San Gorgonio Memorial Hospital — Pricing
769 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 769 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 769 procedures
Procedures with negotiated rates only
These 769 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 | $259,099 – $545,473 · median $272,736 | 17 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,542 – $222,194 · median $111,097 | 17 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $196,555 – $413,801 · median $206,900 | 17 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $128,721 – $270,991 · median $135,496 | 17 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $96,147 – $202,414 · median $101,207 | 17 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,954 – $92,534 · median $46,267 | 17 plans |
| 007 | LUNG TRANSPLANT | $120,430 – $253,537 · median $126,769 | 17 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,855 – $111,274 · median $55,637 | 17 plans |
| 010 | PANCREAS TRANSPLANT | $52,218 – $141,702 · median $70,851 | 17 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $51,471 – $108,359 · median $54,180 | 17 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $40,081 – $84,381 · median $42,190 | 17 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $27,807 – $58,541 · median $29,270 | 17 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $111,854 – $235,481 · median $117,741 | 17 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,846 – $117,570 · median $58,785 | 17 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $51,270 – $107,937 · median $53,968 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $398,552 – $839,058 · median $419,529 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,930 – $140,906 · median $70,453 | 17 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $73,684 – $155,125 · median $77,562 | 17 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,996 – $105,254 · median $52,627 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $30,526 – $64,266 · median $32,133 | 17 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $54,011 – $113,708 · median $56,854 | 17 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $37,283 – $78,491 · median $39,245 | 17 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $43,123 – $90,785 · median $45,393 | 17 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $29,899 – $62,945 · median $31,472 | 17 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $24,505 – $51,590 · median $25,795 | 17 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,569 – $119,092 · median $59,546 | 17 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $32,681 – $68,802 · median $34,401 | 17 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $21,491 – $45,243 · median $22,622 | 17 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $42,514 – $89,503 · median $44,752 | 17 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,900 – $44,000 · median $22,000 | 17 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,594 – $34,934 · median $17,467 | 17 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,904 – $77,693 · median $38,847 | 17 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,287 – $49,026 · median $24,513 | 17 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,169 – $40,355 · median $20,178 | 17 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $31,581 – $66,487 · median $33,244 | 17 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,223 – $34,154 · median $17,077 | 17 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,110 – $25,495 · median $12,747 | 17 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $36,817 – $77,509 · median $38,755 | 17 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $21,523 – $45,311 · median $22,656 | 17 plans |
| 042 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY | $17,190 – $36,189 · median $18,095 | 17 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $17,959 – $37,808 · median $18,904 | 17 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $10,304 – $21,693 · median $10,846 | 17 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $15,343 – $32,300 · median $16,150 | 17 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $10,676 – $22,475 · median $11,238 | 17 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $22,667 – $47,720 · median $23,860 | 17 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $13,215 – $27,821 · median $13,910 | 17 plans |
| 058 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY | $17,022 – $35,837 · median $17,918 | 17 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,712 – $26,761 · median $13,381 | 17 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,735 – $20,542 · median $10,271 | 17 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $26,660 – $56,126 · median $28,063 | 17 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $17,461 – $36,760 · median $18,380 | 17 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $14,210 – $29,916 · median $14,958 | 17 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $19,796 – $41,676 · median $20,838 | 17 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $10,590 – $22,295 · median $11,148 | 17 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $7,458 – $15,983 · median $7,992 | 17 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $14,807 – $31,173 · median $15,587 | 17 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $9,248 – $19,469 · median $9,735 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,645 – $18,199 · median $9,099 | 17 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $16,611 – $34,971 · median $17,485 | 17 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $10,735 – $22,599 · median $11,300 | 17 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,253 – $17,374 · median $8,687 | 17 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,055 – $33,799 · median $16,900 | 17 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $10,779 – $22,692 · median $11,346 | 17 plans |
| 075 | VIRAL MENINGITIS WITH COMPLICATION/COMORBITY | $18,936 – $39,865 · median $19,933 | 17 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,887 – $18,710 · median $9,355 | 17 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $17,947 – $37,783 · median $18,892 | 17 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,535 – $20,074 · median $10,037 | 17 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $22,322 – $46,994 · median $23,497 | 17 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,137 – $29,761 · median $14,881 | 17 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,977 – $21,240 · median $10,620 | 17 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,196 – $46,729 · median $23,364 | 17 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,280 – $27,958 · median $13,979 | 17 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,614 – $20,444 · median $10,222 | 17 plans |
| 088 | CONCUSSION WITH MCC | $13,732 – $28,909 · median $14,455 | 17 plans |
| 089 | CONCUSSION WITH CC | $11,402 – $24,005 · median $12,003 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,869 – $18,672 · median $9,336 | 17 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $17,452 – $36,741 · median $18,371 | 17 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $10,707 – $22,541 · median $11,271 | 17 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $8,401 – $18,151 · median $9,075 | 17 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $33,672 – $70,889 · median $35,445 | 17 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,023 – $52,680 · median $26,340 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,645 – $52,680 · median $26,340 | 17 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,522 – $72,679 · median $36,339 | 17 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION | $22,408 – $47,174 · median $23,587 | 17 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,829 – $29,114 · median $14,557 | 17 plans |
| 100 | SEIZURES WITH COMORBITY | $19,113 – $40,239 · median $20,119 | 17 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $9,599 – $20,209 · median $10,105 | 17 plans |
| 102 | HEADACHES WITH MCC | $11,608 – $24,437 · median $12,219 | 17 plans |
