Animas Surgical Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $211,233 – $464,713 · median $211,233 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $85,415 – $187,912 · median $85,415 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $159,987 – $351,972 · median $159,987 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $104,406 – $229,694 · median $104,406 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $77,716 – $170,976 · median $77,716 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,952 – $76,894 · median $34,952 | 12 plans |
| 007 | LUNG TRANSPLANT | $97,613 – $214,750 · median $97,613 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $42,245 – $92,940 · median $42,245 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $54,088 – $118,993 · median $54,088 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $41,111 – $90,444 · median $41,111 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $31,779 – $69,913 · median $31,779 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,722 – $47,788 · median $21,722 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $90,586 – $199,290 · median $90,586 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,696 – $98,331 · median $44,696 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,947 – $90,082 · median $40,947 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $325,495 – $716,089 · median $325,495 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,778 – $118,311 · median $53,778 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $59,312 – $130,486 · median $59,312 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,903 – $87,786 · median $39,903 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,950 – $52,690 · median $23,950 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $43,193 – $95,024 · median $43,193 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,486 – $64,870 · median $29,486 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,271 – $75,397 · median $34,271 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,436 – $51,559 · median $23,436 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,017 – $41,837 · median $19,017 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $45,288 – $99,634 · median $45,288 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,715 – $56,574 · median $25,715 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,547 – $36,402 · median $16,547 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,772 – $74,299 · median $33,772 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,063 – $35,338 · median $16,063 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,534 – $27,575 · median $12,534 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,176 – $64,187 · median $29,176 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,019 – $39,641 · median $18,019 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,644 – $32,217 · median $14,644 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,815 – $54,592 · median $24,815 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,231 – $26,907 · median $12,231 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,860 – $19,493 · median $8,860 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,104 – $64,029 · median $29,104 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,573 – $36,460 · median $16,573 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,023 – $28,650 · median $13,023 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,653 – $30,036 · median $13,653 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,381 – $16,238 · median $7,381 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,509 – $25,320 · median $11,509 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,685 – $16,908 · median $7,685 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,511 – $38,523 · median $17,511 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,766 – $21,485 · median $9,766 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,886 – $28,348 · median $12,886 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,353 – $20,578 · median $9,353 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,933 – $15,253 · median $6,933 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,782 – $45,720 · median $20,782 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,245 – $29,139 · median $13,245 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,581 – $23,279 · median $10,581 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,158 – $33,348 · median $15,158 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,615 – $16,754 · median $7,615 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,159 – $11,349 · median $5,159 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,070 – $24,355 · median $11,070 | 12 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,516 – $14,334 · median $6,516 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,021 – $13,246 · median $6,021 | 12 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,549 – $27,607 · median $12,549 | 12 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,734 – $17,014 · median $7,734 | 12 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,700 – $12,540 · median $5,700 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,093 – $26,604 · median $12,093 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,770 – $17,093 · median $7,770 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,453 – $31,797 · median $14,453 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,220 – $13,684 · median $6,220 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,643 – $30,015 · median $13,643 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,751 – $14,851 · median $6,751 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,228 – $37,901 · median $17,228 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,521 – $23,146 · median $10,521 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,204 – $15,850 · median $7,204 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,125 – $37,674 · median $17,125 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,819 – $21,602 · median $9,819 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,895 – $15,168 · median $6,895 | 12 plans |
| 088 | CONCUSSION WITH MCC | $10,189 – $22,417 · median $10,189 | 12 plans |
| 089 | CONCUSSION WITH CC | $8,281 – $18,218 · median $8,281 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,205 – $13,651 · median $6,205 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,238 – $29,123 · median $13,238 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,711 – $16,964 · median $7,711 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,002 – $13,205 · median $6,002 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,528 – $58,361 · median $26,528 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,441 – $42,770 · median $19,441 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,441 – $42,770 · median $19,441 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,224 – $59,894 · median $27,224 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,298 – $38,056 · median $17,298 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,269 – $22,592 · median $10,269 | 12 plans |
| 100 | SEIZURES WITH MCC | $14,599 – $32,117 · median $14,599 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $6,803 – $14,968 · median $6,803 | 12 plans |
