Los Angeles General Medical Center — Pricing
749 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 749 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 749 procedures
Procedures with negotiated rates only
These 749 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 |
|---|---|---|---|
| 003 | "ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES" | $362,011 – $651,619 · median $515,865 | 3 plans |
| 004 | "TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES" | $246,853 – $444,335 · median $351,765 | 3 plans |
| 011 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC" | $105,601 – $190,082 · median $150,482 | 3 plans |
| 012 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC" | $82,419 – $148,354 · median $117,447 | 3 plans |
| 013 | "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC" | $59,033 – $106,259 · median $84,121 | 3 plans |
| 018 | "CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES" | $664,899 – $1,196,818 · median $947,481 | 3 plans |
| 020 | "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC" | $140,102 – $252,184 · median $199,646 | 3 plans |
| 021 | "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC" | $95,928 – $172,670 · median $136,697 | 3 plans |
| 022 | "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC" | $57,320 – $103,175 · median $81,680 | 3 plans |
| 023 | "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR" | $104,819 – $188,673 · median $149,366 | 3 plans |
| 024 | "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC" | $71,836 – $129,304 · median $102,366 | 3 plans |
| 025 | "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC" | $86,094 – $154,969 · median $122,684 | 3 plans |
| 026 | "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC" | $58,745 – $105,741 · median $83,712 | 3 plans |
| 027 | "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC" | $47,638 – $85,749 · median $67,885 | 3 plans |
| 028 | "SPINAL PROCEDURES WITH MCC" | $111,365 – $200,457 · median $158,695 | 3 plans |
| 029 | "SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS" | $65,652 – $118,174 · median $93,554 | 3 plans |
| 030 | "SPINAL PROCEDURES WITHOUT CC/MCC" | $44,008 – $79,215 · median $62,711 | 3 plans |
| 031 | "VENTRICULAR SHUNT PROCEDURES WITH MCC" | $87,549 – $157,588 · median $124,757 | 3 plans |
| 032 | "VENTRICULAR SHUNT PROCEDURES WITH CC" | $44,276 – $79,696 · median $63,093 | 3 plans |
| 033 | "VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC" | $34,917 – $62,851 · median $49,757 | 3 plans |
| 034 | "CAROTID ARTERY STENT PROCEDURES WITH MCC" | $73,660 – $132,588 · median $104,966 | 3 plans |
| 035 | "CAROTID ARTERY STENT PROCEDURES WITH CC" | $46,897 – $84,414 · median $66,828 | 3 plans |
| 036 | "CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC" | $37,840 – $68,113 · median $53,923 | 3 plans |
| 037 | "EXTRACRANIAL PROCEDURES WITH MCC" | $65,102 – $117,183 · median $92,770 | 3 plans |
| 038 | "EXTRACRANIAL PROCEDURES WITH CC" | $35,538 – $63,969 · median $50,642 | 3 plans |
| 039 | "EXTRACRANIAL PROCEDURES WITHOUT CC/MCC" | $26,491 – $47,683 · median $37,749 | 3 plans |
| 040 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC" | $78,388 – $141,098 · median $111,703 | 3 plans |
| 041 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR" | $46,494 – $83,689 · median $66,254 | 3 plans |
| 042 | "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC" | $37,093 – $66,767 · median $52,857 | 3 plans |
| 052 | "SPINAL DISORDERS AND INJURIES WITH CC/MCC" | $41,981 – $75,565 · median $59,822 | 3 plans |
| 053 | "SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC" | $26,021 – $46,838 · median $37,080 | 3 plans |
| 054 | "NERVOUS SYSTEM NEOPLASMS WITH MCC" | $37,774 – $67,993 · median $53,828 | 3 plans |
| 055 | "NERVOUS SYSTEM NEOPLASMS WITHOUT MCC" | $27,836 – $50,104 · median $39,666 | 3 plans |
| 056 | "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC" | $53,202 – $95,764 · median $75,813 | 3 plans |
| 057 | "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC" | $34,352 – $61,834 · median $48,952 | 3 plans |
| 058 | "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC" | $40,475 – $72,855 · median $57,677 | 3 plans |
| 059 | "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC" | $32,326 – $58,187 · median $46,065 | 3 plans |
| 060 | "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC" | $26,360 – $47,447 · median $37,562 | 3 plans |
| 061 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC" | $55,971 – $100,748 · median $79,758 | 3 plans |
| 062 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC" | $38,746 – $69,743 · median $55,213 | 3 plans |
| 063 | "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC" | $32,302 – $58,143 · median $46,030 | 3 plans |
| 064 | "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC" | $44,935 – $80,882 · median $64,032 | 3 plans |
| 065 | "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS" | $27,698 – $49,857 · median $39,470 | 3 plans |
| 066 | "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC" | $20,443 – $36,798 · median $29,132 | 3 plans |
| 067 | "PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC" | $35,696 – $64,253 · median $50,867 | 3 plans |
| 068 | "PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC" | $24,323 – $43,781 · median $34,660 | 3 plans |
| 069 | "TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC" | $23,353 – $42,035 · median $33,277 | 3 plans |
| 070 | "OTHER CEREBROVASCULAR DISORDERS WITH MCC" | $39,814 – $71,665 · median $56,734 | 3 plans |
| 071 | "OTHER CEREBROVASCULAR DISORDERS WITH CC" | $27,930 – $50,275 · median $39,801 | 3 plans |
| 072 | "OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC" | $22,722 – $40,900 · median $32,380 | 3 plans |
| 073 | "CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC" | $38,919 – $70,054 · median $55,459 | 3 plans |
| 074 | "CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC" | $28,001 – $50,403 · median $39,902 | 3 plans |
| 075 | "VIRAL MENINGITIS WITH CC/MCC" | $44,769 – $80,584 · median $63,795 | 3 plans |
| 076 | "VIRAL MENINGITIS WITHOUT CC/MCC" | $23,743 – $42,738 · median $33,834 | 3 plans |
| 080 | "NONTRAUMATIC STUPOR AND COMA WITH MCC" | $43,178 – $77,721 · median $61,529 | 3 plans |
| 081 | "NONTRAUMATIC STUPOR AND COMA WITHOUT MCC" | $26,002 – $46,803 · median $37,052 | 3 plans |
| 082 | "TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC" | $50,214 – $100,427 · median $74,065 | 3 plans |
| 083 | "TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC" | $33,400 – $66,801 · median $49,266 | 3 plans |
| 084 | "TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC" | $25,675 – $51,350 · median $37,871 | 3 plans |
| 085 | "TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC" | $48,794 – $97,588 · median $71,971 | 3 plans |
| 086 | "TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC" | $32,023 – $64,047 · median $47,234 | 3 plans |
| 087 | "TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC" | $23,850 – $47,700 · median $35,179 | 3 plans |
| 088 | "CONCUSSION WITH MCC" | $33,967 – $61,140 · median $48,403 | 3 plans |
| 089 | "CONCUSSION WITH CC" | $27,787 – $50,017 · median $39,597 | 3 plans |
| 090 | "CONCUSSION WITHOUT CC/MCC" | $22,496 – $40,494 · median $32,057 | 3 plans |
| 091 | "OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC" | $41,166 – $74,098 · median $58,661 | 3 plans |
| 092 | "OTHER DISORDERS OF NERVOUS SYSTEM WITH CC" | $27,886 – $50,195 · median $39,738 | 3 plans |
| 093 | "OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC" | $23,316 – $41,968 · median $33,225 | 3 plans |
| 094 | "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC" | $73,332 – $131,998 · median $104,498 | 3 plans |
| 095 | "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC" | $54,556 – $98,202 · median $77,743 | 3 plans |
| 096 | "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC" | $54,556 – $98,202 · median $77,743 | 3 plans |
| 097 | "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC" | $75,916 – $136,649 · median $108,180 | 3 plans |
| 098 | "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC" | $51,568 – $92,823 · median $73,485 | 3 plans |
| 099 | "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC" | $34,123 – $61,422 · median $48,626 | 3 plans |
| 100 | "SEIZURES WITH MCC" | $43,837 – $78,907 · median $62,468 | 3 plans |
| 101 | "SEIZURES WITHOUT MCC" | $24,888 – $44,798 · median $35,465 | 3 plans |
| 102 | "HEADACHES WITH MCC" | $29,334 – $52,801 · median $41,801 | 3 plans |
| 103 | "HEADACHES WITHOUT MCC" | $23,907 – $43,033 · median $34,068 | 3 plans |
| 113 | "ORBITAL PROCEDURES WITH CC/MCC" | $51,182 – $92,128 · median $72,935 | 3 plans |
| 114 | "ORBITAL PROCEDURES WITHOUT CC/MCC" | $31,550 – $56,791 · median $44,959 | 3 plans |
| 115 | "EXTRAOCULAR PROCEDURES EXCEPT ORBIT" | $36,675 – $66,015 · median $52,262 | 3 plans |
| 116 | "INTRAOCULAR PROCEDURES WITH CC/MCC" | $41,933 – $75,480 · median $59,755 | 3 plans |
| 117 | "INTRAOCULAR PROCEDURES WITHOUT CC/MCC" | $27,585 – $49,652 · median $39,308 | 3 plans |
| 121 | "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC" | $32,395 – $58,312 · median $46,164 | 3 plans |
| 122 | "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC" | $24,377 – $43,879 · median $34,738 | 3 plans |
| 123 | "NEUROLOGICAL EYE DISORDERS" | $23,350 – $42,029 · median $33,273 | 3 plans |
| 124 | "OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT" | $33,542 – $60,376 · median $47,798 | 3 plans |
| 125 | "OTHER DISORDERS OF THE EYE WITHOUT MCC" | $22,894 – $41,209 · median $32,624 | 3 plans |
| 135 | "SINUS AND MASTOID PROCEDURES WITH CC/MCC" | $47,287 – $85,116 · median $67,383 | 3 plans |
| 136 | "SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC" | $25,338 – $45,608 · median $36,107 | 3 plans |
| 137 | "MOUTH PROCEDURES WITH CC/MCC" | $36,058 – $64,905 · median $51,383 | 3 plans |
| 138 | "MOUTH PROCEDURES WITHOUT CC/MCC" | $23,428 – $42,171 · median $33,385 | 3 plans |