| 103 | HEADACHES WITHOUT MCC | $8,989 – $18,925 · median $9,463 | 17 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $22,925 – $48,263 · median $24,131 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,363 – $28,932 · median $14,466 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,416 – $32,455 · median $16,228 | 17 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,929 – $37,746 · median $18,873 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,276 – $23,740 · median $11,870 | 17 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,998 – $25,258 · median $12,629 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $8,076 – $17,947 · median $8,974 | 17 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,643 – $18,195 · median $9,098 | 17 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,468 – $28,353 · median $14,177 | 17 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,359 – $17,599 · median $8,799 | 17 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,259 – $44,755 · median $22,378 | 17 plans |
| 136 | SINUS & MASTOID PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,187 – $22,392 · median $11,196 | 17 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $15,033 – $31,648 · median $15,824 | 17 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,391 – $19,892 · median $9,946 | 17 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,664 – $26,660 · median $13,330 | 17 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $40,534 – $85,335 · median $42,668 | 17 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,361 – $44,970 · median $22,485 | 17 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $15,982 – $33,646 · median $16,823 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $35,763 – $75,290 · median $37,645 | 17 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,238 – $36,290 · median $18,145 | 17 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,356 – $26,014 · median $13,007 | 17 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,775 – $43,737 · median $21,868 | 17 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,993 – $27,354 · median $13,677 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,629 – $18,166 · median $9,083 | 17 plans |
| 149 | DYSEQUILIBRIUM | $8,079 – $17,285 · median $8,642 | 17 plans |
| 150 | EPISTAXIS WITH MCC | $13,545 – $28,516 · median $14,258 | 17 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,048 – $16,944 · median $8,472 | 17 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $12,172 – $25,624 · median $12,812 | 17 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $7,971 – $17,025 · median $8,513 | 17 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $15,679 – $33,009 · median $16,505 | 17 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $9,727 – $20,478 · median $10,239 | 17 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,111 – $16,113 · median $8,057 | 17 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,090 – $35,978 · median $17,989 | 17 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,666 – $20,349 · median $10,174 | 17 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,325 – $16,450 · median $8,225 | 17 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,526 – $89,528 · median $44,764 | 17 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $24,515 – $51,611 · median $25,806 | 17 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $18,906 – $39,801 · median $19,901 | 17 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $35,681 – $75,117 · median $37,559 | 17 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,886 – $37,655 · median $18,828 | 17 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,866 – $29,192 · median $14,596 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $28,677 – $60,373 · median $30,186 | 17 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $13,932 – $29,331 · median $14,666 | 17 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $8,702 – $18,319 · median $9,160 | 17 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $15,672 – $32,994 · median $16,497 | 17 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,275 – $21,631 · median $10,815 | 17 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $8,242 – $17,351 · median $8,675 | 17 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $17,542 – $36,931 · median $18,465 | 17 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $11,149 – $23,471 · median $11,735 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,231 – $17,327 · median $8,664 | 17 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,370 – $32,358 · median $16,179 | 17 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $11,085 – $23,337 · median $11,669 | 17 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,198 – $17,961 · median $8,980 | 17 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,633 – $32,912 · median $16,456 | 17 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,395 – $21,885 · median $10,942 | 17 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $7,894 – $16,619 · median $8,309 | 17 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $12,661 – $26,655 · median $13,327 | 17 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $11,486 – $24,181 · median $12,091 | 17 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $9,051 – $19,055 · median $9,528 | 17 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,962 – $15,162 · median $7,581 | 17 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $13,388 – $28,185 · median $14,092 | 17 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $8,710 – $18,336 · median $9,168 | 17 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $6,787 – $14,901 · median $7,450 | 17 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $18,657 – $39,278 · median $19,639 | 17 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $10,027 – $21,110 · median $10,555 | 17 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY | $7,885 – $16,599 · median $8,300 | 17 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $17,525 – $36,894 · median $18,447 | 17 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,409 – $24,019 · median $12,009 | 17 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $7,660 – $16,578 · median $8,289 | 17 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $10,230 – $21,538 · median $10,769 | 17 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $7,460 – $15,704 · median $7,852 | 17 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $8,724 – $18,365 · median $9,183 | 17 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $18,140 – $38,190 · median $19,095 | 17 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $9,910 – $20,955 · median $10,477 | 17 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $60,491 – $127,351 · median $63,675 | 17 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $26,582 – $55,963 · median $27,982 | 17 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $101,331 – $213,329 · median $106,665 | 17 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,895 – $195,568 · median $97,784 | 17 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,785 – $130,074 · median $65,037 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,785 – $130,074 · median $65,037 | 17 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $71,932 – $151,436 · median $75,718 | 17 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $50,355 – $106,010 · median $53,005 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,663 – $100,343 · median $50,171 | 17 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $46,809 – $98,546 · median $49,273 | 17 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,270 – $63,725 · median $31,863 | 17 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $78,846 – $165,992 · median $82,996 | 17 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $57,068 – $120,144 · median $60,072 | 17 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $71,627 – $150,794 · median $75,397 | 17 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $51,550 – $108,526 · median $54,263 | 17 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,284 – $116,387 · median $58,193 | 17 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,831 – $83,854 · median $41,927 | 17 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $46,573 – $98,048 · median $49,024 | 17 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $27,519 – $57,935 · median $28,967 | 17 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $14,032 – $29,540 · median $14,770 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $30,668 – $64,564 · median $32,282 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $20,899 – $43,998 · median $21,999 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $17,924 – $37,735 · median $18,867 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,267 – $91,089 · median $45,545 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,374 – $44,997 · median $22,499 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,045 – $31,673 · median $15,836 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $33,386 – $70,287 · median $35,144 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $25,174 – $52,998 · median $26,499 | 17 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,687 – $37,235 · median $18,617 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,111 – $54,970 · median $27,485 | 17 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,916 – $35,612 · median $17,806 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,750 – $23,881 · median $11,941 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,383 – $63,582 · median $31,791 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $19,898 – $41,891 · median $20,945 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,220 – $65,726 · median $32,863 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,688 – $39,342 · median $19,671 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,290 – $34,295 · median $17,148 | 17 plans |
