CommonSpirit St. Mary-Corwin Hospital — Pricing
778 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 778 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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 778 procedures
Procedures with negotiated rates only
These 778 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,499 – $18,438 · median $12,330 | 19 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $4,442 – $30,578 · median $24,606 | 19 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $4,442 – $30,578 · median $12,228 | 19 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $4,442 – $30,578 · median $11,321 | 19 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $4,442 – $30,578 · median $17,458 | 19 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $4,442 – $30,578 · median $12,731 | 19 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $4,442 – $30,578 · median $11,329 | 19 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,499 – $13,177 · median $13,177 | 19 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,499 – $16,283 · median $11,698 | 19 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,499 – $11,314 · median $11,314 | 19 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,499 – $16,783 · median $12,398 | 19 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,499 – $12,168 · median $9,512 | 19 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,499 – $11,041 · median $8,804 | 19 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $22,187 – $57,992 · median $22,187 | 18 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,083 – $44,052 · median $16,083 | 18 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,465 – $66,852 · median $18,465 | 18 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $29,735 – $70,856 · median $29,735 | 18 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,937 – $54,140 · median $19,937 | 18 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,417 – $72,491 · median $27,417 | 18 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,294 – $59,102 · median $28,442 | 18 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $17,021 – $50,536 · median $17,021 | 18 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $16,206 – $50,536 · median $16,206 | 18 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $31,151 – $96,471 · median $31,151 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,729 – $70,476 · median $21,729 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,860 – $57,992 · median $18,860 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $43,304 – $105,931 · median $43,304 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $30,701 – $60,815 · median $30,701 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $20,764 – $38,102 · median $20,764 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $31,558 – $73,836 · median $31,684 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,784 – $41,134 · median $19,596 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $17,284 – $32,901 · median $17,284 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,089 – $198,558 · median $66,089 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $56,118 – $148,130 · median $56,118 | 17 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,801 – $117,889 · median $43,801 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,210 – $157,063 · median $52,210 | 17 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $34,821 – $80,044 · median $34,821 | 17 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $26,963 – $61,710 · median $26,963 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,827 – $133,025 · median $51,827 | 17 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,424 – $83,364 · median $26,424 | 17 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $49,009 – $110,436 · median $49,009 | 17 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $34,113 – $74,503 · median $34,113 | 17 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,205 – $71,624 · median $27,205 | 17 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $28,662 – $64,550 · median $28,662 | 17 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,406 – $44,978 · median $21,406 | 17 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $17,294 – $36,243 · median $17,294 | 17 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $31,456 – $69,785 · median $31,456 | 17 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,376 – $63,027 · median $21,376 | 17 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,719 – $34,254 · median $16,719 | 17 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,731 – $36,243 · median $12,731 | 17 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $35,400 – $76,979 · median $35,400 | 17 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,324 – $52,046 · median $25,324 | 17 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,625 – $40,870 · median $20,625 | 17 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $34,992 – $76,316 · median $34,992 | 17 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,828 – $47,722 · median $18,828 | 17 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,543 – $29,104 · median $13,543 | 17 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $29,590 – $54,732 · median $29,590 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,482 – $25,163 · median $20,699 | 17 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $36,211 – $103,298 · median $36,211 | 17 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,910 – $17,344 · median $9,910 | 16 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,950 – $167,726 · median $70,950 | 16 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $50,139 – $118,941 · median $50,139 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,543 – $118,941 · median $47,543 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,456 – $47,978 · median $22,456 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,317 – $26,432 · median $12,317 | 16 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $30,780 – $69,260 · median $30,780 | 16 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $38,495 – $84,805 · median $38,495 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $52,705 – $123,221 · median $52,705 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,593 – $118,584 · median $53,993 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,107 – $147,866 · median $62,107 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $40,450 – $102,295 · median $40,450 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $50,111 – $147,866 · median $50,111 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,485 – $102,295 · median $31,485 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $45,666 – $105,292 · median $45,666 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $28,962 – $62,803 · median $28,962 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,483 – $51,318 · median $24,483 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,517 – $42,604 · median $18,517 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $35,983 – $77,690 · median $35,983 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,570 – $42,745 · median $20,570 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $16,077 – $31,067 · median $16,077 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $28,289 – $63,182 · median $28,289 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,612 – $53,338 · median $21,612 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,102 – $39,597 · median $19,102 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,772 – $25,984 · median $13,831 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $251,473 – $610,604 · median $251,473 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $103,367 – $238,874 · median $103,367 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $191,150 – $464,573 · median $191,150 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $125,723 – $306,296 · median $125,723 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $94,305 – $230,847 · median $94,305 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,965 – $105,116 · median $43,965 | 15 plans |