| 139 | "SALIVARY GLAND PROCEDURES" | $29,815 – $53,667 · median $42,487 | 3 plans |
| 140 | "MAJOR HEAD AND NECK PROCEDURES WITH MCC" | $81,931 – $147,476 · median $116,752 | 3 plans |
| 141 | "MAJOR HEAD AND NECK PROCEDURES WITH CC" | $45,017 – $81,030 · median $64,149 | 3 plans |
| 142 | "MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC" | $35,151 – $63,271 · median $50,090 | 3 plans |
| 143 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC" | $75,476 – $135,856 · median $107,553 | 3 plans |
| 144 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC" | $38,387 – $69,096 · median $54,701 | 3 plans |
| 145 | "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC" | $28,104 – $50,587 · median $40,048 | 3 plans |
| 146 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC" | $48,943 – $88,097 · median $69,743 | 3 plans |
| 147 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC" | $32,779 – $59,002 · median $46,710 | 3 plans |
| 148 | "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC" | $22,110 – $39,799 · median $31,507 | 3 plans |
| 149 | "DYSEQUILIBRIUM" | $21,437 – $38,587 · median $30,548 | 3 plans |
| 150 | "EPISTAXIS WITH MCC" | $33,666 – $60,600 · median $47,975 | 3 plans |
| 151 | "EPISTAXIS WITHOUT MCC" | $22,394 – $40,309 · median $31,912 | 3 plans |
| 152 | "OTITIS MEDIA AND URI WITH MCC" | $30,241 – $54,434 · median $43,093 | 3 plans |
| 153 | "OTITIS MEDIA AND URI WITHOUT MCC" | $22,456 – $40,421 · median $32,000 | 3 plans |
| 154 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC" | $38,315 – $68,967 · median $54,599 | 3 plans |
| 155 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC" | $26,311 – $47,359 · median $37,493 | 3 plans |
| 156 | "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC" | $20,542 – $36,976 · median $29,273 | 3 plans |
| 157 | "DENTAL AND ORAL DISEASES WITH MCC" | $40,583 – $73,049 · median $57,831 | 3 plans |
| 158 | "DENTAL AND ORAL DISEASES WITH CC" | $26,212 – $47,181 · median $37,352 | 3 plans |
| 159 | "DENTAL AND ORAL DISEASES WITHOUT CC/MCC" | $22,017 – $39,630 · median $31,374 | 3 plans |
| 163 | "MAJOR CHEST PROCEDURES WITH MCC" | $85,134 – $153,241 · median $121,316 | 3 plans |
| 164 | "MAJOR CHEST PROCEDURES WITH CC" | $50,089 – $90,160 · median $71,376 | 3 plans |
| 165 | "MAJOR CHEST PROCEDURES WITHOUT CC/MCC" | $38,634 – $69,542 · median $55,054 | 3 plans |
| 166 | "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC" | $76,561 – $137,810 · median $109,100 | 3 plans |
| 167 | "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC" | $40,647 – $73,164 · median $57,922 | 3 plans |
| 168 | "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC" | $30,531 – $54,957 · median $43,507 | 3 plans |
| 173 | "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM" | $57,998 – $104,396 · median $82,647 | 3 plans |
| 175 | "PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE" | $34,289 – $61,720 · median $48,862 | 3 plans |
| 176 | "PULMONARY EMBOLISM WITHOUT MCC" | $23,444 – $42,200 · median $33,408 | 3 plans |
| 177 | "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC" | $38,303 – $68,946 · median $54,582 | 3 plans |
| 178 | "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC" | $27,191 – $48,943 · median $38,747 | 3 plans |
| 179 | "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC" | $22,705 – $40,868 · median $32,354 | 3 plans |
| 180 | "RESPIRATORY NEOPLASMS WITH MCC" | $42,528 – $76,550 · median $60,602 | 3 plans |
| 181 | "RESPIRATORY NEOPLASMS WITH CC" | $28,596 – $51,473 · median $40,749 | 3 plans |
| 182 | "RESPIRATORY NEOPLASMS WITHOUT CC/MCC" | $22,687 – $40,837 · median $32,329 | 3 plans |
| 183 | "MAJOR CHEST TRAUMA WITH MCC" | $36,601 – $73,202 · median $53,987 | 3 plans |
| 184 | "MAJOR CHEST TRAUMA WITH CC" | $28,494 – $56,988 · median $42,029 | 3 plans |
| 185 | "MAJOR CHEST TRAUMA WITHOUT CC/MCC" | $23,171 – $46,341 · median $34,177 | 3 plans |
| 186 | "PLEURAL EFFUSION WITH MCC" | $38,241 – $68,834 · median $54,494 | 3 plans |
| 187 | "PLEURAL EFFUSION WITH CC" | $27,385 – $49,292 · median $39,023 | 3 plans |
| 188 | "PLEURAL EFFUSION WITHOUT CC/MCC" | $22,146 – $39,862 · median $31,557 | 3 plans |
| 189 | "PULMONARY EDEMA AND RESPIRATORY FAILURE" | $32,245 – $58,041 · median $45,949 | 3 plans |
| 190 | "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC" | $29,139 – $52,450 · median $41,523 | 3 plans |
| 191 | "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC" | $24,006 – $43,212 · median $34,209 | 3 plans |
| 192 | "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC" | $21,033 – $37,860 · median $29,972 | 3 plans |
| 193 | "SIMPLE PNEUMONIA AND PLEURISY WITH MCC" | $33,413 – $60,144 · median $47,614 | 3 plans |
| 194 | "SIMPLE PNEUMONIA AND PLEURISY WITH CC" | $23,458 – $42,224 · median $33,427 | 3 plans |
| 195 | "SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC" | $20,834 – $37,500 · median $29,688 | 3 plans |
| 196 | "INTERSTITIAL LUNG DISEASE WITH MCC" | $44,320 – $79,777 · median $63,157 | 3 plans |
| 197 | "INTERSTITIAL LUNG DISEASE WITH CC" | $26,793 – $48,227 · median $38,180 | 3 plans |
| 198 | "INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC" | $22,131 – $39,835 · median $31,536 | 3 plans |
| 199 | "PNEUMOTHORAX WITH MCC" | $41,282 – $74,308 · median $58,828 | 3 plans |
| 200 | "PNEUMOTHORAX WITH CC" | $29,015 – $52,226 · median $41,346 | 3 plans |
| 201 | "PNEUMOTHORAX WITHOUT CC/MCC" | $22,115 – $39,806 · median $31,513 | 3 plans |
| 202 | "BRONCHITIS AND ASTHMA WITH CC/MCC" | $27,120 – $48,816 · median $38,646 | 3 plans |
| 203 | "BRONCHITIS AND ASTHMA WITHOUT CC/MCC" | $21,447 – $38,605 · median $30,563 | 3 plans |
| 204 | "RESPIRATORY SIGNS AND SYMPTOMS" | $23,480 – $42,264 · median $33,459 | 3 plans |
| 205 | "OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC" | $42,272 – $76,090 · median $60,238 | 3 plans |
| 206 | "OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC" | $25,457 – $45,823 · median $36,277 | 3 plans |
| 207 | "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS" | $121,323 – $218,382 · median $172,886 | 3 plans |
| 208 | "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS" | $57,064 – $102,715 · median $81,316 | 3 plans |
| 209 | "COMPLEX AORTIC ARCH PROCEDURES" | $188,700 – $339,661 · median $268,898 | 3 plans |
| 212 | "CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES" | $188,208 – $338,774 · median $268,196 | 3 plans |
| 213 | "ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES" | $95,953 – $172,715 · median $136,733 | 3 plans |
| 215 | "OTHER HEART ASSIST SYSTEM IMPLANT" | $164,906 – $296,830 · median $234,990 | 3 plans |
| 216 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC" | $169,631 – $305,336 · median $241,724 | 3 plans |
| 217 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC" | $112,449 – $202,409 · median $160,240 | 3 plans |
| 218 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC" | $112,449 – $202,409 · median $160,240 | 3 plans |
| 219 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC" | $133,633 – $240,540 · median $190,427 | 3 plans |
| 220 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC" | $94,070 – $169,327 · median $134,050 | 3 plans |
| 221 | "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC" | $87,308 – $157,155 · median $124,414 | 3 plans |
| 228 | "OTHER CARDIOTHORACIC PROCEDURES WITH MCC" | $92,021 – $165,638 · median $131,130 | 3 plans |
| 229 | "OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC" | $58,124 – $104,623 · median $82,827 | 3 plans |
| 231 | "CORONARY BYPASS WITH PTCA WITH MCC" | $147,185 – $264,933 · median $209,739 | 3 plans |
| 232 | "CORONARY BYPASS WITH PTCA WITHOUT MCC" | $108,517 – $195,330 · median $154,637 | 3 plans |
| 233 | "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC" | $135,578 – $244,040 · median $193,198 | 3 plans |
| 234 | "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC" | $99,643 – $179,358 · median $141,992 | 3 plans |
| 235 | "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC" | $105,647 – $190,165 · median $150,547 | 3 plans |
| 236 | "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC" | $77,148 – $138,867 · median $109,937 | 3 plans |
| 239 | "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC" | $97,726 – $175,907 · median $139,260 | 3 plans |
| 240 | "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC" | $61,004 – $109,807 · median $86,930 | 3 plans |
| 241 | "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC" | $34,449 – $62,008 · median $49,090 | 3 plans |
| 242 | "PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC" | $62,416 – $112,348 · median $88,942 | 3 plans |
| 243 | "PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC" | $44,274 – $79,693 · median $63,090 | 3 plans |
| 244 | "PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC" | $38,273 – $68,892 · median $54,539 | 3 plans |
| 245 | "AICD GENERATOR PROCEDURES" | $82,675 – $148,815 · median $117,812 | 3 plans |
| 250 | "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC" | $45,037 – $81,067 · median $64,178 | 3 plans |
| 251 | "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC" | $32,426 – $58,367 · median $46,207 | 3 plans |
| 252 | "OTHER VASCULAR PROCEDURES WITH MCC" | $69,221 – $124,598 · median $98,640 | 3 plans |
| 253 | "OTHER VASCULAR PROCEDURES WITH CC" | $52,365 – $94,257 · median $74,620 | 3 plans |
| 254 | "OTHER VASCULAR PROCEDURES WITHOUT CC/MCC" | $36,675 – $66,014 · median $52,261 | 3 plans |
| 255 | "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC" | $58,739 – $105,730 · median $83,703 | 3 plans |
| 256 | "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC" | $40,303 – $72,546 · median $57,432 | 3 plans |
| 257 | "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC" | $28,910 – $52,037 · median $41,196 | 3 plans |
| 258 | "CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC" | $62,883 – $113,189 · median $89,608 | 3 plans |