| 102 | HEADACHES WITH MCC | $8,449 – $18,588 · median $8,449 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $6,304 – $13,868 · median $6,304 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,722 – $38,988 · median $17,722 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,198 – $22,436 · median $10,198 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,569 – $25,453 · median $11,569 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,629 – $29,983 · median $13,629 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,178 – $17,991 · median $8,178 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,768 – $19,291 · median $8,768 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,923 – $13,031 · median $5,923 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,020 – $13,243 · median $6,020 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,973 – $21,941 · median $9,973 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,787 – $12,732 · median $5,787 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,357 – $35,985 · median $16,357 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,653 – $16,836 · median $7,653 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,255 – $24,761 · median $11,255 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,680 – $14,696 · median $6,680 | 12 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,314 – $20,491 · median $9,314 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $32,150 – $70,730 · median $32,150 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,440 – $36,169 · median $16,440 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,033 – $26,473 · median $12,033 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,240 – $62,129 · median $28,240 | 12 plans |
| 144 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,062 – $28,736 · median $13,062 | 12 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,062 – $19,937 · median $9,062 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,960 – $35,112 · median $15,960 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,584 – $21,085 · median $9,584 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,008 – $13,218 · median $6,008 | 12 plans |
| 149 | DYSEQUILIBRIUM | $5,665 – $12,464 · median $5,665 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $10,036 – $22,080 · median $10,036 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,533 – $12,172 · median $5,533 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,911 – $19,604 · median $8,911 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,564 – $12,241 · median $5,564 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,785 – $25,927 · median $11,785 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,908 – $15,198 · median $6,908 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,209 – $11,460 · median $5,209 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,941 – $28,469 · median $12,941 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,858 – $15,087 · median $6,858 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,340 – $11,749 · median $5,340 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,782 – $74,320 · median $33,782 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,025 – $41,855 · median $19,025 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,428 – $31,743 · median $14,428 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,173 – $61,981 · median $28,173 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,593 – $29,905 · median $13,593 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,299 – $22,659 · median $10,299 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,435 – $49,357 · median $22,435 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,354 – $22,778 · median $10,354 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,068 – $13,349 · median $6,068 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,779 – $25,914 · median $11,779 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,357 – $16,185 · median $7,357 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,691 – $12,520 · median $5,691 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,311 – $29,285 · median $13,311 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,073 – $17,760 · median $8,073 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,682 – $12,500 · median $5,682 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,532 – $25,370 · median $11,532 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,021 – $17,646 · median $8,021 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,928 – $13,042 · median $5,928 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,747 – $25,844 · median $11,747 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,455 – $16,402 · median $7,455 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,406 – $11,893 · median $5,406 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,312 – $20,486 · median $9,312 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,349 – $18,369 · median $8,349 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,354 – $13,979 · median $6,354 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,839 – $10,646 · median $4,839 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,907 – $21,796 · median $9,907 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,075 – $13,364 · median $6,075 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,737 – $10,422 · median $4,737 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,225 – $31,295 · median $14,225 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,154 – $15,739 · median $7,154 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,398 – $11,877 · median $5,398 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,297 – $29,254 · median $13,297 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,286 – $18,229 · median $8,286 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,390 – $11,858 · median $5,390 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,321 – $16,105 · median $7,321 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,050 – $11,110 · median $5,050 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,086 – $13,389 · median $6,086 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,801 – $30,363 · median $13,801 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,094 – $15,606 · median $7,094 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $48,502 – $106,705 · median $48,502 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,719 – $45,581 · median $20,719 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $81,965 – $180,322 · median $81,965 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,052 – $165,114 · median $75,052 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,739 – $162,226 · median $73,739 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $49,562 – $109,036 · median $49,562 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,562 – $109,036 · median $49,562 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $57,876 – $127,327 · median $57,876 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,197 – $88,432 · median $40,197 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,991 – $83,580 · median $37,991 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $37,292 – $82,041 · median $37,292 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,740 – $52,227 · median $23,740 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $63,541 – $139,791 · median $63,541 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $45,697 – $100,534 · median $45,697 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $57,626 – $126,778 · median $57,626 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $41,176 – $90,586 · median $41,176 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,235 – $97,317 · median $44,235 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,574 – $69,462 · median $31,574 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $37,098 – $81,615 · median $37,098 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,486 – $47,269 · median $21,486 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,435 – $22,957 · median $10,435 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,066 – $52,945 · median $24,066 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,062 – $35,336 · median $16,062 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,624 – $29,973 · median $13,624 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $34,390 – $75,657 · median $34,390 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,451 – $36,192 · median $16,451 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,265 – $24,783 · median $11,265 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,293 – $57,846 · median $26,293 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,565 – $43,042 · median $19,565 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,430 – $29,545 · median $13,430 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,332 – $44,730 · median $20,332 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,798 – $28,156 · median $12,798 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,233 – $18,112 · median $8,233 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,684 – $52,105 · median $23,684 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,242 – $33,532 · median $15,242 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,518 – $53,940 · median $24,518 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,250 – $31,350 · median $14,250 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,286 – $27,028 · median $12,286 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,045 – $50,700 · median $23,045 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,180 – $55,396 · median $25,180 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $27,273 – $60,000 · median $27,273 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $46,193 – $101,626 · median $46,193 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $35,885 – $78,947 · median $35,885 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,843 – $114,054 · median $51,843 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,833 – $70,032 · median $31,833 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,771 – $87,495 · median $39,771 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,806 – $58,973 · median $26,806 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,244 – $42,336 · median $19,244 | 12 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,096 – $68,412 · median $31,096 | 12 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,812 – $54,585 · median $24,812 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $53,746 – $118,241 · median $53,746 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,275 – $99,606 · median $45,275 | 12 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $34,812 – $76,587 · median $34,812 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,956 – $92,303 · median $41,956 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,184 – $59,804 · median $27,184 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,091 – $26,600 · median $12,091 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,928 – $15,241 · median $6,928 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,450 – $11,991 · median $5,450 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,930 – $32,847 · median $14,930 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,218 – $11,479 · median $5,218 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,514 – $9,931 · median $4,514 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,679 – $36,694 · median $16,679 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,066 – $17,745 · median $8,066 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,398 – $44,876 · median $20,398 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,866 – $28,305 · median $12,866 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,008 – $15,417 · median $7,008 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,677 – $21,289 · median $9,677 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,399 – $14,079 · median $6,399 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,266 – $9,386 · median $4,266 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,773 – $25,901 · median $11,773 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,779 – $10,513 · median $4,779 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,430 – $7,547 · median $3,430 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,307 – $27,075 · median $12,307 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,046 – $17,702 · median $8,046 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,425 – $11,935 · median $5,425 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,020 – $19,843 · median $9,020 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,074 – $11,163 · median $5,074 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $8,970 – $19,733 · median $8,970 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,692 – $12,522 · median $5,692 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,878 – $26,131 · median $11,878 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,883 – $15,143 · median $6,883 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,075 – $19,966 · median $9,075 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,545 – $12,200 · median $5,545 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,267 – $9,387 · median $4,267 | 12 plans |
| 311 | ANGINA PECTORIS | $5,291 – $11,639 · median $5,291 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,570 – $14,453 · median $6,570 | 12 plans |
| 313 | CHEST PAIN | $5,427 – $11,940 · median $5,427 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,717 – $34,578 · median $15,717 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,261 – $15,974 · median $7,261 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,141 – $11,311 · median $5,141 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $50,400 – $110,880 · median $50,400 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,640 – $74,007 · median $33,640 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,130 – $39,886 · median $18,130 | 12 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,508 – $45,118 · median $20,508 | 12 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,289 – $29,235 · median $13,289 | 12 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,618 – $71,760 · median $32,618 | 12 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,751 – $52,252 · median $23,751 | 12 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,199 – $53,237 · median $24,199 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,593 – $82,705 · median $37,593 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,423 – $40,532 · median $18,423 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,078 – $26,571 · median $12,078 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,647 – $76,223 · median $34,647 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,069 – $39,752 · median $18,069 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,685 – $27,907 · median $12,685 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,291 – $60,041 · median $27,291 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $17,655 – $38,840 · median $17,655 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,346 – $27,161 · median $12,346 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,916 – $59,215 · median $26,916 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,895 – $34,968 · median $15,895 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $11,570 – $25,454 · median $11,570 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,468 – $42,830 · median $19,468 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,342 – $24,952 · median $11,342 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,941 – $19,670 · median $8,941 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,303 – $38,067 · median $17,303 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,865 – $21,703 · median $9,865 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,562 – $14,437 · median $6,562 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,783 – $41,323 · median $18,783 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,491 – $25,280 · median $11,491 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,802 – $19,365 · median $8,802 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,874 – $48,123 · median $21,874 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,681 – $27,899 · median $12,681 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,138 – $22,304 · median $10,138 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $33,111 – $72,845 · median $33,111 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,529 – $38,563 · median $17,529 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,537 – $23,181 · median $10,537 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,999 – $26,398 · median $11,999 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,539 – $16,586 · median $7,539 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,282 – $11,621 · median $5,282 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,365 – $29,403 · median $13,365 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,696 – $16,931 · median $7,696 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,483 – $12,062 · median $5,483 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,121 – $35,466 · median $16,121 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,117 – $20,058 · median $9,117 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,967 – $15,327 · median $6,967 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,779 – $30,313 · median $13,779 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,392 – $16,263 · median $7,392 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,752 – $10,454 · median $4,752 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,790 – $32,539 · median $14,790 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,167 – $17,967 · median $8,167 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,035 – $13,276 · median $6,035 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,407 – $22,896 · median $10,407 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,443 – $14,175 · median $6,443 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,927 – $26,239 · median $11,927 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,359 – $16,190 · median $7,359 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,135 – $11,298 · median $5,135 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,132 – $24,489 · median $11,132 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,953 – $13,097 · median $5,953 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,100 – $9,021 · median $4,100 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,560 – $21,032 · median $9,560 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,876 – $12,928 · median $5,876 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,055 – $26,521 · median $12,055 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,053 – $15,516 · median $7,053 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,892 – $10,762 · median $4,892 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,052 – $39,714 · median $18,052 | 12 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,409 – $25,100 · median $11,409 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,628 – $18,982 · median $8,628 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,305 – $66,671 · median $30,305 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,234 – $90,716 · median $41,234 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,861 – $48,093 · median $21,861 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,730 – $36,807 · median $16,730 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,876 – $59,127 · median $26,876 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,412 – $36,106 · median $16,412 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,967 – $26,328 · median $11,967 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,899 – $54,778 · median $24,899 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,848 – $34,865 · median $15,848 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,516 – $27,536 · median $12,516 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,853 – $59,078 · median $26,853 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,578 – $34,272 · median $15,578 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,276 – $22,607 · median $10,276 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,988 – $39,573 · median $17,988 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,751 – $28,051 · median $12,751 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,295 – $22,649 · median $10,295 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,681 – $56,499 · median $25,681 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,097 – $28,813 · median $13,097 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,549 – $23,208 · median $10,549 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,304 – $68,868 · median $31,304 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,492 – $36,281 · median $16,492 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,309 – $24,879 · median $11,309 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,073 – $182,762 · median $83,073 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $54,411 – $119,704 · median $54,411 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $42,376 – $93,228 · median $42,376 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $67,911 – $149,404 · median $67,911 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,470 – $95,634 · median $43,470 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,836 – $32,638 · median $14,836 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,961 – $17,515 · median $7,961 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,371 – $11,815 · median $5,371 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,844 – $30,458 · median $13,844 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,526 – $18,757 · median $8,526 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,432 – $14,150 · median $6,432 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,288 – $27,033 · median $12,288 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,341 – $13,949 · median $6,341 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,684 – $10,304 · median $4,684 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,528 – $29,761 · median $13,528 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,276 – $16,007 · median $7,276 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,274 – $11,603 · median $5,274 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,595 – $27,708 · median $12,595 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,249 – $18,148 · median $8,249 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,236 – $13,719 · median $6,236 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,363 – $110,799 · median $50,363 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,965 – $70,324 · median $31,965 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $40,172 – $88,379 · median $40,172 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,349 – $53,569 · median $24,349 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,342 – $139,351 · median $63,342 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $44,947 – $98,884 · median $44,947 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,451 – $69,193 · median $31,451 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,630 – $91,586 · median $41,630 | 12 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $42,961 – $94,513 · median $42,961 | 12 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $23,477 – $51,650 · median $23,477 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,746 – $30,242 · median $13,746 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,236 – $86,320 · median $39,236 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $26,582 – $58,481 · median $26,582 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $20,713 – $45,569 · median $20,713 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,863 – $50,299 · median $22,863 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $14,539 – $31,986 · median $14,539 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $36,397 – $80,073 · median $36,397 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,207 – $48,854 · median $22,207 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,402 – $40,483 · median $18,402 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,358 – $71,188 · median $32,358 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,153 – $37,737 · median $17,153 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,896 – $19,571 · median $8,896 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,039 – $57,287 · median $26,039 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,536 – $40,780 · median $18,536 