| 007 | LUNG TRANSPLANT | $117,727 – $283,292 · median $117,727 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,551 – $117,947 · median $52,551 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $66,491 – $172,831 · median $66,491 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $51,215 – $116,967 · median $51,215 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $40,230 – $88,956 · median $40,230 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $28,392 – $57,444 · median $28,392 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $109,455 – $284,008 · median $109,455 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,435 – $130,840 · median $55,435 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $51,022 – $130,840 · median $51,022 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $385,976 – $817,500 · median $385,976 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,126 – $171,840 · median $66,126 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,641 – $174,740 · median $72,641 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,793 – $119,815 · median $49,793 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $31,015 – $76,528 · median $31,015 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $53,666 – $123,669 · median $53,666 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $37,532 – $82,409 · median $37,532 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $43,164 – $96,946 · median $43,164 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $30,410 – $66,301 · median $30,410 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,207 – $53,495 · median $25,207 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $56,133 – $131,785 · median $56,133 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $33,093 – $72,763 · median $33,093 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,300 – $48,240 · median $22,300 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $42,577 – $90,840 · median $42,577 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $21,730 – $46,293 · median $21,730 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $17,577 – $34,586 · median $17,577 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $37,166 – $84,295 · median $37,166 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $24,033 – $49,311 · median $24,033 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,060 – $39,736 · median $20,060 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $32,032 – $71,987 · median $32,032 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $17,219 – $34,928 · median $17,219 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $13,252 – $24,673 · median $13,252 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $37,082 – $81,768 · median $37,082 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,331 – $48,951 · median $22,331 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,152 – $38,100 · median $18,152 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,893 – $43,625 · median $18,893 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,510 – $19,973 · median $11,510 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $16,370 – $32,496 · median $16,370 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,869 – $23,650 · median $11,869 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,435 – $54,281 · median $23,435 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,318 – $28,926 · median $14,318 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,990 – $40,014 · median $17,990 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $13,832 – $26,524 · median $13,832 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $10,983 – $19,345 · median $10,983 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,285 – $58,602 · median $27,285 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,413 – $38,605 · median $18,413 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $15,278 – $30,452 · median $15,278 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,665 – $43,120 · median $20,665 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $11,786 – $22,043 · median $11,786 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,895 – $14,920 · median $8,895 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,854 – $31,538 · median $15,854 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,492 – $19,108 · median $10,492 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $17,594 – $37,692 · median $17,594 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,926 – $22,845 · median $11,926 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,532 – $16,262 · median $9,532 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $17,057 – $33,504 · median $17,057 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,968 – $22,596 · median $11,968 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $19,836 – $37,336 · median $19,836 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,144 – $19,876 · median $10,144 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,882 – $43,090 · median $18,882 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,769 – $19,613 · median $10,769 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,102 – $50,295 · median $23,102 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $15,207 – $30,140 · median $15,207 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,303 – $20,725 · median $11,303 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,980 – $49,120 · median $22,980 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $14,381 – $28,432 · median $14,381 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $10,938 – $19,162 · median $10,938 | 15 plans |
| 088 | CONCUSSION WITH MCC | $14,816 – $30,580 · median $14,816 | 15 plans |
| 089 | CONCUSSION WITH CC | $12,570 – $23,240 · median $12,570 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,126 – $18,584 · median $10,126 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,405 – $39,515 · median $18,405 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,899 – $22,949 · median $11,899 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,888 – $17,110 · median $9,888 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $34,049 – $79,093 · median $34,049 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,707 – $51,964 · median $25,707 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,707 – $51,964 · median $25,707 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,869 – $77,703 · median $34,869 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,184 – $47,024 · median $23,184 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,910 – $30,203 · median $14,910 | 15 plans |
| 100 | SEIZURES WITH MCC | $20,007 – $43,035 · median $20,007 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $10,831 – $19,980 · median $10,831 | 15 plans |
| 102 | HEADACHES WITH MCC | $12,768 – $25,134 · median $12,768 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $10,242 – $18,430 · median $10,242 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,683 – $48,916 · median $23,683 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $14,827 – $25,624 · median $14,827 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,441 – $33,187 · median $16,441 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,865 – $36,170 · median $18,865 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $12,448 – $23,381 · median $12,448 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $13,144 – $25,215 · median $13,144 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,794 – $14,704 · median $9,794 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,908 – $17,411 · median $9,908 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $14,562 – $28,265 · median $14,562 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,635 – $17,899 · median $9,635 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,076 – $52,265 · median $22,076 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $11,831 – $21,204 · median $11,831 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $16,071 – $30,317 · median $16,071 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,685 – $17,634 · median $10,685 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,786 – $29,763 · median $13,786 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $40,667 – $91,676 · median $40,667 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,175 – $46,573 · median $22,175 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,987 – $34,085 · median $16,987 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $36,065 – $71,575 · median $36,065 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,198 – $38,080 · median $18,198 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $13,490 – $25,683 · median $13,490 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,609 – $49,729 · median $21,609 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $14,104 – $26,984 · median $14,104 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,895 – $17,357 · median $9,895 | 15 plans |