| 259 | "CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC" | $41,448 – $74,606 · median $59,063 | 3 plans |
| 260 | "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC" | $65,737 – $118,327 · median $93,676 | 3 plans |
| 261 | "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC" | $40,718 – $73,292 · median $58,023 | 3 plans |
| 262 | "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC" | $34,429 – $61,972 · median $49,061 | 3 plans |
| 263 | "VEIN LIGATION AND STRIPPING" | $61,630 – $110,934 · median $87,823 | 3 plans |
| 264 | "OTHER CIRCULATORY SYSTEM O.R. PROCEDURES" | $69,470 – $125,046 · median $98,995 | 3 plans |
| 265 | "AICD LEAD PROCEDURES" | $68,708 – $123,675 · median $97,909 | 3 plans |
| 266 | "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC" | $104,622 – $188,319 · median $149,086 | 3 plans |
| 267 | "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC" | $80,741 – $145,334 · median $115,056 | 3 plans |
| 268 | "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC" | $120,577 – $217,038 · median $171,822 | 3 plans |
| 269 | "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC" | $72,789 – $131,020 · median $103,724 | 3 plans |
| 270 | "OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC" | $96,886 – $174,395 · median $138,062 | 3 plans |
| 271 | "OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC" | $66,576 – $119,836 · median $94,870 | 3 plans |
| 272 | "OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC" | $48,084 – $86,550 · median $68,519 | 3 plans |
| 273 | "PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC" | $76,212 – $137,182 · median $108,602 | 3 plans |
| 274 | "PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC" | $57,793 – $104,028 · median $82,355 | 3 plans |
| 275 | "CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC" | $125,529 – $225,952 · median $178,878 | 3 plans |
| 276 | "CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR" | $106,471 – $191,649 · median $151,722 | 3 plans |
| 277 | "CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC" | $81,070 – $145,927 · median $115,525 | 3 plans |
| 278 | "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC" | $102,391 – $184,304 · median $145,907 | 3 plans |
| 279 | "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC" | $67,317 – $121,170 · median $95,926 | 3 plans |
| 280 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC" | $37,699 – $67,858 · median $53,721 | 3 plans |
| 281 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC" | $25,132 – $45,238 · median $35,813 | 3 plans |
| 282 | "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC" | $21,016 – $37,828 · median $29,947 | 3 plans |
| 283 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC" | $43,271 – $77,887 · median $61,661 | 3 plans |
| 284 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC" | $20,559 – $37,006 · median $29,296 | 3 plans |
| 285 | "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC" | $17,962 – $32,331 · median $25,595 | 3 plans |
| 286 | "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC" | $49,137 – $88,446 · median $70,020 | 3 plans |
| 287 | "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC" | $27,366 – $49,258 · median $38,996 | 3 plans |
| 288 | "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC" | $60,086 – $108,155 · median $85,623 | 3 plans |
| 289 | "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC" | $40,436 – $72,785 · median $57,622 | 3 plans |
| 290 | "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC" | $26,506 – $47,711 · median $37,771 | 3 plans |
| 291 | "HEART FAILURE AND SHOCK WITH MCC" | $32,961 – $59,330 · median $46,969 | 3 plans |
| 292 | "HEART FAILURE AND SHOCK WITH CC" | $25,312 – $45,562 · median $36,070 | 3 plans |
| 293 | "HEART FAILURE AND SHOCK WITHOUT CC/MCC" | $19,909 – $35,836 · median $28,370 | 3 plans |
| 296 | "CARDIAC ARREST, UNEXPLAINED WITH MCC" | $34,640 – $62,353 · median $49,362 | 3 plans |
| 297 | "CARDIAC ARREST, UNEXPLAINED WITH CC" | $19,698 – $35,456 · median $28,069 | 3 plans |
| 298 | "CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC" | $15,834 – $28,502 · median $22,564 | 3 plans |
| 299 | "PERIPHERAL VASCULAR DISORDERS WITH MCC" | $39,339 – $70,810 · median $56,058 | 3 plans |
| 300 | "PERIPHERAL VASCULAR DISORDERS WITH CC" | $28,544 – $51,380 · median $40,676 | 3 plans |
| 301 | "PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC" | $22,183 – $39,929 · median $31,610 | 3 plans |
| 302 | "ATHEROSCLEROSIS WITH MCC" | $30,454 – $54,817 · median $43,397 | 3 plans |
| 303 | "ATHEROSCLEROSIS WITHOUT MCC" | $20,278 – $36,500 · median $28,896 | 3 plans |
| 304 | "HYPERTENSION WITH MCC" | $30,356 – $54,641 · median $43,258 | 3 plans |
| 305 | "HYPERTENSION WITHOUT MCC" | $22,706 – $40,871 · median $32,356 | 3 plans |
| 306 | "CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC" | $37,280 – $67,104 · median $53,124 | 3 plans |
| 307 | "CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC" | $25,045 – $45,081 · median $35,689 | 3 plans |
| 308 | "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC" | $31,780 – $57,205 · median $45,287 | 3 plans |
| 309 | "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC" | $22,419 – $40,355 · median $31,947 | 3 plans |
| 310 | "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC" | $18,693 – $33,648 · median $26,638 | 3 plans |
| 311 | "ANGINA PECTORIS" | $20,702 – $37,264 · median $29,501 | 3 plans |
| 312 | "SYNCOPE AND COLLAPSE" | $24,429 – $43,973 · median $34,812 | 3 plans |
| 313 | "CHEST PAIN" | $20,970 – $37,746 · median $29,882 | 3 plans |
| 314 | "OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC" | $47,249 – $85,049 · median $67,330 | 3 plans |
| 315 | "OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC" | $25,786 – $46,415 · median $36,745 | 3 plans |
| 316 | "OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC" | $20,409 – $36,737 · median $29,083 | 3 plans |
| 317 | "CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION" | $115,311 – $207,561 · median $164,319 | 3 plans |
| 318 | "PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE" | $48,583 – $87,449 · median $69,231 | 3 plans |
| 319 | "OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC" | $86,071 – $154,928 · median $122,652 | 3 plans |
| 320 | "OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC" | $47,116 – $84,809 · median $67,140 | 3 plans |
| 321 | "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES" | $54,217 – $97,590 · median $77,259 | 3 plans |
| 322 | "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC" | $36,398 – $65,516 · median $51,867 | 3 plans |
| 323 | "CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC" | $79,199 – $142,558 · median $112,858 | 3 plans |
| 324 | "CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC" | $58,146 – $104,663 · median $82,858 | 3 plans |
| 325 | "CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE" | $60,242 – $108,435 · median $85,845 | 3 plans |
| 326 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC" | $96,264 – $173,275 · median $137,176 | 3 plans |
| 327 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC" | $50,125 – $90,226 · median $71,429 | 3 plans |
| 328 | "STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC" | $35,238 – $63,428 · median $50,214 | 3 plans |
| 329 | "MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC" | $90,482 – $162,867 · median $128,936 | 3 plans |
| 330 | "MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC" | $50,647 – $91,165 · median $72,172 | 3 plans |
| 331 | "MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC" | $36,430 – $65,574 · median $51,913 | 3 plans |
| 332 | "RECTAL RESECTION WITH MCC" | $72,396 – $130,314 · median $103,165 | 3 plans |
| 333 | "RECTAL RESECTION WITH CC" | $48,617 – $87,510 · median $69,279 | 3 plans |
| 334 | "RECTAL RESECTION WITHOUT CC/MCC" | $35,765 – $64,376 · median $50,964 | 3 plans |
| 335 | "PERITONEAL ADHESIOLYSIS WITH MCC" | $74,094 – $133,369 · median $105,584 | 3 plans |
| 336 | "PERITONEAL ADHESIOLYSIS WITH CC" | $46,380 – $83,484 · median $66,091 | 3 plans |
| 337 | "PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC" | $35,460 – $63,827 · median $50,530 | 3 plans |
| 344 | "MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC" | $57,044 – $102,679 · median $81,287 | 3 plans |
| 345 | "MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC" | $36,228 – $65,211 · median $51,625 | 3 plans |
| 346 | "MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC" | $29,083 – $52,349 · median $41,443 | 3 plans |
| 347 | "ANAL AND STOMAL PROCEDURES WITH MCC" | $50,361 – $90,651 · median $71,765 | 3 plans |
| 348 | "ANAL AND STOMAL PROCEDURES WITH CC" | $32,114 – $57,804 · median $45,762 | 3 plans |
| 349 | "ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC" | $23,198 – $41,756 · median $33,057 | 3 plans |
| 350 | "INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC" | $52,048 – $93,686 · median $74,168 | 3 plans |
| 351 | "INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC" | $35,304 – $63,548 · median $50,308 | 3 plans |
| 352 | "INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC" | $27,594 – $49,669 · median $39,321 | 3 plans |
| 353 | "HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC" | $60,548 – $108,987 · median $86,281 | 3 plans |
| 354 | "HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC" | $37,640 – $67,752 · median $53,637 | 3 plans |
| 355 | "HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC" | $30,215 – $54,387 · median $43,056 | 3 plans |
| 356 | "OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC" | $85,034 – $153,062 · median $121,174 | 3 plans |
| 357 | "OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC" | $49,587 – $89,256 · median $70,661 | 3 plans |
| 358 | "OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC" | $32,214 – $57,986 · median $45,906 | 3 plans |
| 359 | "PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC" | $64,835 – $116,702 · median $92,389 | 3 plans |
