,084 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,556 – $45,099 · median $30,066 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,080 – $30,141 · median $20,094 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,499 – $25,586 · median $17,057 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,488 – $64,391 · median $42,927 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,492 – $30,868 · median $20,579 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,000 – $21,177 · median $14,118 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,915 – $49,261 · median $32,841 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,789 – $36,687 · median $24,458 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,293 – $25,222 · median $16,815 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,602 – $38,121 · median $25,414 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,624 – $24,042 · median $16,028 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,789 – $15,510 · median $10,340 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,151 – $44,385 · median $29,590 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,212 – $28,609 · median $19,072 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,035 – $45,944 · median $30,629 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,161 – $26,755 · median $17,837 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,081 – $23,084 · median $15,389 | 4 plans |
| 263 | VEIN LIGATION & STRIPPING | $24,475 – $43,192 · median $28,794 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,736 – $47,181 · median $31,454 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $28,952 – $51,091 · median $34,061 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,988 – $86,449 · median $57,633 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,072 – $67,185 · median $44,790 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $54,970 – $97,006 · median $64,671 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,781 – $59,613 · median $39,742 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $42,186 – $74,447 · median $49,631 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $28,457 – $50,219 · median $33,479 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,449 – $36,087 · median $24,058 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $33,001 – $58,237 · median $38,824 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,345 – $46,492 · median $30,995 | 4 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $56,986 – $100,563 · median $67,042 | 4 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $48,016 – $84,733 · median $56,489 | 4 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,936 – $65,181 · median $43,454 | 4 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $44,500 – $78,530 · median $52,353 | 4 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $28,857 – $50,925 · median $33,950 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $12,875 – $22,721 · median $15,147 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $7,407 – $13,072 · median $8,715 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,843 – $10,311 · median $6,874 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,882 – $28,027 · median $18,685 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,596 – $9,876 · median $6,584 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,852 – $8,562 · median $5,708 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $17,734 – $31,295 · median $20,863 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,613 – $15,199 · median $10,133 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,672 – $38,245 · median $25,496 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,696 – $24,169 · median $16,112 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,492 – $13,221 · median $8,814 | 4 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $10,318 – $18,209 · median $12,139 | 4 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $6,848 – $12,085 · median $8,056 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,589 – $8,098 · median $5,399 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,538 – $22,126 · median $14,751 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,132 – $9,056 · median $6,037 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,704 – $6,536 · median $4,357 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,103 – $23,124 · median $15,416 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,592 – $15,162 · median $10,108 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,816 – $10,263 · median $6,842 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,622 – $16,981 · median $11,321 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,445 – $9,608 · median $6,406 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $9,570 – $16,888 · median $11,259 | 4 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $6,098 – $10,762 · median $7,175 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,649 – $22,322 · median $14,881 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,360 – $12,989 · median $8,659 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,682 – $17,085 · median $11,390 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $5,944 – $10,489 · median $6,992 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,590 – $8,100 · median $5,400 | 4 plans |
| 311 | ANGINA PECTORIS | $5,674 – $10,013 · median $6,675 | 4 plans |
| 312 | SYNCOPE & COLLAPSE | $7,028 – $12,403 · median $8,269 | 4 plans |
| 313 | CHEST PAIN | $5,818 – $10,267 · median $6,845 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $16,715 – $29,497 · median $19,665 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,760 – $13,695 · median $9,130 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,516 – $9,734 · median $6,489 | 4 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $53,443 – $94,310 · median $62,874 | 4 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,405 – $34,244 · median $22,830 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,694 – $62,989 · median $41,993 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,270 – $34,006 · median $22,671 | 4 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,789 – $38,450 · median $25,634 | 4 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,143 – $24,959 · median $16,639 | 4 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,612 – $61,081 · median $40,720 | 4 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,222 – $44,510 · median $29,673 | 4 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,696 – $45,347 · median $30,231 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $39,880 – $70,377 · median $46,918 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,581 – $34,554 · median $23,036 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,861 – $22,695 · median $15,130 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,760 – $64,871 · median $43,247 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,206 – $33,892 · median $22,595 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,504 – $23,831 · median $15,887 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,971 – $51,126 · median $34,084 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $18,767 – $33,117 · median $22,078 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,145 – $23,197 · median $15,465 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,574 – $50,425 · median $33,616 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,903 – $29,828 · median $19,886 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,324 – $21,747 · median $14,498 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,687 – $36,506 · median $24,338 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,082 – $21,321 · median $14,214 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,539 – $16,834 · median $11,223 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,395 – $32,461 · median $21,641 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,518 – $18,561 · median $12,374 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,020 – $12,389 · median $8,259 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,961 – $35,226 · median $23,484 | 4 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $12,240 – $21,599 · median $14,400 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,393 – $16,575 · median $11,050 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,235 – $41,003 · median $27,335 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,500 – $23,824 · median $15,882 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,807 – $19,071 · median $12,714 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $35,134 – $62,002 · median $41,335 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $18,633 – $32,882 · median $21,921 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,229 – $19,816 · median $13,211 | 4 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,518 – $48,561 · median $32,374 | 4 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,342 – $34,133 · median $22,755 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,778 – $22,549 · median $15,033 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,055 – $14,214 · median $9,476 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,665 – $9,997 · median $6,665 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,224 – $25,101 · median $16,734 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,221 – $14,507 · median $9,672 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,877 – $10,372 · median $6,914 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,142 – $30,251 · median $20,167 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,726 – $17,164 · median $11,443 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,449 – $13,145 · median $8,763 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,662 – $25,875 · median $17,250 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,899 – $13,940 · median $9,293 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,103 – $9,005 · median $6,004 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $15,733 – $27,765 · median $18,510 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,720 – $15,388 · median $10,258 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,462 – $11,403 · median $7,602 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $11,092 – $19,574 · median $13,049 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $6,894 – $12,166 · median $8,111 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,701 – $22,414 · median $14,942 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,864 – $13,878 · median $9,252 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,509 – $9,722 · median $6,482 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,859 – $20,928 · median $13,952 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,375 – $11,251 · median $7,500 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,413 – $7,788 · median $5,192 | 4 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $10,195 – $17,991 · median $11,994 | 4 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $6,294 – $11,107 · median $7,405 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $12,837 – $22,653 · median $15,102 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $7,540 – $13,306 · median $8,871 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,252 – $9,267 · median $6,178 | 4 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,187 – $33,860 · median $22,573 | 4 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,153 – $21,446 · median $14,297 | 4 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,208 – $16,250 · median $10,833 | 4 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,163 – $56,758 · median $37,838 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,736 – $77,182 · median $51,455 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,220 – $40,977 · median $27,318 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,788 – $31,391 · median $20,927 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,532 – $50,350 · median $33,567 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,450 – $30,795 · median $20,530 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,744 – $22,490 · median $14,993 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,438 – $46,655 · median $31,104 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,853 – $29,741 · median $19,827 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,325 – $23,515 · median $15,677 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,508 – $50,308 · median $33,538 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,568 – $29,237 · median $19,491 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,953 – $19,329 · median $12,886 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,119 – $33,740 · median $22,493 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,573 – $23,953 · median $15,969 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,973 – $19,364 · median $12,909 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $27,267 – $48,117 · median $32,078 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,940 – $24,600 · median $16,400 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,242 – $19,839 · median $13,226 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY | $33,220 – $58,624 · median $39,083 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,535 – $30,944 · median $20,629 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,047 – $21,259 · median $14,172 | 4 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $88,042 – $155,368 · median $103,579 | 4 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $57,690 – $101,805 · median $67,870 | 4 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $44,946 – $79,316 · median $52,877 | 4 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $71,985 – $127,033 · median $84,689 | 4 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $46,104 – $81,360 · median $54,240 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,781 – $27,849 · median $18,566 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,502 – $15,003 · median $10,002 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,758 – $10,162 · median $6,775 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,732 – $25,997 · median $17,331 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,100 – $16,058 · median $10,705 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,882 – $12,145 · median $8,097 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,083 – $23,088 · median $15,392 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $6,786 – $11,975 · median $7,983 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,031 – $8,879 · median $5,919 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $14,396 – $25,405 · median $16,937 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,776 – $13,723 · median $9,148 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,656 – $9,982 · median $6,654 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $13,408 – $23,662 · median $15,774 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,807 – $15,541 · median $10,361 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,675 – $11,779 · median $7,853 | 4 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,403 – $94,241 · median $62,828 | 4 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,921 – $59,861 · median $39,907 | 4 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,612 – $75,197 · median $50,132 | 4 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,856 – $45,628 · median $30,419 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,147 – $118,494 · median $78,996 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $47,668 – $84,121 · median $56,080 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $33,377 – $58,900 · median $39,267 | 4 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $44,156 – $77,922 · median $51,948 | 4 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,303 – $37,594 · median $25,063 | 4 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $45,564 – $80,408 · median $53,605 | 4 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $24,933 – $43,999 · median $29,332 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,628 – $25,814 · median $17,209 | 4 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $41,620 – $73,448 · median $48,965 | 4 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $28,220 – $49,801 · median $33,200 | 4 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,006 – $38,833 · median $25,889 | 4 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $24,282 – $42,851 · median $28,567 | 4 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $15,468 – $27,296 · median $18,197 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,614 – $68,142 · median $45,428 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,587 – $41,624 · median $27,749 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,558 – $34,513 · median $23,009 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,337 – $60,595 · median $40,396 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,236 – $32,181 · median $21,454 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,492 – $16,750 · median $11,167 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,646 – $48,786 · median $32,524 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,700 – $34,765 · median $23,177 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,909 – $26,310 · median $17,540 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,317 – $41,148 · median $27,432 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,789 – $29,628 · median $19,752 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,090 – $23,100 · median $15,400 | 4 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,196 – $39,170 · median $26,113 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,830 – $45,582 · median $30,388 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,762 – $29,581 · median $19,720 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,573 – $22,187 · median $14,791 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,191 – $25,042 · median $16,695 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,985 – $15,857 · median $10,571 | 4 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,378 – $51,843 · median $34,562 | 4 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $20,314 – $35,849 · median $23,899 | 4 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $16,087 – $28,389 · median $18,926 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,011 – $51,197 · median $34,131 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,470 – $25,535 · median $17,023 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,716 – $17,146 · median $11,430 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,151 – $42,620 · median $28,413 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $16,153 – $28,506 · median $19,004 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $25,333 – $44,704 · median $29,803 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,024 – $24,749 · median $16,499 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,814 – $19,084 · median $12,723 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,350 – $39,441 · median $26,294 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,991 – $26,455 · median $17,637 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,381 – $25,379 · median $16,919 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,840 – $19,130 · median $12,754 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,490 – $25,570 · median $17,047 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,159 – $21,457 · median $14,305 | 4 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,181 – $42,672 · median $28,448 | 4 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $16,669 – $29,416 · median $19,610 | 4 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,285 – $23,443 · median $15,629 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,637 – $22,301 · median $14,867 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,231 – $14,526 · median $9,684 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $25,509 – $45,016 · median $30,010 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,659 – $29,397 · median $19,598 | 4 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,337 – $21,771 · median $14,514 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $29,902 – $52,769 · median $35,179 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,037 – $28,300 · median $18,867 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,995 – $21,168 · median $14,112 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,981 – $40,555 · median $27,036 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,975 – $29,955 · median $19,970 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,585 – $22,208 · median $14,805 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,505 – $11,480 · median $7,654 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,304 – $18,184 · median $12,122 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,517 – $11,501 · median $7,668 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,688 – $13,568 · median $9,045 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,821 – $10,272 · median $6,848 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,793 – $27,871 · median $18,580 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,418 – $18,385 · median $12,257 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,356 – $11,217 · median $7,478 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,171 – $25,008 · median $16,672 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,277 – $14,606 · median $9,737 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,094 – $10,755 · median $7,170 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,880 – $35,082 · median $23,388 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,278 – $16,372 · median $10,915 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,746 – $11,904 · median $7,936 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,484 – $27,324 · median $18,216 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,707 – $17,130 · median $11,420 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,048 – $12,438 · median $8,292 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $13,450 – $23,735 · median $15,823 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $7,744 – $13,666 · median $9,111 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,418 – $18,385 · median $12,257 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,697 – $11,818 · median $7,879 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,622 – $18,744 · median $12,496 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,701 – $11,825 · median $7,884 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,940 – $21,070 · median $14,047 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,201 – $12,707 · median $8,471 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,957 – $26,394 · median $17,596 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,060 – $15,988 · median $10,658 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,488 – $11,449 · median $7,633 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,444 – $20,195 · median $13,463 | 4 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,219 – $12,740 · median $8,493 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,392 – $21,869 · median $14,579 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $7,849 – $13,851 · median $9,234 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,052 – $10,680 · median $7,120 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $23,547 – $41,553 · median $27,702 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $13,557 – $23,924 · median $15,949 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,221 – $16,272 · median $10,848 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $52,364 – $92,407 · median $61,605 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $27,780 – $49,023 · median $32,682 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,415 – $25,438 · median $16,959 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $39,192 – $69,163 · median $46,109 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,229 – $37,463 · median $24,975 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,893 – $22,753 · median $15,169 | 4 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $25,921 – $45,743 · median $30,495 | 4 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $13,864 – $24,466 · median $16,311 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,590 – $20,453 · median $13,635 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,449 – $27,263 · median $18,176 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,835 – $24,415 · median $16,277 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $17,158 – $30,279 · median $20,186 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,469 – $27,299 · median $18,199 | 4 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $15,519 – $27,386 · median $18,257 | 4 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $9,540 – $16,836 · median $11,224 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,990 – $12,335 · median $8,224 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,999 – $29,997 · median $19,998 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,712 – $15,374 · median $10,249 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,378 – $23,608 · median $15,739 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,101 – $16,061 · median $10,707 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,213 – $10,963 · median $7,309 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,385 – $14,797 · median $9,865 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,900 – $8,648 · median $5,765 | 4 plans |
| 602 | CELLULITIS WITH COMORBITY | $11,416 – $20,146 · median $13,431 | 4 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $7,023 – $12,393 · median $8,262 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,821 – $20,861 · median $13,908 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,383 – $13,028 · median $8,686 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,150 – $21,440 · median $14,294 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $7,306 – $12,893 · median $8,595 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,566 – $30,999 · median $20,666 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,240 – $19,836 · median $13,224 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,907 – $49,248 · median $32,832 | 4 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $15,000 – $26,470 · median $17,647 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,392 – $20,104 · median $13,402 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,118 – $40,797 · median $27,198 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,845 – $22,667 · median $15,111 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,111 – $21,373 · median $14,248 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,481 – $50,260 · median $33,507 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,390 – $25,394 · median $16,929 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,064 – $17,760 · median $11,840 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,178 – $42,666 · median $28,444 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,039 – $21,246 · median $14,164 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,674 – $18,836 · median $12,557 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,818 – $52,621 · median $35,080 | 4 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $17,462 – $30,816 · median $20,544 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,721 – $20,684 · median $13,789 | 4 plans |
| 637 | DIABETES WITH COMORBITY | $11,539 – $20,363 · median $13,575 | 4 plans |