| 263 | VEIN LIGATION & STRIPPING | $29,422 – $61,942 · median $30,971 | 17 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $32,028 – $67,426 · median $33,713 | 17 plans |
| 265 | AICD LEAD PROCEDURES | $34,581 – $72,803 · median $36,401 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $57,674 – $121,418 · median $60,709 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $45,093 – $94,932 · median $47,466 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $64,569 – $135,934 · median $67,967 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,147 – $84,520 · median $42,260 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $49,835 – $104,916 · median $52,458 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,012 – $71,604 · median $35,802 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $24,782 – $52,173 · median $26,086 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,248 – $82,628 · median $41,314 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $31,578 – $66,479 · median $33,240 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,892 – $140,824 · median $70,412 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,553 – $119,059 · median $59,530 | 17 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,784 – $92,176 · median $46,088 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $48,386 – $110,530 · median $55,265 | 17 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $34,473 – $72,574 · median $36,287 | 17 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $16,053 – $33,795 · median $16,898 | 17 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $9,751 – $20,529 · median $10,264 | 17 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $7,790 – $16,733 · median $8,366 | 17 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $19,518 – $41,091 · median $20,545 | 17 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $7,664 – $16,134 · median $8,067 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,301 – $14,327 · median $7,164 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $21,652 – $45,584 · median $22,792 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,140 – $23,453 · median $11,727 | 17 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $26,191 – $55,140 · median $27,570 | 17 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,030 – $35,786 · median $17,893 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,849 – $20,734 · median $10,367 | 17 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $13,106 – $27,592 · median $13,796 | 17 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $9,106 – $19,171 · median $9,586 | 17 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $6,091 – $13,690 · median $6,845 | 17 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $15,665 – $32,978 · median $16,489 | 17 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,128 – $15,007 · median $7,504 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,761 – $11,542 · median $5,771 | 17 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $16,316 – $34,349 · median $17,175 | 17 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $11,116 – $23,403 · median $11,701 | 17 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,700 – $16,667 · median $8,334 | 17 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,162 – $25,903 · median $12,952 | 17 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,139 – $15,766 · median $7,883 | 17 plans |
| 304 | HYPERTENSION WITH COMORBITY | $12,243 – $25,775 · median $12,888 | 17 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $8,174 – $17,353 · median $8,676 | 17 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $15,792 – $33,247 · median $16,624 | 17 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,697 – $20,415 · median $10,207 | 17 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $12,372 – $26,047 · median $13,023 | 17 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $8,064 – $16,977 · median $8,488 | 17 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,999 – $13,692 · median $6,846 | 17 plans |
| 311 | ANGINA PECTORIS | $7,573 – $16,322 · median $8,161 | 17 plans |
| 312 | SYNCOPE & COLLAPSE | $9,314 – $19,609 · median $9,804 | 17 plans |
| 313 | CHEST PAIN | $7,850 – $16,673 · median $8,336 | 17 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $20,479 – $43,113 · median $21,556 | 17 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $10,158 – $21,385 · median $10,692 | 17 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,514 – $15,939 · median $7,969 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $42,352 – $89,162 · median $44,581 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,423 – $49,312 · median $24,656 | 17 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $26,326 – $55,423 · median $27,711 | 17 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,515 – $36,873 · median $18,436 | 17 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $41,106 – $86,538 · median $43,269 | 17 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $30,283 – $63,754 · median $31,877 | 17 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $28,685 – $64,905 · median $32,452 | 17 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $47,177 – $99,320 · median $49,660 | 17 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $23,781 – $50,066 · median $25,033 | 17 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,036 – $33,760 · median $16,880 | 17 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $43,581 – $91,750 · median $45,875 | 17 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $23,349 – $49,155 · median $24,578 | 17 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,778 – $35,321 · median $17,661 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $34,604 – $72,851 · median $36,426 | 17 plans |
| 333 | RECTAL RESECTION WITH CC | $22,558 – $48,090 · median $24,045 | 17 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,364 – $34,450 · median $17,225 | 17 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,146 – $71,887 · median $35,943 | 17 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $20,695 – $43,568 · median $21,784 | 17 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $15,417 – $32,457 · median $16,229 | 17 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $25,056 – $52,750 · median $26,375 | 17 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,138 – $31,870 · median $15,935 | 17 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,208 – $25,702 · median $12,851 | 17 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $22,414 – $47,188 · median $23,594 | 17 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,336 – $28,076 · median $14,038 | 17 plans |