| 360 | "PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC" | $47,249 – $85,048 · median $67,330 | 3 plans |
| 368 | "MAJOR ESOPHAGEAL DISORDERS WITH MCC" | $37,518 – $67,533 · median $53,463 | 3 plans |
| 369 | "MAJOR ESOPHAGEAL DISORDERS WITH CC" | $27,549 – $49,588 · median $39,257 | 3 plans |
| 370 | "MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC" | $21,903 – $39,425 · median $31,212 | 3 plans |
| 371 | "MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC" | $42,633 – $76,739 · median $60,752 | 3 plans |
| 372 | "MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC" | $27,856 – $50,142 · median $39,695 | 3 plans |
| 373 | "MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC" | $22,296 – $40,134 · median $31,772 | 3 plans |
| 374 | "DIGESTIVE MALIGNANCY WITH MCC" | $49,258 – $88,664 · median $70,192 | 3 plans |
| 375 | "DIGESTIVE MALIGNANCY WITH CC" | $31,863 – $57,354 · median $45,405 | 3 plans |
| 376 | "DIGESTIVE MALIGNANCY WITHOUT CC/MCC" | $25,209 – $45,376 · median $35,923 | 3 plans |
| 377 | "GASTROINTESTINAL HEMORRHAGE WITH MCC" | $42,228 – $76,010 · median $60,174 | 3 plans |
| 378 | "GASTROINTESTINAL HEMORRHAGE WITH CC" | $27,260 – $49,069 · median $38,846 | 3 plans |
| 379 | "GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC" | $19,645 – $35,360 · median $27,994 | 3 plans |
| 380 | "COMPLICATED PEPTIC ULCER WITH MCC" | $45,430 – $81,774 · median $64,738 | 3 plans |
| 381 | "COMPLICATED PEPTIC ULCER WITH CC" | $28,781 – $51,806 · median $41,013 | 3 plans |
| 382 | "COMPLICATED PEPTIC ULCER WITHOUT CC/MCC" | $23,379 – $42,083 · median $33,315 | 3 plans |
| 383 | "UNCOMPLICATED PEPTIC ULCER WITH MCC" | $34,394 – $61,910 · median $49,012 | 3 plans |
| 384 | "UNCOMPLICATED PEPTIC ULCER WITHOUT MCC" | $24,181 – $43,526 · median $34,458 | 3 plans |
| 385 | "INFLAMMATORY BOWEL DISEASE WITH MCC" | $39,810 – $71,659 · median $56,730 | 3 plans |
| 386 | "INFLAMMATORY BOWEL DISEASE WITH CC" | $27,195 – $48,951 · median $38,753 | 3 plans |
| 387 | "INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC" | $21,615 – $38,906 · median $30,801 | 3 plans |
| 388 | "GASTROINTESTINAL OBSTRUCTION WITH MCC" | $37,033 – $66,659 · median $52,772 | 3 plans |
| 389 | "GASTROINTESTINAL OBSTRUCTION WITH CC" | $24,437 – $43,986 · median $34,822 | 3 plans |
| 390 | "GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC" | $19,584 – $35,251 · median $27,907 | 3 plans |
| 391 | "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC" | $32,732 – $58,917 · median $46,642 | 3 plans |
| 392 | "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC" | $23,069 – $41,523 · median $32,873 | 3 plans |
| 393 | "OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC" | $38,845 – $69,921 · median $55,354 | 3 plans |
| 394 | "OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC" | $26,595 – $47,870 · median $37,897 | 3 plans |
| 395 | "OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC" | $21,137 – $38,046 · median $30,120 | 3 plans |
| 397 | "APPENDIX PROCEDURES WITH MCC" | $51,830 – $93,295 · median $73,858 | 3 plans |
| 398 | "APPENDIX PROCEDURES WITH CC" | $35,143 – $63,257 · median $50,079 | 3 plans |
| 399 | "APPENDIX PROCEDURES WITHOUT CC/MCC" | $27,252 – $49,054 · median $38,834 | 3 plans |
| 402 | "SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL" | $71,008 – $127,814 · median $101,186 | 3 plans |
| 405 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC" | $103,410 – $186,138 · median $147,359 | 3 plans |
| 406 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC" | $58,088 – $104,558 · median $82,775 | 3 plans |
| 407 | "PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC" | $45,586 – $82,055 · median $64,960 | 3 plans |
| 408 | "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC" | $72,798 – $131,037 · median $103,738 | 3 plans |
| 409 | "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC" | $46,177 – $83,119 · median $65,803 | 3 plans |
| 410 | "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC" | $36,239 – $65,230 · median $51,641 | 3 plans |
| 411 | "CHOLECYSTECTOMY WITH C.D.E. WITH MCC" | $66,484 – $119,672 · median $94,740 | 3 plans |
| 412 | "CHOLECYSTECTOMY WITH C.D.E. WITH CC" | $45,071 – $81,128 · median $64,226 | 3 plans |
| 413 | "CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC" | $36,099 – $64,978 · median $51,441 | 3 plans |
| 414 | "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC" | $71,537 – $128,767 · median $101,940 | 3 plans |
| 415 | "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC" | $45,759 – $82,365 · median $65,206 | 3 plans |
| 416 | "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC" | $31,703 – $57,065 · median $45,176 | 3 plans |
| 417 | "LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC" | $50,488 – $90,878 · median $71,945 | 3 plans |
| 418 | "LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC" | $37,776 – $67,997 · median $53,831 | 3 plans |
| 419 | "LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC" | $31,740 – $57,131 · median $45,229 | 3 plans |
| 420 | "HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC" | $70,454 – $126,817 · median $100,397 | 3 plans |
| 421 | "HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC" | $39,672 – $71,409 · median $56,533 | 3 plans |
| 422 | "HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC" | $32,238 – $58,029 · median $45,939 | 3 plans |
| 423 | "OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC" | $82,704 – $148,868 · median $117,854 | 3 plans |
| 424 | "OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC" | $47,551 – $85,592 · median $67,761 | 3 plans |
| 425 | "OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC" | $33,729 – $60,712 · median $48,064 | 3 plans |
| 426 | "MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE" | $181,864 – $327,355 · median $259,156 | 3 plans |
| 427 | "MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC" | $120,748 – $217,346 · median $172,066 | 3 plans |
| 428 | "MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC" | $94,697 – $170,455 · median $134,943 | 3 plans |
| 429 | "COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC" | $155,760 – $280,368 · median $221,958 | 3 plans |
| 430 | "COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC" | $99,278 – $178,700 · median $141,470 | 3 plans |
| 432 | "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC" | $45,519 – $81,933 · median $64,864 | 3 plans |
| 433 | "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC" | $28,377 – $51,079 · median $40,437 | 3 plans |
| 434 | "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC" | $22,076 – $39,737 · median $31,458 | 3 plans |
| 435 | "MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC" | $42,356 – $76,241 · median $60,358 | 3 plans |
| 436 | "MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC" | $29,485 – $53,073 · median $42,016 | 3 plans |
| 437 | "MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC" | $24,159 – $43,486 · median $34,426 | 3 plans |
| 438 | "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC" | $39,302 – $70,743 · median $56,005 | 3 plans |
| 439 | "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC" | $25,197 – $45,354 · median $35,906 | 3 plans |
| 440 | "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC" | $20,729 – $37,311 · median $29,538 | 3 plans |
| 441 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC" | $41,735 – $75,123 · median $59,473 | 3 plans |
| 442 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC" | $27,033 – $48,659 · median $38,521 | 3 plans |
| 443 | "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC" | $21,887 – $39,396 · median $31,189 | 3 plans |
| 444 | "DISORDERS OF THE BILIARY TRACT WITH MCC" | $39,904 – $71,827 · median $56,863 | 3 plans |
| 445 | "DISORDERS OF THE BILIARY TRACT WITH CC" | $28,942 – $52,096 · median $41,243 | 3 plans |
| 446 | "DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC" | $23,774 – $42,794 · median $33,878 | 3 plans |
| 447 | "MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE" | $118,890 – $214,002 · median $169,418 | 3 plans |
| 448 | "MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC" | $75,484 – $135,870 · median $107,564 | 3 plans |
| 450 | "SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE" | $96,457 – $173,623 · median $137,452 | 3 plans |
| 451 | "SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC" | $59,321 – $106,777 · median $84,532 | 3 plans |
| 456 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC" | $146,793 – $264,227 · median $209,180 | 3 plans |
| 457 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC" | $103,394 – $186,109 · median $147,336 | 3 plans |
| 458 | "SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC" | $73,258 – $131,864 · median $104,392 | 3 plans |
| 461 | "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC" | $99,318 – $178,772 · median $141,528 | 3 plans |
| 462 | "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC" | $50,883 – $91,590 · median $72,509 | 3 plans |
| 463 | "WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC" | $109,231 – $196,616 · median $155,655 | 3 plans |
| 464 | "WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC" | $62,478 – $112,460 · median $89,030 | 3 plans |
| 465 | "WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC" | $38,513 – $69,323 · median $54,881 | 3 plans |
| 466 | "REVISION OF HIP OR KNEE REPLACEMENT WITH MCC" | $95,837 – $172,507 · median $136,568 | 3 plans |
| 467 | "REVISION OF HIP OR KNEE REPLACEMENT WITH CC" | $64,919 – $116,854 · median $92,510 | 3 plans |
| 468 | "REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC" | $50,968 – $91,742 · median $72,629 | 3 plans |
| 469 | "MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT" | $57,621 – $103,717 · median $82,110 | 3 plans |
| 470 | "MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC" | $38,852 – $69,933 · median $55,364 | 3 plans |