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,012 – $30,826 · median $14,012 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,952 – $48,294 · median $21,952 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,788 – $34,733 · median $15,788 | 12 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $12,294 – $27,046 · median $12,294 | 12 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $20,893 – $45,966 · median $20,893 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,325 – $53,514 · median $24,325 | 12 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $15,762 – $34,676 · median $15,762 | 12 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $11,805 – $25,972 · median $11,805 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $13,333 – $29,333 · median $13,333 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $8,418 – $18,520 · median $8,418 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $27,675 – $60,885 · median $27,675 | 12 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $19,116 – $42,055 · median $19,116 | 12 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $15,124 – $33,273 · median $15,124 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,329 – $60,124 · median $27,329 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,597 – $29,914 · median $13,597 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,108 – $20,037 · median $9,108 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,739 – $50,027 · median $22,739 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,187 – $33,411 · median $15,187 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,855 – $52,481 · median $23,855 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,176 – $28,988 · median $13,176 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,145 – $22,319 · median $10,145 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,038 – $46,284 · median $21,038 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,089 – $30,996 · median $14,089 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,513 – $29,730 · median $13,513 | 12 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,170 – $22,373 · median $10,170 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,616 – $29,955 · median $13,616 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,415 – $25,113 · median $11,415 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,767 – $50,088 · median $22,767 | 12 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $15,674 – $34,482 · median $15,674 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,478 – $27,451 · median $12,478 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,866 – $26,106 · median $11,866 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,706 – $16,953 · median $7,706 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,022 – $52,848 · median $24,022 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,664 – $34,461 · median $15,664 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,583 – $25,483 · median $11,583 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,170 – $61,975 · median $28,170 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,077 – $33,169 · median $15,077 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,260 – $24,773 · median $11,260 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,634 – $47,596 · median $21,634 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,962 – $35,117 · median $15,962 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,817 – $25,997 · median $11,817 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,076 – $13,367 · median $6,076 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,663 – $21,259 · median $9,663 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,087 – $13,392 · median $6,087 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,193 – $15,825 · median $7,193 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,429 – $11,945 · median $5,429 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,847 – $32,663 · median $14,847 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,771 – $21,496 · median $9,771 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,935 – $13,057 · median $5,935 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,315 – $29,293 · median $13,315 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,749 – $17,047 · median $7,749 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,688 – $12,513 · median $5,688 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,706 – $41,153 · median $18,706 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,694 – $19,127 · median $8,694 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,303 – $13,866 · median $6,303 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,554 – $32,020 · median $14,554 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,099 – $20,019 · median $9,099 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,589 – $14,495 · median $6,589 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,634 – $27,794 · median $12,634 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,246 – $15,941 · median $7,246 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,771 – $21,496 · median $9,771 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,257 – $13,765 · median $6,257 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,963 – $21,919 · median $9,963 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,261 – $13,774 · median $6,261 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,208 – $24,657 · median $11,208 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,733 – $14,812 · median $6,733 | 12 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $14,057 – $30,925 · median $14,057 | 12 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $8,488 – $18,674 · median $8,488 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,059 – $13,331 · median $6,059 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,740 – $23,627 · median $10,740 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,750 – $14,850 · median $6,750 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,635 – $25,597 · median $11,635 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,345 – $16,158 · median $7,345 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,648 – $12,425 · median $5,648 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,169 – $48,771 · median $22,169 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,735 – $28,017 · median $12,735 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,640 – $19,009 · median $8,640 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,382 – $108,640 · median $49,382 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,166 – $57,565 · median $26,166 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,545 – $29,799 · median $13,545 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,943 – $81,275 · median $36,943 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,980 – $43,956 · median $19,980 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,108 – $26,639 · median $12,108 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,411 – $53,703 · median $24,411 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,025 – $28,655 · median $13,025 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,878 – $23,931 · median $10,878 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,522 – $31,948 · median $14,522 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,998 – $28,595 · median $12,998 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,136 – $35,499 · median $16,136 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,541 – $31,990 · median $14,541 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $14,588 – $32,093 · median $14,588 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $8,942 – $19,672 · median $8,942 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,534 – $14,374 · median $6,534 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,985 – $35,167 · median $15,985 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,159 – $17,951 · median $8,159 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,566 – $27,645 · median $12,566 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,527 – $18,760 · median $8,527 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,799 – $12,759 · median $5,799 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,851 – $17,273 · median $7,851 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,560 – $10,033 · median $4,560 | 12 plans |