| 349 | ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,305 – $19,590 · median $9,795 | 17 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY | $24,220 – $50,990 · median $25,495 | 17 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $15,321 – $32,254 · median $16,127 | 17 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $12,030 – $25,345 · median $12,673 | 17 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $27,993 – $58,932 · median $29,466 | 17 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $16,773 – $35,312 · median $17,656 | 17 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,669 – $28,777 · median $14,389 | 17 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $41,707 – $87,805 · median $43,902 | 17 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $22,689 – $47,767 · median $23,883 | 17 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,897 – $29,802 · median $14,901 | 17 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $15,941 – $33,559 · median $16,780 | 17 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $10,497 – $22,100 · median $11,050 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,743 – $16,301 · median $8,150 | 17 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $17,608 – $37,068 · median $18,534 | 17 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $10,689 – $22,502 · median $11,251 | 17 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,773 – $16,816 · median $8,408 | 17 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,971 – $44,149 · median $22,075 | 17 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $12,424 – $26,155 · median $13,077 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,670 – $20,630 · median $10,315 | 17 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $18,113 – $38,132 · median $19,066 | 17 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $10,318 – $21,722 · median $10,861 | 17 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $6,869 – $14,938 · median $7,469 | 17 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $19,347 – $40,731 · median $20,365 | 17 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $11,264 – $23,713 · median $11,856 | 17 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,213 – $18,234 · median $9,117 | 17 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $13,998 – $29,469 · median $14,734 | 17 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $9,160 – $19,284 · median $9,642 | 17 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $15,852 – $33,373 · median $16,687 | 17 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,277 – $21,637 · median $10,818 | 17 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,421 – $15,923 · median $7,962 | 17 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $14,882 – $31,330 · median $15,665 | 17 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $8,562 – $18,025 · median $9,012 | 17 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $6,064 – $13,264 · median $6,632 | 17 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $12,964 – $27,292 · median $13,646 | 17 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $8,468 – $17,827 · median $8,914 | 17 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $16,009 – $33,702 · median $16,851 | 17 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $9,904 – $20,850 · median $10,425 | 17 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,024 – $15,298 · median $7,649 | 17 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $23,328 – $49,111 · median $24,555 | 17 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,220 – $32,043 · median $16,021 | 17 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,827 – $24,898 · median $12,449 | 17 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $51,621 – $108,677 · median $54,338 | 17 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $27,976 – $58,897 · median $29,449 | 17 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $21,715 – $45,716 · median $22,858 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $34,097 – $71,784 · median $35,892 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,233 – $44,897 · median $22,448 | 17 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,902 – $33,478 · median $16,739 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $31,248 – $66,704 · median $33,352 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,638 – $43,448 · median $21,724 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,376 – $34,888 · median $17,444 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $34,070 – $71,726 · median $35,863 | 17 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,308 – $42,755 · median $21,377 | 17 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $13,838 – $29,132 · median $14,566 | 17 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $23,250 – $48,946 · median $24,473 | 17 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $16,858 – $35,490 · median $17,745 | 17 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $13,861 – $29,180 · median $14,590 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $32,639 – $68,714 · median $34,357 | 17 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,280 – $36,379 · median $18,189 | 17 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,171 – $29,833 · median $14,916 | 17 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $39,501 – $83,160 · median $41,580 | 17 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,423 – $45,102 · median $22,551 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,098 – $31,785 · median $15,893 | 17 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $19,402 – $40,847 · median $20,423 | 17 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $11,012 – $23,184 · median $11,592 | 17 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,263 – $16,528 · median $8,264 | 17 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $18,193 – $38,300 · median $19,150 | 17 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,701 – $24,635 · median $12,317 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $9,016 – $19,254 · median $9,627 | 17 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,293 – $34,301 · median $17,150 | 17 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $9,035 – $19,020 · median $9,510 | 17 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,678 – $14,763 · median $7,382 | 17 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $17,806 – $37,487 · median $18,743 | 17 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $10,176 – $21,424 · median $10,712 | 17 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,733 – $16,280 · median $8,140 | 17 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $16,667 – $35,089 · median $17,545 | 17 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $11,364 – $23,924 · median $11,962 | 17 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,695 – $18,751 · median $9,375 | 17 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $78,602 – $165,479 · median $82,739 | 17 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $56,153 – $118,217 · median $59,108 | 17 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $39,681 – $83,540 · median $41,770 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $52,104 – $109,693 · median $54,847 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $25,766 – $54,245 · median $27,123 | 17 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $53,728 – $113,112 · median $56,556 | 17 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $29,949 – $63,051 · median $31,526 | 17 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $18,073 – $38,048 · median $19,024 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $49,183 – $103,542 · median $51,771 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $33,739 – $71,029 · median $35,514 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $26,576 – $55,949 · median $27,975 | 17 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $29,200 – $61,473 · median $30,737 | 17 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $19,041 – $40,086 · median $20,043 | 17 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $45,717 – $96,247 · median $48,123 | 17 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,398 – $59,786 · median $29,893 | 17 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,788 – $85,870 · median $42,935 | 17 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,231 – $46,802 · median $23,401 | 17 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,153 – $25,586 · median $12,793 | 17 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $33,076 – $69,634 · median $34,817 | 17 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $23,919 – $50,356 · median $25,178 | 17 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,397 – $38,730 · median $19,365 | 17 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $28,087 – $59,132 · median $29,566 | 17 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $20,564 – $43,293 · median $21,647 | 17 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $16,300 – $34,316 · median $17,158 | 17 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,796 – $56,412 · median $28,206 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $30,983 – $65,228 · median $32,614 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,533 – $43,227 · median $21,614 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,704 – $33,061 · median $16,531 | 17 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,569 – $36,987 · median $18,494 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $11,570 – $24,358 · median $12,179 | 17 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $35,073 – $73,837 · median $36,919 | 17 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $24,627 – $51,846 · median $25,923 | 17 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $19,755 – $41,589 · median $20,794 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,650 – $72,948 · median $36,474 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $17,891 – $37,665 · median $18,832 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,412 – $26,130 · median $13,065 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $28,324 – $61,155 · median $30,578 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $13,992 – $41,749 · median $20,875 | 17 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,410 – $64,022 · median $32,011 | 17 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $17,378 – $36,584 · median $18,292 | 17 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,677 – $28,795 · median $14,397 | 17 plans |