| 471 | "CERVICAL SPINAL FUSION WITH MCC" | $90,265 – $162,477 · median $128,628 | 3 plans |
| 472 | "CERVICAL SPINAL FUSION WITH CC" | $56,332 – $101,398 · median $80,274 | 3 plans |
| 473 | "CERVICAL SPINAL FUSION WITHOUT CC/MCC" | $46,431 – $83,576 · median $66,165 | 3 plans |
| 474 | "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC" | $85,991 – $154,783 · median $122,537 | 3 plans |
| 475 | "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC" | $50,067 – $90,121 · median $71,346 | 3 plans |
| 476 | "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC" | $30,211 – $54,380 · median $43,051 | 3 plans |
| 477 | "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC" | $72,374 – $130,272 · median $103,132 | 3 plans |
| 478 | "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC" | $52,781 – $95,007 · median $75,214 | 3 plans |
| 479 | "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC" | $40,251 – $72,451 · median $57,357 | 3 plans |
| 480 | "HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC" | $59,484 – $107,071 · median $84,764 | 3 plans |
| 481 | "HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC" | $44,953 – $80,915 · median $64,058 | 3 plans |
| 482 | "HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC" | $36,880 – $66,383 · median $52,553 | 3 plans |
| 483 | "MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES" | $52,539 – $94,569 · median $74,867 | 3 plans |
| 485 | "KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC" | $67,791 – $122,024 · median $96,603 | 3 plans |
| 486 | "KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC" | $46,119 – $83,015 · median $65,720 | 3 plans |
| 487 | "KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC" | $35,921 – $64,658 · median $51,187 | 3 plans |
| 488 | "KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC" | $37,702 – $67,864 · median $53,726 | 3 plans |
| 489 | "KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC" | $25,622 – $46,120 · median $36,512 | 3 plans |
| 492 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC" | $71,932 – $129,478 · median $102,503 | 3 plans |
| 493 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC" | $51,485 – $92,673 · median $73,366 | 3 plans |
| 494 | "LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC" | $41,217 – $74,190 · median $58,734 | 3 plans |
| 495 | "LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC" | $73,687 – $132,637 · median $105,005 | 3 plans |
| 496 | "LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC" | $39,437 – $70,987 · median $56,198 | 3 plans |
| 497 | "LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC" | $28,193 – $50,747 · median $40,175 | 3 plans |
| 498 | "LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC" | $59,812 – $107,662 · median $85,233 | 3 plans |
| 499 | "LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC" | $40,123 – $72,221 · median $57,175 | 3 plans |
| 500 | "SOFT TISSUE PROCEDURES WITH MCC" | $66,870 – $120,366 · median $95,289 | 3 plans |
| 501 | "SOFT TISSUE PROCEDURES WITH CC" | $39,829 – $71,692 · median $56,756 | 3 plans |
| 502 | "SOFT TISSUE PROCEDURES WITHOUT CC/MCC" | $31,445 – $56,602 · median $44,810 | 3 plans |
| 503 | "FOOT PROCEDURES WITH MCC" | $60,125 – $108,225 · median $85,678 | 3 plans |
| 504 | "FOOT PROCEDURES WITH CC" | $42,837 – $77,107 · median $61,043 | 3 plans |
| 505 | "FOOT PROCEDURES WITHOUT CC/MCC" | $38,056 – $68,500 · median $54,230 | 3 plans |
| 506 | "MAJOR THUMB OR JOINT PROCEDURES" | $33,928 – $61,071 · median $48,348 | 3 plans |
| 507 | "MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC" | $41,908 – $75,435 · median $59,719 | 3 plans |
| 508 | "MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC" | $35,155 – $63,279 · median $50,096 | 3 plans |
| 510 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC" | $61,084 – $109,951 · median $87,045 | 3 plans |
| 511 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC" | $43,512 – $78,322 · median $62,005 | 3 plans |
| 512 | "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC" | $36,023 – $64,842 · median $51,333 | 3 plans |
| 513 | "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC" | $37,258 – $67,064 · median $53,092 | 3 plans |
| 514 | "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC" | $26,659 – $47,985 · median $37,989 | 3 plans |
| 515 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC" | $64,763 – $116,573 · median $92,287 | 3 plans |
| 516 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC" | $44,710 – $80,478 · median $63,712 | 3 plans |
| 517 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC" | $34,268 – $61,682 · median $48,831 | 3 plans |
| 518 | "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR" | $72,904 – $131,227 · median $103,888 | 3 plans |
| 519 | "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC" | $42,341 – $76,213 · median $60,336 | 3 plans |
| 520 | "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC" | $33,634 – $60,542 · median $47,929 | 3 plans |
| 521 | "HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC" | $58,861 – $105,950 · median $83,877 | 3 plans |
| 522 | "HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC" | $45,296 – $81,533 · median $64,547 | 3 plans |
| 533 | "FRACTURES OF FEMUR WITH MCC" | $38,377 – $69,079 · median $54,688 | 3 plans |
| 534 | "FRACTURES OF FEMUR WITHOUT MCC" | $24,678 – $44,420 · median $35,166 | 3 plans |
| 535 | "FRACTURES OF HIP AND PELVIS WITH MCC" | $32,934 – $59,282 · median $46,931 | 3 plans |
| 536 | "FRACTURES OF HIP AND PELVIS WITHOUT MCC" | $24,700 – $44,460 · median $35,197 | 3 plans |
| 537 | "SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC" | $26,870 – $48,366 · median $38,289 | 3 plans |
| 538 | "SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC" | $22,191 – $39,945 · median $31,623 | 3 plans |
| 539 | "OSTEOMYELITIS WITH MCC" | $46,758 – $84,164 · median $66,630 | 3 plans |
| 540 | "OSTEOMYELITIS WITH CC" | $34,363 – $61,853 · median $48,967 | 3 plans |
| 541 | "OSTEOMYELITIS WITHOUT CC/MCC" | $24,401 – $43,922 · median $34,771 | 3 plans |
| 542 | "PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC" | $42,535 – $76,563 · median $60,612 | 3 plans |
| 543 | "PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC" | $27,960 – $50,328 · median $39,843 | 3 plans |
| 544 | "PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC" | $22,699 – $40,858 · median $32,346 | 3 plans |
| 545 | "CONNECTIVE TISSUE DISORDERS WITH MCC" | $54,331 – $97,796 · median $77,422 | 3 plans |
| 546 | "CONNECTIVE TISSUE DISORDERS WITH CC" | $29,815 – $53,667 · median $42,486 | 3 plans |
| 547 | "CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC" | $23,906 – $43,030 · median $34,066 | 3 plans |
| 548 | "SEPTIC ARTHRITIS WITH MCC" | $46,184 – $83,131 · median $65,812 | 3 plans |
| 549 | "SEPTIC ARTHRITIS WITH CC" | $31,828 – $57,290 · median $45,355 | 3 plans |
| 550 | "SEPTIC ARTHRITIS WITHOUT CC/MCC" | $25,684 – $46,230 · median $36,599 | 3 plans |
| 551 | "MEDICAL BACK PROBLEMS WITH MCC" | $39,981 – $71,965 · median $56,973 | 3 plans |
| 552 | "MEDICAL BACK PROBLEMS WITHOUT MCC" | $26,973 – $48,552 · median $38,437 | 3 plans |
| 553 | "BONE DISEASES AND ARTHROPATHIES WITH MCC" | $33,146 – $59,662 · median $47,233 | 3 plans |
| 554 | "BONE DISEASES AND ARTHROPATHIES WITHOUT MCC" | $25,033 – $45,059 · median $35,672 | 3 plans |
| 555 | "SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC" | $33,523 – $60,341 · median $47,770 | 3 plans |
| 556 | "SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC" | $23,823 – $42,881 · median $33,948 | 3 plans |
| 557 | "TENDONITIS, MYOSITIS AND BURSITIS WITH MCC" | $37,182 – $66,928 · median $52,985 | 3 plans |
| 558 | "TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC" | $25,966 – $46,739 · median $37,002 | 3 plans |
| 559 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC" | $43,991 – $79,183 · median $62,687 | 3 plans |
| 560 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC" | $30,628 – $55,131 · median $43,645 | 3 plans |
| 561 | "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC" | $24,645 – $44,361 · median $35,119 | 3 plans |
| 562 | "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC" | $35,047 – $63,084 · median $49,941 | 3 plans |
| 563 | "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC" | $26,000 – $46,800 · median $37,050 | 3 plans |
| 564 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC" | $38,021 – $68,438 · median $54,180 | 3 plans |
| 565 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC" | $27,167 – $48,901 · median $38,713 | 3 plans |
| 566 | "OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC" | $22,620 – $40,717 · median $32,234 | 3 plans |
| 570 | "SKIN DEBRIDEMENT WITH MCC" | $63,561 – $114,410 · median $90,574 | 3 plans |
| 571 | "SKIN DEBRIDEMENT WITH CC" | $40,179 – $72,322 · median $57,255 | 3 plans |
| 572 | "SKIN DEBRIDEMENT WITHOUT CC/MCC" | $29,710 – $53,478 · median $42,337 | 3 plans |
| 573 | "SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC" | $125,484 – $225,871 · median $178,814 | 3 plans |
| 574 | "SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC" | $72,622 – $130,720 · median $103,487 | 3 plans |
| 575 | "SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC" | $40,552 – $72,994 · median $57,787 | 3 plans |
| 576 | "SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC" | $96,206 – $173,170 · median $137,093 | 3 plans |
| 577 | "SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC" | $55,614 – $100,105 · median $79,250 | 3 plans |
| 578 | "SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC" | $35,299 – $63,537 · median $50,300 | 3 plans |
| 579 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC" | $67,960 – $122,328 · median $96,843 | 3 plans |
| 580 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC" | $40,748 – $73,347 · median $58,067 | 3 plans |
| 581 | "OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC" | $32,883 – $59,189 · median $46,858 | 3 plans |