| 638 | DIABETES WITH COMPLICATION | $7,225 – $12,749 · median $8,500 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,030 – $8,876 · median $5,917 | 4 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $10,732 – $18,939 · median $12,626 | 4 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,283 – $11,087 · median $7,392 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,422 – $20,157 · median $13,438 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,210 – $23,312 · median $15,542 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,253 – $14,564 · median $9,709 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,204 – $10,948 · median $7,299 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,598 – $66,349 · median $44,232 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,651 – $52,325 · median $34,883 | 4 plans |
| 652 | KIDNEY TRANSPLANT | $25,849 – $45,616 · median $30,411 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,549 – $73,321 · median $48,881 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,415 – $39,556 · median $26,371 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,966 – $29,940 · median $19,960 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,484 – $44,972 · median $29,981 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,678 – $25,903 · median $17,268 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,458 – $21,984 · median $14,656 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,353 – $35,916 · median $23,944 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,621 – $18,743 · median $12,495 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,336 – $14,710 · median $9,807 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,508 – $43,249 · median $28,833 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $12,205 – $21,539 · median $14,359 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,428 – $14,872 · median $9,915 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,984 – $44,090 · median $29,394 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $14,034 – $24,766 · median $16,511 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,901 – $15,707 · median $10,472 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,379 – $41,256 · median $27,504 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,459 – $21,987 · median $14,658 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,872 – $13,892 · median $9,261 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,399 – $25,410 · median $16,940 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,688 – $15,331 · median $10,221 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,608 – $59,309 · median $39,539 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,738 – $33,067 · median $22,044 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,173 – $23,246 · median $15,497 | 4 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $11,892 – $20,987 · median $13,991 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $7,062 – $12,462 · median $8,308 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,863 – $8,581 · median $5,721 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,468 – $25,532 · median $17,021 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,435 – $14,885 · median $9,923 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,379 – $11,258 · median $7,505 | 4 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $9,333 – $16,469 · median $10,980 | 4 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $6,533 – $11,528 · median $7,685 | 4 plans |
| 693 | URINARY STONES WITH MCC | $10,803 – $19,064 · median $12,709 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,311 – $11,137 · median $7,424 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,201 – $16,237 · median $10,825 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,571 – $9,831 · median $6,554 | 4 plans |
| 697 | URETHRAL STRICTURE | $8,674 – $15,307 · median $10,205 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,277 – $23,429 · median $15,619 | 4 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $8,173 – $14,423 · median $9,615 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,578 – $9,843 · median $6,562 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,038 – $28,302 · median $18,868 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,317 – $21,736 · median $14,491 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,646 – $32,905 · median $21,937 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,256 – $19,863 · median $13,242 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,704 – $29,478 · median $19,652 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,849 – $15,616 · median $10,411 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,071 – $21,302 · median $14,202 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,511 – $15,020 · median $10,013 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,929 – $31,640 · median $21,093 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,813 – $20,846 · median $13,897 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,161 – $26,755 · median $17,837 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,792 – $19,044 · median $12,696 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,516 – $25,617 · median $17,078 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,192 – $16,222 · median $10,814 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,305 – $9,362 · median $6,241 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,412 – $16,609 · median $11,073 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $5,834 – $10,296 · median $6,864 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,908 – $21,014 · median $14,009 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,546 – $11,552 · median $7,701 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,522 – $15,038 · median $10,026 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,435 – $9,591 · median $6,394 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,073 – $30,128 · median $20,086 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,811 – $19,078 · median $12,719 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,603 – $50,475 · median $33,650 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,519 – $29,151 · median $19,434 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,793 – $20,811 · median $13,874 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,669 – $50,592 · median $33,728 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,515 – $25,615 · median $17,077 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,454 – $20,213 · median $13,476 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,717 – $25,970 · median $17,314 | 4 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,974 – $17,602 · median $11,735 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,427 – $28,989 · median $19,326 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,151 – $16,148 · median $10,766 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,937 – $24,594 · median $16,396 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,933 – $12,235 · median $8,157 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,145 – $19,667 · median $13,111 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,566 – $36,292 · median $24,195 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,851 – $20,914 · median $13,942 | 4 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $14,772 – $26,068 · median $17,378 | 4 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $8,754 – $15,448 · median $10,299 | 4 plans |