| 602 | CELLULITIS WITH MCC | $10,713 – $23,569 · median $10,713 | 12 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $6,565 – $14,442 · median $6,565 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,096 – $24,411 · median $11,096 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,904 – $15,190 · median $6,904 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,406 – $25,093 · median $11,406 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,832 – $15,031 · median $6,832 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,521 – $36,346 · median $16,521 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,547 – $23,204 · median $10,547 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,287 – $57,831 · median $26,287 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,098 – $31,015 · median $14,098 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,691 – $23,519 · median $10,691 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,764 – $47,881 · median $21,764 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $12,062 – $26,537 · median $12,062 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,370 – $25,013 · median $11,370 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,828 – $59,021 · median $26,828 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,522 – $29,748 · median $13,522 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,436 – $20,760 · median $9,436 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,764 – $50,082 · median $22,764 | 12 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $11,302 – $24,864 · median $11,302 | 12 plans |
| 627 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,012 – $22,027 · median $10,012 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,091 – $61,801 · median $28,091 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,423 – $36,130 · median $16,423 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,001 – $24,202 · median $11,001 | 12 plans |
| 637 | DIABETES WITH MCC | $10,829 – $23,824 · median $10,829 | 12 plans |
| 638 | DIABETES WITH CC | $6,755 – $14,861 · median $6,755 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,682 – $10,301 · median $4,682 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,067 – $22,148 · median $10,067 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,866 – $12,905 · median $5,866 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,719 – $23,582 · median $10,719 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,408 – $27,297 · median $12,408 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,726 – $16,997 · median $7,726 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,791 – $12,741 · median $5,791 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $35,437 – $77,962 · median $35,437 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,933 – $61,452 · median $27,933 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $24,343 – $53,554 · median $24,343 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,168 – $86,170 · median $39,168 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,100 – $46,420 · median $21,100 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,954 – $35,099 · median $15,954 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,998 – $52,796 · median $23,998 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,794 – $30,346 · median $13,794 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,697 – $25,733 · median $11,697 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,152 – $42,135 · median $19,152 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,962 – $21,917 · median $9,962 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,804 – $17,170 · median $7,804 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,076 – $50,768 · median $23,076 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,459 – $25,209 · median $11,459 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,891 – $17,360 · median $7,891 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,526 – $51,758 · median $23,526 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $13,186 – $29,008 · median $13,186 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,338 – $18,344 · median $8,338 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,010 – $48,422 · median $22,010 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,698 – $25,736 · median $11,698 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,367 – $16,206 · median $7,367 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,530 – $29,766 · median $13,530 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,137 – $17,901 · median $8,137 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,670 – $69,674 · median $31,670 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,627 – $38,780 · median $17,627 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,372 – $27,219 · median $12,372 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $11,163 – $24,559 · median $11,163 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $6,601 – $14,523 · median $6,601 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,525 – $9,955 · median $4,525 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,596 – $29,910 · median $13,596 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,898 – $17,375 · median $7,898 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,957 – $13,105 · median $5,957 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,746 – $19,241 · median $8,746 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,102 – $13,424 · median $6,102 | 12 plans |
| 693 | URINARY STONES WITH MCC | $10,134 – $22,295 · median $10,134 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,892 – $12,963 · median $5,892 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,622 – $18,967 · median $8,622 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,193 – $11,426 · median $5,193 | 12 plans |
| 697 | URETHRAL STRICTURE | $8,124 – $17,873 · median $8,124 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,470 – $27,434 · median $12,470 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,651 – $16,831 · median $7,651 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,200 – $11,440 · median $5,200 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,077 – $33,170 · median $15,077 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,564 – $25,441 · median $11,564 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,541 – $38,590 · median $17,541 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,562 – $23,236 · median $10,562 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,707 – $34,555 · median $15,707 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,289 – $18,236 · median $8,289 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,332 – $24,930 · median $11,332 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,970 – $17,535 · median $7,970 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,864 – $37,101 · median $16,864 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,088 – $24,393 · median $11,088 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,250 – $31,350 · median $14,250 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,124 – $22,272 · median $10,124 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,641 – $30,010 · median $13,641 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,613 – $18,949 · median $8,613 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,942 – $10,873 · median $4,942 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,821 – $19,405 · median $8,821 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,442 – $11,973 · median $5,442 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,178 – $24,591 · median $11,178 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,115 – $13,452 · median $6,115 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,980 – $17,556 · median $7,980 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,065 – $11,144 · median $5,065 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,055 – $35,321 · median $16,055 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,142 – $22,312 · median $10,142 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,943 – $59,275 · median $26,943 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,532 – $34,170 · median $15,532 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,069 – $24,352 · median $11,069 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $27,006 – $59,413 · median $27,006 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,640 – $30,008 · median $13,640 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,749 – $23,649 · median $10,749 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,830 – $30,426 · median $13,830 | 12 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $9,352 – $20,574 · median $9,352 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,445 – $33,980 · median $15,445 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,574 – $18,863 · median $8,574 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,094 – $28,806 · median $13,094 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,480 – $14,256 · median $6,480 | 12 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,457 – $23,005 · median $10,457 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,354 – $42,578 · median $19,354 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,124 – $24,473 · median $11,124 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,882 – $30,540 · median $13,882 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,199 – $18,039 · median $8,199 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,240 – $15,928 · median $7,240 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,793 – $23,745 · median $10,793 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,379 – $16,235 · median $7,379 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,002 – $11,004 · median $5,002 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,594 – $16,707 · median $7,594 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,300 – $9,460 · median $4,300 | 12 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,077 – $17,770 · median $8,077 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,737 – $28,021 · median $12,737 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,558 – $16,628 · median $7,558 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,935 – $10,857 · median $4,935 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $6,341 – $13,951 · median $6,341 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $18,506 – $40,712 · median $18,506 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,991 – $17,579 · median $7,991 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,220 – $15,883 · median $7,220 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,433 – $27,353 · median $12,433 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,418 – $18,520 · median $8,418 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,227 – $15,900 · median $7,227 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,584 – $29,885 · median $13,584 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $44,800 – $98,559 · median $44,800 | 12 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,595 – $67,309 · median $30,595 | 12 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,461 – $40,614 · median $18,461 | 12 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,429 – $69,143 · median $31,429 | 12 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,125 – $24,474 · median $11,125 | 12 plans |
| 795 | NORMAL NEWBORN | $1,506 – $3,313 · median $1,506 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,796 – $19,352 · median $8,796 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,541 – $16,589 · median $7,541 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,214 – $15,871 · median $7,214 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,137 – $75,102 · median $34,137 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,176 – $46,588 · median $21,176 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,389 – $31,655 · median $14,389 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,031 – $66,067 · median $30,031 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,012 – $30,826 · median $14,012 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,221 – $22,486 · median $10,221 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $8,135 – $17,896 · median $8,135 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,683 – $12,503 · median $5,683 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,082 – $11,180 · median $5,082 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,642 – $36,613 · median $16,642 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,542 – $20,992 · median $9,542 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,889 – $17,355 · median $7,889 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,585 – $23,287 · median $10,585 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,921 – $15,226 · median $6,921 | 12 plans |
| 813 | COAGULATION DISORDERS | $11,497 – $25,294 · median $11,497 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,030 – $35,266 · median $16,030 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,643 – $16,815 · median $7,643 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,764 – $10,480 · median $4,764 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,198 – $37,835 · median $17,198 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,738 – $19,223 · median $8,738 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,482 – $14,259 · median $6,482 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $44,207 – $97,254 · median $44,207 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,874 – $37,122 · median $16,874 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,075 – $19,966 · median $9,075 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,558 – $76,028 · median $34,558 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,077 – $37,570 · median $17,077 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,171 – $22,377 · median $10,171 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $35,259 – $77,571 · median $35,259 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,421 – $38,326 · median $17,421 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,843 – $28,254 · median $12,843 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,819 – $52,401 · median $23,819 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,344 – $24,957 · median $11,344 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,064 – $19,941 · median $9,064 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,439 – $11,966 · median $5,439 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,941 – $8,671 · median $3,941 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $41,381 – $91,038 · median $41,381 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,722 – $34,588 · median $15,722 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,192 – $20,223 · median $9,192 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $36,213 – $79,668 · median $36,213 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,734 – $34,615 · median $15,734 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,884 – $23,944 · median $10,884 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,383 – $53,643 · median $24,383 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,297 – $27,053 · median $12,297 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,616 – $16,755 · median $7,616 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,036 – $33,079 · median $15,036 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,176 – $20,188 · median $9,176 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,419 – $14,122 · median $6,419 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,541 – $42,991 · median $19,541 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,861 – $21,694 · median $9,861 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,402 – $14,085 · median $6,402 | 12 plans |