| 582 | "MASTECTOMY FOR MALIGNANCY WITH CC/MCC" | $40,035 – $72,063 · median $57,050 | 3 plans |
| 583 | "MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC" | $35,827 – $64,489 · median $51,053 | 3 plans |
| 584 | "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC" | $44,419 – $79,954 · median $63,297 | 3 plans |
| 585 | "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC" | $38,855 – $69,939 · median $55,368 | 3 plans |
| 592 | "SKIN ULCERS WITH MCC" | $46,249 – $83,248 · median $65,905 | 3 plans |
| 593 | "SKIN ULCERS WITH CC" | $32,736 – $58,924 · median $46,648 | 3 plans |
| 594 | "SKIN ULCERS WITHOUT CC/MCC" | $25,576 – $46,036 · median $36,445 | 3 plans |
| 595 | "MAJOR SKIN DISORDERS WITH MCC" | $48,991 – $88,185 · median $69,813 | 3 plans |
| 596 | "MAJOR SKIN DISORDERS WITHOUT MCC" | $29,983 – $53,970 · median $42,726 | 3 plans |
| 597 | "MALIGNANT BREAST DISORDERS WITH MCC" | $41,065 – $73,917 · median $58,517 | 3 plans |
| 598 | "MALIGNANT BREAST DISORDERS WITH CC" | $30,705 – $55,269 · median $43,755 | 3 plans |
| 599 | "MALIGNANT BREAST DISORDERS WITHOUT CC/MCC" | $22,918 – $41,252 · median $32,658 | 3 plans |
| 600 | "NON-MALIGNANT BREAST DISORDERS WITH CC/MCC" | $28,161 – $50,690 · median $40,130 | 3 plans |
| 601 | "NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC" | $20,486 – $36,875 · median $29,192 | 3 plans |
| 602 | "CELLULITIS WITH MCC" | $36,212 – $65,181 · median $51,602 | 3 plans |
| 603 | "CELLULITIS WITHOUT MCC" | $25,636 – $46,145 · median $36,532 | 3 plans |
| 604 | "TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC" | $35,746 – $71,492 · median $52,726 | 3 plans |
| 605 | "TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC" | $25,086 – $50,172 · median $37,002 | 3 plans |
| 606 | "MINOR SKIN DISORDERS WITH MCC" | $37,571 – $67,628 · median $53,539 | 3 plans |
| 607 | "MINOR SKIN DISORDERS WITHOUT MCC" | $26,161 – $47,090 · median $37,280 | 3 plans |
| 614 | "ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC" | $45,175 – $81,315 · median $64,374 | 3 plans |
| 615 | "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC" | $31,018 – $55,833 · median $44,201 | 3 plans |
| 616 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC" | $72,859 – $131,146 · median $103,824 | 3 plans |
| 617 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" | $44,070 – $79,327 · median $62,800 | 3 plans |
| 618 | "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" | $34,950 – $62,911 · median $49,804 | 3 plans |
| 619 | "O.R. PROCEDURES FOR OBESITY WITH MCC" | $56,681 – $102,026 · median $80,771 | 3 plans |
| 620 | "O.R. PROCEDURES FOR OBESITY WITH CC" | $33,991 – $61,184 · median $48,438 | 3 plans |
| 621 | "O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC" | $31,415 – $56,547 · median $44,766 | 3 plans |
| 622 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC" | $75,138 – $135,248 · median $107,072 | 3 plans |
| 623 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" | $41,723 – $75,102 · median $59,456 | 3 plans |
| 624 | "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" | $31,272 – $56,289 · median $44,562 | 3 plans |
| 625 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC" | $62,295 – $112,132 · median $88,771 | 3 plans |
| 626 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC" | $33,716 – $60,689 · median $48,045 | 3 plans |
| 627 | "THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC" | $29,968 – $53,942 · median $42,704 | 3 plans |
| 628 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC" | $76,400 – $137,520 · median $108,870 | 3 plans |
| 629 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC" | $48,634 – $87,541 · median $69,303 | 3 plans |
| 630 | "OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC" | $33,126 – $59,626 · median $47,204 | 3 plans |
| 637 | "DIABETES WITH MCC" | $35,223 – $63,401 · median $50,192 | 3 plans |
| 638 | "DIABETES WITH CC" | $26,010 – $46,819 · median $37,065 | 3 plans |
| 639 | "DIABETES WITHOUT CC/MCC" | $19,508 – $35,115 · median $27,800 | 3 plans |
| 640 | "MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC" | $33,727 – $60,709 · median $48,061 | 3 plans |
| 641 | "MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC" | $23,048 – $41,486 · median $32,843 | 3 plans |
| 642 | "INBORN AND OTHER DISORDERS OF METABOLISM" | $35,007 – $63,012 · median $49,884 | 3 plans |
| 643 | "ENDOCRINE DISORDERS WITH MCC" | $39,537 – $71,167 · median $56,340 | 3 plans |
| 644 | "ENDOCRINE DISORDERS WITH CC" | $27,916 – $50,248 · median $39,780 | 3 plans |
| 645 | "ENDOCRINE DISORDERS WITHOUT CC/MCC" | $22,901 – $41,223 · median $32,635 | 3 plans |
| 653 | "MAJOR BLADDER PROCEDURES WITH MCC" | $99,355 – $178,839 · median $141,581 | 3 plans |
| 654 | "MAJOR BLADDER PROCEDURES WITH CC" | $56,595 – $101,871 · median $80,648 | 3 plans |
| 655 | "MAJOR BLADDER PROCEDURES WITHOUT CC/MCC" | $44,063 – $79,313 · median $62,789 | 3 plans |
| 656 | "KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC" | $63,500 – $114,299 · median $90,487 | 3 plans |
| 657 | "KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC" | $38,606 – $69,491 · median $55,014 | 3 plans |
| 658 | "KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC" | $33,274 – $59,893 · median $47,415 | 3 plans |
| 659 | "KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC" | $55,207 – $99,373 · median $78,670 | 3 plans |
| 660 | "KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC" | $32,304 – $58,148 · median $46,034 | 3 plans |
| 661 | "KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC" | $25,635 – $46,144 · median $36,530 | 3 plans |
| 662 | "MINOR BLADDER PROCEDURES WITH MCC" | $65,342 – $117,615 · median $93,112 | 3 plans |
| 663 | "MINOR BLADDER PROCEDURES WITH CC" | $36,458 – $65,624 · median $51,952 | 3 plans |
| 664 | "MINOR BLADDER PROCEDURES WITHOUT CC/MCC" | $27,022 – $48,640 · median $38,507 | 3 plans |
| 665 | "PROSTATECTOMY WITH MCC" | $66,225 – $119,205 · median $94,370 | 3 plans |
| 666 | "PROSTATECTOMY WITH CC" | $39,846 – $71,724 · median $56,781 | 3 plans |
| 667 | "PROSTATECTOMY WITHOUT CC/MCC" | $27,900 – $50,219 · median $39,757 | 3 plans |
| 668 | "TRANSURETHRAL PROCEDURES WITH MCC" | $62,032 – $111,657 · median $88,395 | 3 plans |
| 669 | "TRANSURETHRAL PROCEDURES WITH CC" | $36,928 – $66,470 · median $52,622 | 3 plans |
| 670 | "TRANSURETHRAL PROCEDURES WITHOUT CC/MCC" | $25,993 – $46,787 · median $37,040 | 3 plans |
| 671 | "URETHRAL PROCEDURES WITH CC/MCC" | $41,740 – $75,131 · median $59,479 | 3 plans |
| 672 | "URETHRAL PROCEDURES WITHOUT CC/MCC" | $26,288 – $47,318 · median $37,460 | 3 plans |
| 673 | "OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC" | $85,857 – $154,543 · median $122,347 | 3 plans |
| 674 | "OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC" | $50,998 – $91,796 · median $72,671 | 3 plans |
| 675 | "OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC" | $37,033 – $66,660 · median $52,773 | 3 plans |
| 682 | "RENAL FAILURE WITH MCC" | $37,095 – $66,771 · median $52,860 | 3 plans |
| 683 | "RENAL FAILURE WITH CC" | $25,709 – $46,276 · median $36,635 | 3 plans |
| 684 | "RENAL FAILURE WITHOUT CC/MCC" | $20,416 – $36,750 · median $29,093 | 3 plans |
| 686 | "KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC" | $43,085 – $77,554 · median $61,397 | 3 plans |
| 687 | "KIDNEY AND URINARY TRACT NEOPLASMS WITH CC" | $28,253 – $50,855 · median $40,260 | 3 plans |
| 688 | "KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC" | $22,010 – $39,618 · median $31,364 | 3 plans |
| 689 | "KIDNEY AND URINARY TRACT INFECTIONS WITH MCC" | $31,134 – $56,041 · median $44,366 | 3 plans |
| 690 | "KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC" | $24,728 – $44,510 · median $35,237 | 3 plans |
| 693 | "URINARY STONES WITH MCC" | $33,859 – $60,946 · median $48,249 | 3 plans |
| 694 | "URINARY STONES WITHOUT MCC" | $23,100 – $41,579 · median $32,917 | 3 plans |
| 695 | "KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC" | $30,890 – $55,602 · median $44,018 | 3 plans |
| 696 | "KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC" | $21,728 – $39,111 · median $30,963 | 3 plans |
| 697 | "URETHRAL STRICTURE" | $28,697 – $51,654 · median $40,893 | 3 plans |
| 698 | "OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC" | $39,660 – $71,388 · median $56,515 | 3 plans |
| 699 | "OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC" | $27,768 – $49,982 · median $39,569 | 3 plans |
| 700 | "OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC" | $21,742 – $39,135 · median $30,982 | 3 plans |
| 707 | "MAJOR MALE PELVIC PROCEDURES WITH CC/MCC" | $41,125 – $74,025 · median $58,603 | 3 plans |
| 708 | "MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC" | $33,014 – $59,424 · median $47,044 | 3 plans |
| 709 | "PENIS PROCEDURES WITH CC/MCC" | $50,827 – $91,489 · median $72,429 | 3 plans |
| 710 | "PENIS PROCEDURES WITHOUT CC/MCC" | $31,046 – $55,883 · median $44,241 | 3 plans |
| 711 | "TESTES PROCEDURES WITH CC/MCC" | $47,229 – $85,011 · median $67,301 | 3 plans |
| 712 | "TESTES PROCEDURES WITHOUT CC/MCC" | $27,804 – $50,046 · median $39,620 | 3 plans |
| 713 | "TRANSURETHRAL PROSTATECTOMY WITH CC/MCC" | $34,992 – $62,986 · median $49,864 | 3 plans |
| 714 | "TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC" | $25,961 – $46,729 · median $36,994 | 3 plans |
| 715 | "OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC" | $49,499 – $89,098 · median $70,536 | 3 plans |
| 716 | "OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC" | $32,079 – $57,742 · median $45,712 | 3 plans |
| 717 | "OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC" | $41,935 – $75,483 · median $59,758 | 3 plans |
| 718 | "OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC" | $30,187 – $54,336 · median $43,016 | 3 plans |
| 722 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC" | $43,174 – $77,713 · median $61,523 | 3 plans |