| 503 | FOOT PROCEDURES WITH MCC | $26,973 – $56,784 · median $28,392 | 17 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,492 – $38,930 · median $19,465 | 17 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $17,789 – $37,450 · median $18,725 | 17 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,708 – $28,859 · median $14,429 | 17 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $17,914 – $37,713 · median $18,857 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $15,228 – $32,058 · median $16,029 | 17 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,083 – $61,227 · median $30,614 | 17 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,425 – $43,001 · median $21,500 | 17 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,525 – $34,789 · median $17,394 | 17 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $15,779 – $33,218 · median $16,609 | 17 plans |
| 514 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $10,701 – $22,528 · median $11,264 | 17 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $30,614 – $64,450 · median $32,225 | 17 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,413 – $42,975 · median $21,488 | 17 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,433 – $32,490 · median $16,245 | 17 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,677 – $75,109 · median $37,555 | 17 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $19,697 – $41,467 · median $20,733 | 17 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,039 – $31,661 · median $15,831 | 17 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $27,700 – $58,316 · median $29,158 | 17 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,778 – $43,742 · median $21,871 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,718 – $33,090 · median $16,545 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $8,712 – $18,340 · median $9,170 | 17 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $13,090 – $27,557 · median $13,779 | 17 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $8,538 – $18,369 · median $9,185 | 17 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,075 – $21,211 · median $10,605 | 17 plans |
| 538 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY | $7,692 – $16,679 · median $8,339 | 17 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $19,416 – $40,876 · median $20,438 | 17 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $13,221 – $27,834 · median $13,917 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,540 – $17,978 · median $8,989 | 17 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,547 – $36,941 · median $18,470 | 17 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $10,753 – $22,638 · median $11,319 | 17 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,238 – $17,343 · median $8,671 | 17 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,126 – $50,792 · median $25,396 | 17 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,907 – $25,067 · median $12,533 | 17 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,824 – $18,923 · median $9,462 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $19,059 – $40,125 · median $20,062 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $12,402 – $26,109 · median $13,054 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,337 – $19,657 · median $9,829 | 17 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $16,715 – $35,190 · median $17,595 | 17 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $10,139 – $21,346 · median $10,673 | 17 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $13,221 – $27,834 · median $13,917 | 17 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $8,915 – $18,805 · median $9,403 | 17 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $13,456 – $28,328 · median $14,164 | 17 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $8,937 – $18,815 · median $9,407 | 17 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $14,975 – $31,526 · median $15,763 | 17 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $9,513 – $20,027 · median $10,014 | 17 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,452 – $38,846 · median $19,423 | 17 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $11,655 – $24,538 · median $12,269 | 17 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $8,464 – $18,298 · median $9,149 | 17 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $14,403 – $30,323 · median $15,161 | 17 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $9,534 – $20,072 · median $10,036 | 17 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $15,496 – $32,624 · median $16,312 | 17 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $10,260 – $21,600 · median $10,800 | 17 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $8,141 – $17,240 · median $8,620 | 17 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,352 – $59,689 · median $29,845 | 17 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $16,838 – $35,449 · median $17,725 | 17 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,841 – $24,929 · median $12,465 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $61,565 – $129,611 · median $64,805 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $33,231 – $69,960 · median $34,980 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,827 – $37,531 · median $18,766 | 17 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,384 – $97,651 · median $48,825 | 17 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,681 – $54,065 · median $27,033 | 17 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,074 – $33,840 · median $16,920 | 17 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $31,088 – $65,449 · median $32,725 | 17 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $17,193 – $36,195 · median $18,097 | 17 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $14,572 – $30,677 · median $15,339 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,085 – $40,041 · median $20,021 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,510 – $36,125 · median $18,063 | 17 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,989 – $44,188 · median $22,094 | 17 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,268 – $40,090 · median $20,045 | 17 plans |
| 592 | SKIN ULCERS WITH MCC | $19,100 – $40,210 · median $20,105 | 17 plans |
| 593 | SKIN ULCERS WITH CC | $12,209 – $25,704 · median $12,852 | 17 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,542 – $19,516 · median $9,758 | 17 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,805 – $43,800 · median $21,900 | 17 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,946 – $23,693 · median $11,847 | 17 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,632 – $35,015 · median $17,508 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,703 – $24,639 · median $12,319 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,741 – $17,630 · median $8,815 | 17 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,878 – $22,901 · median $11,451 | 17 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,754 – $14,446 · median $7,223 | 17 plans |