| 849 | RADIOTHERAPY | $20,423 – $44,931 · median $20,423 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,272 – $143,598 · median $65,272 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $37,225 – $81,895 · median $37,225 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,061 – $33,134 · median $15,061 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,285 – $24,828 · median $11,285 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $34,286 – $75,430 · median $34,286 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,142 – $35,512 · median $16,142 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,499 – $23,098 · median $10,499 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,746 – $30,242 · median $13,746 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,522 – $16,548 · median $7,522 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,691 – $14,720 · median $6,691 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,294 – $24,846 · median $11,294 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,555 – $14,420 · median $6,555 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,778 – $34,711 · median $15,778 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,772 – $17,098 · median $7,772 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,500 – $12,100 · median $5,500 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $52,098 – $114,617 · median $52,098 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,642 – $32,212 · median $14,642 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,713 – $16,969 · median $7,713 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,132 – $64,091 · median $29,132 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,238 – $15,923 · median $7,238 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $7,092 – $15,603 · median $7,092 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,094 – $17,807 · median $8,094 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,821 – $32,607 · median $14,821 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,127 – $26,680 · median $12,127 | 12 plans |
| 885 | PSYCHOSES | $10,529 – $23,163 · median $10,529 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,643 – $34,414 · median $15,643 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,072 – $17,758 · median $8,072 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,650 – $10,230 · median $4,650 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,670 – $23,475 · median $10,670 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,154 – $28,939 · median $13,154 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,654 – $14,639 · median $6,654 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,632 – $69,591 · median $31,632 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $14,431 – $31,748 · median $14,431 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,816 – $19,395 · median $8,816 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,686 – $60,910 · median $27,686 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,181 – $24,599 · median $11,181 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,806 – $32,573 · median $14,806 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,939 – $63,666 · median $28,939 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,039 – $33,086 · median $15,039 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,895 – $21,768 · median $9,895 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,321 – $27,106 · median $12,321 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,675 – $14,684 · median $6,675 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,675 – $27,886 · median $12,675 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,022 – $11,049 · median $5,022 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,822 – $26,008 · median $11,822 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,460 – $14,213 · median $6,460 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,800 – $30,360 · median $13,800 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,555 – $16,621 · median $7,555 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,189 – $11,416 · median $5,189 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,186 – $29,010 · median $13,186 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,671 – $16,876 · median $7,671 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $160,932 – $354,050 · median $160,932 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $54,065 – $118,943 · median $54,065 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,277 – $53,410 · median $24,277 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,353 – $64,576 · median $29,353 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,663 – $36,658 · median $16,663 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $15,527 – $34,160 · median $15,527 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,350 – $60,170 · median $27,350 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,615 – $38,752 · median $17,615 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,284 – $33,625 · median $15,284 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,568 – $21,050 · median $9,568 | 12 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $6,034 – $13,274 · median $6,034 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,967 – $19,728 · median $8,967 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,731 – $10,409 · median $4,731 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,191 – $9,220 · median $4,191 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,736 – $111,620 · median $50,736 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,364 – $62,401 · median $28,364 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $57,436 – $126,359 · median $57,436 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,763 – $69,878 · median $31,763 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,191 – $48,821 · median $22,191 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,606 – $45,334 · median $20,606 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,552 – $25,415 · median $11,552 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,089 – $15,596 · median $7,089 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $46,140 – $101,508 · median $46,140 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,880 – $43,735 · median $19,880 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,754 – $47,858 · median $21,754 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,761 – $21,475 · median $9,761 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,804 – $14,969 · median $6,804 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,782 – $21,519 · median $9,782 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $35,365 – $77,803 · median $35,365 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,531 – $40,769 · median $18,531 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,919 – $28,423 · median $12,919 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,842 – $56,852 · median $25,842 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,389 – $27,255 · median $12,389 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,039 – $19,886 · median $9,039 | 12 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $85,317 – $187,697 · median $85,317 | 11 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $43,016 – $94,636 · median $43,016 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,258 – $40,167 · median $18,258 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,919 – $57,021 · median $25,919 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,198 – $40,036 · median $18,198 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,050 – $44,110 · median $20,050 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,673 – $25,680 · median $11,673 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,644 – $19,017 · median $8,644 | 11 plans |
No procedures match that keyword.