| 723 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC" | $30,874 – $55,573 · median $43,995 | 3 plans |
| 724 | "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $20,019 – $36,034 · median $28,527 | 3 plans |
| 725 | "BENIGN PROSTATIC HYPERTROPHY WITH MCC" | $31,280 – $56,305 · median $44,575 | 3 plans |
| 726 | "BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC" | $22,217 – $39,990 · median $31,659 | 3 plans |
| 727 | "INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC" | $37,123 – $66,821 · median $52,900 | 3 plans |
| 728 | "INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC" | $24,753 – $44,556 · median $35,273 | 3 plans |
| 729 | "OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC" | $28,414 – $51,145 · median $40,490 | 3 plans |
| 730 | "OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC" | $20,260 – $36,468 · median $28,870 | 3 plans |
| 734 | "PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC" | $45,478 – $81,860 · median $64,806 | 3 plans |
| 735 | "PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC" | $30,222 – $54,400 · median $43,067 | 3 plans |
| 736 | "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC" | $70,496 – $126,893 · median $100,457 | 3 plans |
| 737 | "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC" | $44,451 – $80,012 · median $63,343 | 3 plans |
| 738 | "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC" | $33,259 – $59,866 · median $47,394 | 3 plans |
| 739 | "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC" | $70,619 – $127,114 · median $100,632 | 3 plans |
| 740 | "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC" | $39,521 – $71,138 · median $56,318 | 3 plans |
| 741 | "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC" | $31,415 – $56,546 · median $44,766 | 3 plans |
| 742 | "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC" | $39,894 – $71,809 · median $56,849 | 3 plans |
| 743 | "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC" | $28,672 – $51,610 · median $40,858 | 3 plans |
| 744 | "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC" | $46,715 – $84,087 · median $66,569 | 3 plans |
| 745 | "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC" | $28,363 – $51,053 · median $40,417 | 3 plans |
| 746 | "VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC" | $39,666 – $71,399 · median $56,524 | 3 plans |
| 747 | "VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC" | $23,036 – $41,465 · median $32,827 | 3 plans |
| 748 | "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES" | $30,841 – $55,513 · median $43,948 | 3 plans |
| 749 | "OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC" | $54,385 – $97,893 · median $77,498 | 3 plans |
| 750 | "OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC" | $33,367 – $60,060 · median $47,548 | 3 plans |
| 754 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC" | $43,647 – $78,565 · median $62,198 | 3 plans |
| 755 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC" | $28,845 – $51,920 · median $41,103 | 3 plans |
| 756 | "MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $24,527 – $44,149 · median $34,952 | 3 plans |
| 757 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC" | $36,369 – $65,463 · median $51,825 | 3 plans |
| 758 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC" | $27,235 – $49,023 · median $38,810 | 3 plans |
| 759 | "INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" | $21,353 – $38,435 · median $30,428 | 3 plans |
| 760 | "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC" | $27,657 – $49,782 · median $39,411 | 3 plans |
| 761 | "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC" | $18,759 – $33,765 · median $26,731 | 3 plans |
| 768 | "VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C" | $27,388 – $49,298 · median $39,028 | 3 plans |
| 769 | "POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES" | $38,966 – $70,139 · median $55,527 | 3 plans |
| 770 | "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY" | $25,152 – $45,273 · median $35,841 | 3 plans |
| 776 | "POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES" | $21,221 – $38,198 · median $30,240 | 3 plans |
| 779 | "ABORTION WITHOUT D&C" | $22,764 – $40,976 · median $32,439 | 3 plans |
| 783 | "CESAREAN SECTION WITH STERILIZATION WITH MCC" | $55,155 – $99,279 · median $78,596 | 3 plans |
| 784 | "CESAREAN SECTION WITH STERILIZATION WITH CC" | $28,435 – $51,183 · median $40,520 | 3 plans |
| 785 | "CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC" | $25,705 – $46,268 · median $36,629 | 3 plans |
| 786 | "CESAREAN SECTION WITHOUT STERILIZATION WITH MCC" | $39,587 – $71,257 · median $56,412 | 3 plans |
| 787 | "CESAREAN SECTION WITHOUT STERILIZATION WITH CC" | $29,274 – $52,692 · median $41,715 | 3 plans |
| 788 | "CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC" | $25,719 – $46,295 · median $36,650 | 3 plans |
| 789 | "NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY" | $36,978 – $66,560 · median $52,693 | 3 plans |
| 790 | "EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE" | $117,709 – $211,876 · median $167,735 | 3 plans |
| 791 | "PREMATURITY WITH MAJOR PROBLEMS" | $83,748 – $150,746 · median $119,341 | 3 plans |
| 792 | "PREMATURITY WITHOUT MAJOR PROBLEMS" | $55,068 – $99,122 · median $78,471 | 3 plans |
| 793 | "FULL TERM NEONATE WITH MAJOR PROBLEMS" | $75,647 – $136,165 · median $107,798 | 3 plans |
| 794 | "NEONATE WITH OTHER SIGNIFICANT PROBLEMS" | $33,368 – $60,063 · median $47,550 | 3 plans |
| 795 | "NORMAL NEWBORN" | — | 3 plans |
| 796 | "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC" | $30,016 – $54,029 · median $42,773 | 3 plans |
| 797 | "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC" | $26,335 – $47,402 · median $37,527 | 3 plans |
| 798 | "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC" | $25,694 – $46,249 · median $36,614 | 3 plans |
| 799 | "SPLENIC PROCEDURES WITH MCC" | $85,830 – $154,495 · median $122,308 | 3 plans |
| 800 | "SPLENIC PROCEDURES WITH CC" | $55,527 – $99,949 · median $79,127 | 3 plans |
| 801 | "SPLENIC PROCEDURES WITHOUT CC/MCC" | $39,773 – $71,592 · median $56,677 | 3 plans |
| 802 | "OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC" | $81,423 – $146,561 · median $116,028 | 3 plans |
| 803 | "OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC" | $41,468 – $74,642 · median $59,091 | 3 plans |
| 804 | "OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC" | $30,378 – $54,680 · median $43,288 | 3 plans |
| 805 | "VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC" | $29,934 – $53,882 · median $42,657 | 3 plans |
| 806 | "VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC" | $22,690 – $40,842 · median $32,333 | 3 plans |
| 807 | "VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC" | $20,292 – $36,526 · median $28,917 | 3 plans |
| 808 | "MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC" | $49,064 – $88,316 · median $69,916 | 3 plans |
| 809 | "MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC" | $31,479 – $56,662 · median $44,858 | 3 plans |
| 810 | "MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC" | $27,018 – $48,632 · median $38,501 | 3 plans |
| 811 | "RED BLOOD CELL DISORDERS WITH MCC" | $34,743 – $62,538 · median $49,509 | 3 plans |
| 812 | "RED BLOOD CELL DISORDERS WITHOUT MCC" | $26,336 – $47,404 · median $37,529 | 3 plans |
| 813 | "COAGULATION DISORDERS" | $36,533 – $65,760 · median $52,060 | 3 plans |
| 814 | "RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC" | $47,863 – $86,154 · median $68,205 | 3 plans |
| 815 | "RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC" | $27,753 – $49,955 · median $39,548 | 3 plans |
| 816 | "RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC" | $19,668 – $35,403 · median $28,027 | 3 plans |
| 817 | "OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC" | $48,937 – $88,087 · median $69,736 | 3 plans |
| 818 | "OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC" | $28,684 – $51,631 · median $40,874 | 3 plans |
| 819 | "OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC" | $23,039 – $41,471 · median $32,831 | 3 plans |
| 820 | "LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC" | $112,893 – $203,208 · median $160,873 | 3 plans |
| 821 | "LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC" | $47,084 – $84,752 · median $67,095 | 3 plans |
| 822 | "LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC" | $28,129 – $50,633 · median $40,084 | 3 plans |
| 823 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC" | $92,743 – $166,937 · median $132,158 | 3 plans |
| 824 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC" | $49,918 – $89,852 · median $71,133 | 3 plans |
| 825 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC" | $31,497 – $56,695 · median $44,883 | 3 plans |
| 826 | "MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC" | $90,467 – $162,841 · median $128,916 | 3 plans |
| 827 | "MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC" | $48,158 – $86,685 · median $68,625 | 3 plans |
| 828 | "MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC" | $36,739 – $66,131 · median $52,354 | 3 plans |
| 829 | "MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC" | $65,582 – $118,047 · median $93,454 | 3 plans |
| 830 | "MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC" | $33,799 – $60,838 · median $48,163 | 3 plans |
| 831 | "OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC" | $31,758 – $57,165 · median $45,256 | 3 plans |
| 832 | "OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC" | $23,428 – $42,170 · median $33,385 | 3 plans |
| 833 | "OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC" | $18,054 – $32,498 · median $25,728 | 3 plans |
| 834 | "ACUTE LEUKEMIA WITH MCC" | $107,348 – $193,226 · median $152,971 | 3 plans |
| 835 | "ACUTE LEUKEMIA WITH CC" | $47,258 – $85,065 · median $67,343 | 3 plans |
| 836 | "ACUTE LEUKEMIA WITHOUT CC/MCC" | $30,793 – $55,427 · median $43,880 | 3 plans |