| 602 | CELLULITIS WITH COMORBITY | $14,371 – $30,255 · median $15,128 | 17 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $9,308 – $19,595 · median $9,798 | 17 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,838 – $31,239 · median $15,619 | 17 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $9,723 – $20,469 · median $10,234 | 17 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,217 – $32,035 · median $16,017 | 17 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $9,634 – $20,283 · median $10,141 | 17 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,459 – $45,177 · median $22,589 | 17 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,169 – $29,829 · median $14,914 | 17 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $33,378 – $70,270 · median $35,135 | 17 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $18,502 – $38,951 · median $19,475 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,600 – $30,197 · median $15,098 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $27,858 – $58,649 · median $29,325 | 17 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,018 – $33,722 · median $16,861 | 17 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,172 – $31,942 · median $15,971 | 17 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,039 – $71,660 · median $35,830 | 17 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,799 – $37,471 · median $18,736 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,090 – $26,974 · median $13,487 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $29,079 – $61,219 · median $30,610 | 17 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,090 – $31,768 · median $15,884 | 17 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,408 – $28,454 · median $14,227 | 17 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,580 – $74,906 · median $37,453 | 17 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,340 – $44,926 · median $22,463 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,723 – $30,995 · median $15,497 | 17 plans |
| 637 | DIABETES WITH COMORBITY | $14,513 – $30,553 · median $15,277 | 17 plans |
| 638 | DIABETES WITH COMPLICATION | $9,541 – $20,085 · median $10,043 | 17 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $6,753 – $14,759 · median $7,380 | 17 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $13,583 – $28,595 · median $14,298 | 17 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $8,455 – $17,800 · median $8,900 | 17 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $14,138 – $30,271 · median $15,135 | 17 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,439 – $34,609 · median $17,304 | 17 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $10,725 – $22,580 · median $11,290 | 17 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,254 – $17,608 · median $8,804 | 17 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $44,546 – $93,781 · median $46,891 | 17 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,387 – $74,499 · median $37,250 | 17 plans |
| 652 | KIDNEY TRANSPLANT | $31,006 – $65,275 · median $32,637 | 17 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $49,100 – $103,368 · median $51,684 | 17 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $27,048 – $56,943 · median $28,472 | 17 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,767 – $43,721 · median $21,861 | 17 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,585 – $64,390 · median $32,195 | 17 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,131 – $38,170 · median $19,085 | 17 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,572 – $32,782 · median $16,391 | 17 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $24,671 – $51,939 · median $25,969 | 17 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $13,455 – $28,326 · median $14,163 | 17 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $10,821 – $22,781 · median $11,391 | 17 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $29,460 – $62,021 · median $31,011 | 17 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $15,281 – $32,170 · median $16,085 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,927 – $23,004 · median $11,502 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,009 – $63,177 · median $31,589 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $17,389 – $36,607 · median $18,304 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,386 – $24,152 · median $12,076 | 17 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $28,158 – $59,281 · median $29,640 | 17 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,574 – $32,786 · median $16,393 | 17 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,287 – $21,656 · median $10,828 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,809 – $37,493 · median $18,746 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,009 – $23,635 · median $11,818 | 17 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $39,948 – $84,102 · median $42,051 | 17 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $22,810 – $48,021 · median $24,010 | 17 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,396 – $34,518 · median $17,259 | 17 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $14,920 – $31,411 · median $15,706 | 17 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $9,353 – $19,690 · median $9,845 | 17 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,601 – $14,355 · median $7,177 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,889 – $37,661 · median $18,831 | 17 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,935 – $23,021 · median $11,511 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $8,471 – $18,034 · median $9,017 | 17 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $11,970 – $25,200 · median $12,600 | 17 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $8,743 – $18,406 · median $9,203 | 17 plans |
| 693 | URINARY STONES WITH COMORBITY | $13,665 – $28,768 · median $14,384 | 17 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,487 – $17,868 · median $8,934 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,818 – $24,881 · median $12,440 | 17 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $7,508 – $16,072 · median $8,036 | 17 plans |
| 697 | URETHRAL STRICTURE | $11,211 – $23,602 · median $11,801 | 17 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $16,516 – $34,770 · median $17,385 | 17 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $10,633 – $22,386 · median $11,193 | 17 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,643 – $16,090 · median $8,045 | 17 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $19,698 – $41,469 · median $20,734 | 17 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,410 – $32,442 · median $16,221 | 17 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $22,704 – $47,798 · median $23,899 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,390 – $29,866 · median $14,933 | 17 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,466 – $43,086 · median $21,543 | 17 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,413 – $24,027 · median $12,013 | 17 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,126 – $31,845 · median $15,923 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,398 – $23,207 · median $11,604 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,878 – $46,059 · median $23,029 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,828 – $31,218 · median $15,609 | 17 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,688 – $39,342 · median $19,671 | 17 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,755 – $28,741 · median $14,370 | 17 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,944 – $37,777 · median $18,889 | 17 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,808 – $24,859 · median $12,430 | 17 plans |
| 724 | MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $7,328 – $15,427 · median $7,714 | 17 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY | $12,061 – $25,392 · median $12,696 | 17 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $7,929 – $16,712 · median $8,356 | 17 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $14,938 – $31,448 · median $15,724 | 17 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,679 – $18,439 · median $9,220 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,890 – $23,232 · median $11,616 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,743 – $15,743 · median $7,872 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,891 – $43,981 · median $21,990 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,671 – $28,787 · median $14,394 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $34,179 – $71,956 · median $35,978 | 17 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,252 – $42,636 · median $21,318 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,803 – $31,169 · median $15,585 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,256 – $72,117 · median $36,059 | 17 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $17,943 – $37,775 · median $18,888 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,095 – $30,348 · median $15,174 | 17 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,175 – $38,263 · median $19,132 | 17 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,605 – $26,757 · median $13,379 | 17 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,147 – $42,414 · median $21,207 | 17 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $11,237 – $24,759 · median $12,379 | 17 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,276 – $36,371 · median $18,186 | 17 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,205 – $19,378 · median $9,689 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,058 – $29,597 · median $14,798 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,916 – $52,456 · median $26,228 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,753 – $31,311 · median $15,655 | 17 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,239 – $38,397 · median $19,199 | 17 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,303 – $23,796 · median $11,898 | 17 plans |