| 756 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $7,738 – $13,655 · median $9,103 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,501 – $20,295 · median $13,530 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,886 – $13,916 · median $9,277 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,368 – $9,473 · median $6,315 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,113 – $14,317 · median $9,545 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,625 – $8,162 · median $5,441 | 4 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,625 – $15,220 · median $10,147 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,559 – $23,928 · median $15,952 | 4 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,075 – $14,250 · median $9,500 | 4 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,297 – $9,348 · median $6,232 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $6,786 – $11,976 · median $7,984 | 4 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $19,668 – $34,708 · median $23,138 | 4 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,533 – $15,058 · median $10,039 | 4 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,716 – $13,617 · median $9,078 | 4 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,237 – $23,360 · median $15,573 | 4 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,985 – $15,857 · median $10,571 | 4 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,724 – $13,631 · median $9,087 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,456 – $25,511 · median $17,007 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $47,512 – $83,845 · median $55,896 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,470 – $57,300 · median $38,200 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,621 – $34,625 · median $23,083 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,353 – $58,858 · median $39,239 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,852 – $20,915 · median $13,943 | 4 plans |
| 795 | NORMAL NEWBORN | $1,666 – $2,940 · median $1,960 | 4 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,386 – $16,564 · median $11,043 | 4 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $8,056 – $14,217 · median $9,478 | 4 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,711 – $13,607 · median $9,071 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $36,221 – $63,919 · median $42,613 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,496 – $39,698 · median $26,466 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,308 – $27,014 · median $18,009 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $31,872 – $56,245 · median $37,497 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,909 – $26,310 · median $17,540 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,895 – $19,226 · median $12,817 | 4 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,685 – $15,327 · median $10,218 | 4 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $6,090 – $10,746 · median $7,164 | 4 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,453 – $9,622 · median $6,415 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,695 – $31,226 · median $20,817 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,176 – $17,957 · median $11,971 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,425 – $14,868 · median $9,912 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $11,280 – $19,906 · median $13,271 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,400 – $13,059 · median $8,706 | 4 plans |
| 813 | COAGULATION DISORDERS | $12,246 – $21,611 · median $14,407 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,046 – $30,082 · median $20,055 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,165 – $14,409 · median $9,606 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,116 – $9,028 · median $6,019 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,283 – $32,264 · median $21,509 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,324 – $16,454 · median $10,969 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,935 – $12,238 · median $8,159 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,884 – $82,736 · median $55,157 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,940 – $31,658 · median $21,105 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,682 – $17,085 · median $11,390 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,667 – $64,706 · median $43,137 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,155 – $32,038 · median $21,359 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,842 – $19,133 · median $12,755 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $37,409 – $66,016 · median $44,011 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,519 – $32,681 · median $21,787 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,671 – $24,125 · median $16,083 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,294 – $44,637 · median $29,758 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,084 – $21,325 · median $14,217 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,670 – $17,064 · median $11,376 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,831 – $10,290 · median $6,860 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,245 – $7,491 · median $4,994 | 4 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,891 – $77,455 · median $51,637 | 4 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $16,720 – $29,506 · median $19,671 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,805 – $17,303 · median $11,536 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,419 – $67,798 · median $45,199 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,733 – $29,528 · median $19,686 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,596 – $20,464 · median $13,643 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,892 – $45,692 · median $30,461 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,093 – $23,105 · median $15,404 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,136 – $14,358 · median $9,572 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,994 – $28,224 · median $18,816 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,788 – $17,274 · median $11,516 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,869 – $12,121 · median $8,081 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,764 – $36,643 · median $24,429 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,513 – $18,553 · median $12,368 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,851 – $12,090 · median $8,060 | 4 plans |