| 837 | "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC" | $97,207 – $174,972 · median $138,519 | 3 plans |
| 838 | "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT" | $47,282 – $85,107 · median $67,377 | 3 plans |
| 839 | "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC" | $35,329 – $63,592 · median $50,344 | 3 plans |
| 840 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC" | $67,907 – $122,232 · median $96,767 | 3 plans |
| 841 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC" | $38,103 – $68,585 · median $54,296 | 3 plans |
| 842 | "LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC" | $26,483 – $47,669 · median $37,738 | 3 plans |
| 843 | "OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC" | $47,129 – $84,832 · median $67,159 | 3 plans |
| 844 | "OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC" | $31,979 – $57,562 · median $45,570 | 3 plans |
| 845 | "OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC" | $24,134 – $43,441 · median $34,390 | 3 plans |
| 846 | "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC" | $55,970 – $100,746 · median $79,758 | 3 plans |
| 847 | "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC" | $32,105 – $57,788 · median $45,749 | 3 plans |
| 848 | "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC" | $24,101 – $43,382 · median $34,344 | 3 plans |
| 849 | "RADIOTHERAPY" | $60,135 – $108,243 · median $85,692 | 3 plans |
| 850 | "ACUTE LEUKEMIA WITH OTHER PROCEDURES" | $163,969 – $295,144 · median $233,656 | 3 plans |
| 853 | "INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC" | $95,542 – $171,975 · median $136,147 | 3 plans |
| 854 | "INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC" | $44,744 – $80,539 · median $63,760 | 3 plans |
| 855 | "INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC" | $34,900 – $62,821 · median $49,733 | 3 plans |
| 856 | "POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC" | $89,775 – $179,549 · median $132,417 | 3 plans |
| 857 | "POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC" | $48,082 – $96,164 · median $70,921 | 3 plans |
| 858 | "POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC" | $33,358 – $66,715 · median $49,202 | 3 plans |
| 862 | "POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC" | $43,381 – $86,762 · median $63,987 | 3 plans |
| 863 | "POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC" | $27,515 – $55,030 · median $40,584 | 3 plans |
| 864 | "FEVER AND INFLAMMATORY CONDITIONS" | $24,668 – $44,402 · median $35,151 | 3 plans |
| 865 | "VIRAL ILLNESS WITH MCC" | $37,351 – $67,231 · median $53,225 | 3 plans |
| 866 | "VIRAL ILLNESS WITHOUT MCC" | $25,617 – $46,110 · median $36,504 | 3 plans |
| 867 | "OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC" | $47,368 – $85,262 · median $67,499 | 3 plans |
| 868 | "OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC" | $28,006 – $50,411 · median $39,908 | 3 plans |
| 869 | "OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC" | $22,330 – $40,195 · median $31,821 | 3 plans |
| 870 | "SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS" | $128,381 – $231,085 · median $182,942 | 3 plans |
| 871 | "SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC" | $43,921 – $79,058 · median $62,588 | 3 plans |
| 872 | "SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC" | $27,890 – $50,203 · median $39,744 | 3 plans |
| 876 | "O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS" | $88,179 – $158,723 · median $125,656 | 3 plans |
| 881 | "DEPRESSIVE NEUROSES" | $29,106 – $52,390 · median $41,476 | 3 plans |
| 882 | "NEUROSES EXCEPT DEPRESSIVE" | $31,072 – $55,929 · median $44,277 | 3 plans |
| 883 | "DISORDERS OF PERSONALITY AND IMPULSE CONTROL" | $50,359 – $90,646 · median $71,761 | 3 plans |
| 884 | "ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY" | $41,421 – $74,558 · median $59,025 | 3 plans |
| 886 | "BEHAVIORAL AND DEVELOPMENTAL DISORDERS" | $56,839 – $102,311 · median $80,996 | 3 plans |
| 887 | "OTHER MENTAL DISORDER DIAGNOSES" | $29,812 – $53,661 · median $42,482 | 3 plans |
| 894 | "ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA" | $20,662 – $37,192 · median $29,443 | 3 plans |
| 901 | "WOUND DEBRIDEMENTS FOR INJURIES WITH MCC" | $85,783 – $154,410 · median $122,241 | 3 plans |
| 902 | "WOUND DEBRIDEMENTS FOR INJURIES WITH CC" | $44,724 – $80,504 · median $63,732 | 3 plans |
| 903 | "WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC" | $28,837 – $51,907 · median $41,093 | 3 plans |
| 904 | "SKIN GRAFTS FOR INJURIES WITH CC/MCC" | $74,389 – $133,899 · median $106,004 | 3 plans |
| 905 | "SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC" | $34,696 – $62,453 · median $49,442 | 3 plans |
| 906 | "HAND PROCEDURES FOR INJURIES" | $41,810 – $75,257 · median $59,579 | 3 plans |
| 907 | "OTHER O.R. PROCEDURES FOR INJURIES WITH MCC" | $75,630 – $136,134 · median $107,773 | 3 plans |
| 908 | "OTHER O.R. PROCEDURES FOR INJURIES WITH CC" | $43,484 – $78,271 · median $61,964 | 3 plans |
| 909 | "OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC" | $30,954 – $55,718 · median $44,110 | 3 plans |
| 913 | "TRAUMATIC INJURY WITH MCC" | $39,367 – $78,734 · median $58,066 | 3 plans |
| 914 | "TRAUMATIC INJURY WITHOUT MCC" | $24,635 – $49,270 · median $36,337 | 3 plans |
| 915 | "ALLERGIC REACTIONS WITH MCC" | $38,845 – $69,921 · median $55,354 | 3 plans |
| 916 | "ALLERGIC REACTIONS WITHOUT MCC" | $20,176 – $36,316 · median $28,750 | 3 plans |
| 917 | "POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC" | $37,171 – $66,907 · median $52,968 | 3 plans |
| 918 | "POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC" | $24,215 – $43,587 · median $34,506 | 3 plans |
| 919 | "COMPLICATIONS OF TREATMENT WITH MCC" | $42,269 – $76,084 · median $60,233 | 3 plans |
| 920 | "COMPLICATIONS OF TREATMENT WITH CC" | $27,580 – $49,644 · median $39,301 | 3 plans |
| 921 | "COMPLICATIONS OF TREATMENT WITHOUT CC/MCC" | $21,720 – $39,095 · median $30,950 | 3 plans |
| 922 | "OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC" | $42,282 – $76,108 · median $60,252 | 3 plans |
| 923 | "OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC" | $27,808 – $50,054 · median $39,626 | 3 plans |
| 927 | "EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT" | $362,647 – $725,294 · median $534,905 | 3 plans |
| 928 | "FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC" | $134,674 – $269,348 · median $198,644 | 3 plans |
| 929 | "FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC" | $65,264 – $130,528 · median $96,264 | 3 plans |
| 933 | "EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT" | $74,008 – $148,016 · median $109,162 | 3 plans |
| 934 | "FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY" | $49,104 – $98,208 · median $72,429 | 3 plans |
| 935 | "NON-EXTENSIVE BURNS" | $45,659 – $91,319 · median $67,348 | 3 plans |
| 939 | "O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC" | $74,946 – $134,903 · median $106,798 | 3 plans |
| 940 | "O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC" | $48,538 – $87,369 · median $69,167 | 3 plans |
| 941 | "O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC" | $40,313 – $72,564 · median $57,447 | 3 plans |
| 947 | "SIGNS AND SYMPTOMS WITH MCC" | $32,748 – $58,946 · median $46,666 | 3 plans |
| 948 | "SIGNS AND SYMPTOMS WITHOUT MCC" | $23,378 – $42,080 · median $33,313 | 3 plans |
| 949 | "AFTERCARE WITH CC/MCC" | $34,003 – $61,205 · median $48,454 | 3 plans |
| 950 | "AFTERCARE WITHOUT CC/MCC" | $22,039 – $39,670 · median $31,405 | 3 plans |
| 951 | "OTHER FACTORS INFLUENCING HEALTH STATUS" | $19,761 – $35,570 · median $28,160 | 3 plans |
| 955 | "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA" | $123,274 – $246,547 · median $181,828 | 3 plans |
| 956 | "LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA" | $72,067 – $144,134 · median $106,299 | 3 plans |
| 957 | "OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC" | $137,638 – $275,275 · median $203,016 | 3 plans |
| 958 | "OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC" | $79,954 – $159,908 · median $117,932 | 3 plans |
| 959 | "OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC" | $57,520 – $115,040 · median $84,842 | 3 plans |
| 963 | "OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC" | $58,060 – $116,121 · median $85,639 | 3 plans |
| 964 | "OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC" | $36,641 – $73,282 · median $54,046 | 3 plans |
| 965 | "OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC" | $25,449 – $50,897 · median $37,537 | 3 plans |
| 969 | "HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC" | $117,905 – $212,228 · median $168,014 | 3 plans |
| 970 | "HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC" | $57,851 – $104,133 · median $82,438 | 3 plans |
| 974 | "HIV WITH MAJOR RELATED CONDITION WITH MCC" | $61,529 – $110,752 · median $87,678 | 3 plans |
| 975 | "HIV WITH MAJOR RELATED CONDITION WITH CC" | $33,127 – $59,628 · median $47,205 | 3 plans |
| 976 | "HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC" | $26,107 – $46,992 · median $37,202 | 3 plans |
| 977 | "HIV WITH OR WITHOUT OTHER RELATED CONDITION" | $33,166 – $59,700 · median $47,262 | 3 plans |
| 981 | "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC" | $91,891 – $165,404 · median $130,945 | 3 plans |
| 982 | "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC" | $51,554 – $92,797 · median $73,464 | 3 plans |
| 983 | "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC" | $36,890 – $66,402 · median $52,569 | 3 plans |
| 987 | "NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC" | $71,986 – $129,575 · median $102,580 | 3 plans |
| 988 | "NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC" | $39,500 – $71,100 · median $56,288 | 3 plans |
| 989 | "NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC" | $29,275 – $52,696 · median $41,717 | 3 plans |
No procedures match that keyword.