| 756 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $10,132 – $21,331 · median $10,665 | 17 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $14,469 – $30,460 · median $15,230 | 17 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $10,302 – $21,689 · median $10,844 | 17 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,010 – $15,581 · median $7,790 | 17 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,564 – $22,241 · median $11,120 | 17 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,544 – $13,777 · median $6,889 | 17 plans |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $16,748 – $35,455 · median $17,728 | 17 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,664 – $22,148 · median $11,074 | 17 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $7,319 – $15,408 · median $7,704 | 17 plans |
| 779 | ABORTION WITHOUT D&C | $9,035 – $19,022 · median $9,511 | 17 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,417 – $21,278 · median $10,639 | 17 plans |
| 795 | NORMAL NEWBORN | $2,188 – $6,598 · median $3,299 | 17 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,959 – $90,441 · median $45,220 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,141 – $57,139 · median $28,569 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $18,857 – $39,698 · median $19,849 | 17 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $36,778 – $79,889 · median $39,945 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,397 – $38,730 · median $19,365 | 17 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,130 – $28,990 · median $14,495 | 17 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,607 – $45,489 · median $22,745 | 17 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,942 – $27,245 · median $13,623 | 17 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,897 – $22,998 · median $11,499 | 17 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $14,215 – $29,926 · median $14,963 | 17 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $9,743 – $20,511 · median $10,256 | 17 plans |
| 813 | COAGULATION DISORDERS | $15,328 – $32,269 · median $16,135 | 17 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,860 – $43,917 · median $21,958 | 17 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,624 – $22,367 · median $11,183 | 17 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,110 – $14,969 · median $7,484 | 17 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $22,285 – $46,917 · median $23,458 | 17 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,960 – $25,179 · median $12,589 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $9,207 – $19,382 · median $9,691 | 17 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $55,249 – $116,313 · median $58,157 | 17 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,890 – $46,084 · median $23,042 | 17 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,372 – $26,047 · median $13,023 | 17 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,473 – $91,523 · median $45,762 | 17 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,138 – $46,607 · median $23,303 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,710 – $28,863 · median $14,431 | 17 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,329 – $93,324 · median $46,662 | 17 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $22,558 – $47,490 · median $23,745 | 17 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,970 – $35,726 · median $17,863 | 17 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,366 – $63,929 · median $31,964 | 17 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,141 – $31,876 · median $15,938 | 17 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,954 – $26,017 · median $13,009 | 17 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,934 – $16,704 · median $8,352 | 17 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $5,552 – $12,856 · median $6,428 | 17 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,800 – $109,052 · median $54,526 | 17 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $20,484 – $43,125 · median $21,562 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $12,515 – $26,347 · median $13,173 | 17 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,493 – $95,774 · median $47,887 | 17 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $20,499 – $43,156 · median $21,578 | 17 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,136 – $30,693 · median $15,346 | 17 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $31,055 – $65,379 · median $32,690 | 17 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,304 – $34,324 · median $17,162 | 17 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,591 – $22,297 · median $11,149 | 17 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,647 – $41,362 · median $20,681 | 17 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,495 – $26,306 · median $13,153 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $9,130 – $19,222 · median $9,611 | 17 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $25,145 – $52,938 · median $26,469 | 17 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,154 – $28,065 · median $14,032 | 17 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,239 – $19,179 · median $9,589 | 17 plans |
| 849 | RADIOTHERAPY | $26,222 – $55,204 · median $27,602 | 17 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $46,728 – $98,375 · median $49,188 | 17 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $19,677 – $41,426 · median $20,713 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,069 – $31,725 · median $15,863 | 17 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $43,141 – $90,824 · median $45,412 | 17 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,997 – $44,203 · median $22,102 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,922 – $29,705 · median $14,852 | 17 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $18,073 – $38,048 · median $19,024 | 17 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $10,476 – $22,055 · median $11,027 | 17 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,462 – $19,921 · median $9,960 | 17 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $15,080 – $31,746 · median $15,873 | 17 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,296 – $19,570 · median $9,785 | 17 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,552 – $43,268 · median $21,634 | 17 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,782 – $22,698 · median $11,349 | 17 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,493 – $16,861 · median $8,430 | 17 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,881 – $136,591 · median $68,295 | 17 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $19,166 – $40,349 · median $20,175 | 17 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $10,710 – $22,547 · median $11,273 | 17 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $36,851 – $77,581 · median $38,790 | 17 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,129 – $21,325 · median $10,662 | 17 plans |
| 881 | DEPRESSIVE NEUROSES | $9,834 – $20,951 · median $10,476 | 17 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,190 – $23,525 · median $11,762 | 17 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,385 – $40,810 · median $20,405 | 17 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $16,097 – $33,888 · median $16,944 | 17 plans |