| 849 | RADIOTHERAPY | $21,698 – $38,291 · median $25,527 | 4 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $69,191 – $122,102 · median $81,401 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,491 – $69,690 · median $46,460 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,020 – $28,271 · median $18,847 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,022 – $21,215 · median $14,143 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $36,379 – $64,198 · median $42,798 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,165 – $30,290 · median $20,194 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,189 – $19,746 · median $13,164 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,628 – $25,814 · median $17,209 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,036 – $14,182 · median $9,455 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,157 – $12,630 · median $8,420 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,031 – $21,230 · median $14,154 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,012 – $12,375 · median $8,250 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,779 – $29,610 · median $19,740 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,301 – $14,650 · median $9,766 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,896 – $10,404 · median $6,936 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $55,241 – $97,484 · median $64,989 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $15,576 – $27,487 · median $18,325 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $8,239 – $14,540 · median $9,693 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,921 – $54,566 · median $36,377 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,735 – $13,651 · median $9,101 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $7,581 – $13,379 · median $8,919 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,642 – $15,251 · median $10,167 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,766 – $27,823 · median $18,548 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,913 – $22,788 · median $15,192 | 4 plans |
| 885 | PSYCHOSES | $11,220 – $19,801 · median $13,200 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,636 – $29,358 · median $19,572 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,619 – $15,210 · median $10,140 | 4 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $4,995 – $8,815 · median $5,877 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,370 – $20,066 · median $13,377 | 4 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $14,001 – $24,707 · median $16,471 | 4 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $7,118 – $12,561 · median $8,374 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,568 – $59,238 · median $39,492 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,353 – $27,093 · median $18,062 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,407 – $16,600 · median $11,067 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $29,390 – $51,864 · median $34,576 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,912 – $21,021 · median $14,014 | 4 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,750 – $27,794 · median $18,530 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $30,716 – $54,205 · median $36,137 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,997 – $28,230 · median $18,820 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,549 – $18,616 · median $12,411 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,119 – $23,150 · median $15,434 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,139 – $12,599 · median $8,399 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,494 – $23,812 · median $15,875 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,390 – $9,511 · median $6,341 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,590 – $22,218 · median $14,812 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,913 – $12,199 · median $8,132 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,685 – $25,914 · median $17,276 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,072 – $14,244 · median $9,496 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,566 – $9,822 · median $6,548 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,035 – $24,767 · median $16,512 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,194 – $14,461 · median $9,641 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $170,490 – $300,864 · median $200,576 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $57,323 – $101,159 · median $67,439 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,779 – $45,493 · median $30,329 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,155 – $54,979 · median $36,652 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,716 – $31,264 · median $20,842 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $16,514 – $29,142 · median $19,428 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,034 – $51,236 · median $34,157 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,724 – $33,043 · median $22,029 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,256 – $28,687 · median $19,125 | 4 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,432 – $21,939 · median $14,626 | 4 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,225 – $16,279 · median $10,853 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,204 – $18,006 · median $12,004 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,461 – $11,401 · median $7,601 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,567 – $16,884 · median $11,256 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,082 – $8,967 · median $5,978 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,509 – $7,957 · median $5,305 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,799 – $94,939 · median $63,292 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,107 – $53,131 · median $35,420 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $60,893 – $107,458 · median $71,639 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,706 – $59,482 · median $39,655 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,571 – $41,596 · median $27,730 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,892 – $38,633 · median $25,756 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,304 – $21,714 · median $14,476 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,578 – $13,373 · median $8,916 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,931 – $86,349 · median $57,566 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,123 – $37,276 · median $24,850 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,107 – $40,777 · median $27,185 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,408 – $18,367 · median $12,245 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,277 – $12,841 · median $8,561 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,429 – $18,405 · median $12,270 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $37,521 – $66,213 · median $44,142 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $19,695 – $34,756 · median $23,170 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,752 – $24,269 · median $16,179 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $27,437 – $48,417 · median $32,278 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,190 – $23,277 · median $15,518 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,643 – $17,017 · median $11,345 | 4 plans |
No procedures match that keyword.