| 885 | PSYCHOSES | $14,146 – $29,781 · median $14,890 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,243 – $42,921 · median $21,461 | 17 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,148 – $23,469 · median $11,734 | 17 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $6,232 – $14,676 · median $7,338 | 17 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,319 – $30,145 · median $15,072 | 17 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $17,350 – $36,526 · median $18,263 | 17 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $9,282 – $19,826 · median $9,913 | 17 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $39,902 – $84,005 · median $42,002 | 17 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,908 – $39,807 · median $19,903 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,056 – $25,380 · median $12,690 | 17 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $35,086 – $73,866 · median $36,933 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,942 – $31,458 · median $15,729 | 17 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,366 – $40,771 · median $20,386 | 17 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $36,615 – $77,085 · median $38,542 | 17 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,651 – $41,370 · median $20,685 | 17 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,372 – $28,152 · median $14,076 | 17 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,212 – $34,386 · median $17,193 | 17 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,442 – $19,878 · median $9,939 | 17 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,766 – $35,296 · median $17,648 | 17 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $7,147 – $15,633 · median $7,816 | 17 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $15,724 – $33,104 · median $16,552 | 17 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $9,181 – $19,328 · median $9,664 | 17 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,138 – $38,186 · median $19,093 | 17 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $10,517 – $22,140 · median $11,070 | 17 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,570 – $16,061 · median $8,030 | 17 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,389 – $36,609 · median $18,305 | 17 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,658 – $22,438 · median $11,219 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $197,708 – $416,228 · median $208,114 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $67,281 – $141,643 · median $70,822 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $30,925 – $65,106 · median $32,553 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $32,891 – $78,148 · median $39,074 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $21,632 – $45,542 · median $22,771 | 17 plans |
| 935 | NON-EXTENSIVE BURNS | $20,247 – $42,625 · median $21,312 | 17 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $34,676 – $73,002 · median $36,501 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,794 – $47,988 · median $23,994 | 17 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $19,950 – $41,999 · median $21,000 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,542 – $32,720 · median $16,360 | 17 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,986 – $24,939 · median $12,469 | 17 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $12,974 – $27,313 · median $13,657 | 17 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $8,660 – $18,232 · median $9,116 | 17 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,240 – $25,770 · median $12,885 | 17 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,815 – $14,885 · median $7,443 | 17 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,400 – $13,497 · median $6,748 | 17 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $63,218 – $133,091 · median $66,545 | 17 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $35,913 – $75,607 · median $37,804 | 17 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $71,395 – $150,304 · median $75,152 | 17 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $40,061 – $84,340 · median $42,170 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,471 – $59,747 · median $29,874 | 17 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $26,445 – $55,674 · median $27,837 | 17 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,395 – $32,411 · median $16,205 | 17 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,948 – $20,943 · median $10,472 | 17 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,608 – $121,281 · median $60,640 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $25,559 – $53,807 · median $26,904 | 17 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $27,846 – $58,622 · median $29,311 | 17 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,209 – $27,809 · median $13,904 | 17 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,170 – $20,211 · median $10,106 | 17 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,234 – $27,861 · median $13,931 | 17 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $44,458 – $93,595 · median $46,798 | 17 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $23,913 – $50,343 · median $25,171 | 17 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,064 – $35,924 · median $17,962 | 17 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $32,835 – $69,127 · median $34,563 | 17 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,416 – $34,560 · median $17,280 | 17 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,719 – $25,954 · median $12,977 | 17 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $105,422 – $221,942 · median $110,971 | 16 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,796 – $113,255 · median $56,628 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,808 – $132,227 · median $66,114 | 16 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $23,579 – $49,640 · median $24,820 | 16 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $32,929 – $69,324 · median $34,662 | 16 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,506 – $49,487 · median $24,743 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $38,282 – $80,594 · median $40,297 | 16 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $102,685 – $216,178 · median $108,089 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,703 – $142,532 · median $71,266 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $53,015 – $111,611 · median $55,805 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $84,179 – $177,219 · median $88,610 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $54,350 – $114,421 · median $57,210 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,763 – $132,132 · median $66,066 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,309 – $84,861 · median $42,430 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,325 – $105,948 · median $52,974 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,014 – $65,292 · median $32,646 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $6,417 – $23,482 · median $11,741 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,417 – $50,277 · median $25,138 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,417 – $23,260 · median $11,630 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,417 – $34,675 · median $17,337 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $6,417 – $24,358 · median $12,179 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $6,417 – $21,298 · median $10,649 | 16 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $17,875 – $37,632 · median $18,816 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,973 – $117,837 · median $58,919 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $38,636 – $81,340 · median $40,670 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $23,827 – $50,163 · median $25,081 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $39,654 – $83,482 · median $41,741 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,873 – $31,313 · median $15,656 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $6,417 – $25,330 · median $12,665 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,417 – $22,103 · median $11,052 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,417 – $21,265 · median $10,632 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $6,417 – $23,630 · median $11,815 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $6,417 – $17,331 · median $8,666 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $6,417 – $15,786 · median $7,893 | 16 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,958 – $170,439 · median $85,219 | 16 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION | $11,031 – $11,031 · median $11,031 | 1 plans |
No procedures match that keyword.