| 149 | DYSEQUILIBRIUM | $9,491 – $16,204 · median $9,491 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $14,636 – $29,962 · median $14,636 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,335 – $16,431 · median $9,335 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $13,312 – $24,599 · median $13,312 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,372 – $15,428 · median $9,372 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,695 – $35,253 · median $16,695 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $10,954 – $20,238 · median $10,954 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,954 – $14,576 · median $8,954 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $18,055 – $35,496 · median $18,055 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,895 – $20,389 · median $10,895 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $9,109 – $14,298 · median $9,109 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $42,588 – $99,914 · median $42,588 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,217 – $54,561 · median $25,217 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,806 – $40,406 · median $19,806 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $35,986 – $83,463 · median $35,986 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,823 – $39,608 · median $18,823 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,946 – $29,348 · median $14,946 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,231 – $66,518 · median $29,231 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $15,010 – $30,545 · median $15,010 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,965 – $17,656 · median $9,965 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,688 – $35,041 · median $16,688 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,482 – $21,506 · median $11,482 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,521 – $16,685 · median $9,521 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,492 – $37,887 · median $18,492 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,325 – $24,068 · median $12,325 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,510 – $18,154 · median $9,510 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,397 – $34,408 · median $16,397 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,264 – $23,153 · median $12,264 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,801 – $16,858 · median $9,801 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,650 – $34,250 · median $16,650 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,598 – $21,764 · median $11,598 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,186 – $15,915 · median $9,186 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,784 – $26,823 · median $13,784 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $12,651 – $24,343 · median $12,651 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,302 – $18,623 · median $10,302 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,518 – $14,029 · median $8,518 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $14,485 – $28,564 · median $14,485 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,973 – $17,775 · median $9,973 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,399 – $13,498 · median $8,399 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,567 – $40,842 · median $19,567 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,243 – $21,460 · median $11,243 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $9,177 – $15,183 · median $9,177 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,475 – $38,266 · median $18,475 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $12,576 – $24,007 · median $12,576 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,167 – $14,678 · median $9,167 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,439 – $20,955 · median $11,439 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,767 – $15,100 · median $8,767 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,986 – $17,580 · median $9,986 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,068 – $40,922 · median $19,068 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,172 – $19,635 · median $11,172 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $59,916 – $140,189 · median $59,916 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,211 – $58,177 · median $27,211 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $99,306 – $236,147 · median $99,306 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $91,169 – $229,663 · median $91,169 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $89,623 – $209,207 · median $89,623 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,164 – $139,988 · median $61,164 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,164 – $128,963 · median $61,164 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $46,720 – $108,023 · median $46,720 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $30,767 – $67,335 · median $30,767 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $77,619 – $183,689 · median $77,619 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $56,615 – $132,418 · median $56,615 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,657 – $169,436 · median $70,657 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $51,292 – $115,326 · median $51,292 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,893 – $127,552 · median $54,893 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,989 – $89,138 · median $39,989 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $46,492 – $109,185 · median $46,492 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,114 – $63,128 · median $28,114 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,106 – $32,730 · median $15,106 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $33,773 – $74,361 · median $33,773 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $25,852 – $55,341 · median $25,852 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,631 – $37,922 · median $18,631 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,756 – $56,718 · median $26,756 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,887 – $36,714 · median $17,887 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $12,513 – $19,334 · median $12,513 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $29,950 – $58,140 · median $29,950 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $32,463 – $75,763 · median $32,463 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $34,926 – $77,326 · median $34,926 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $57,198 – $129,863 · median $57,198 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $45,064 – $101,984 · median $45,064 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $63,849 – $144,534 · median $63,849 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $40,294 – $90,191 · median $40,294 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $49,638 – $111,268 · median $49,638 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $34,377 – $74,664 · median $34,377 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,474 – $54,240 · median $25,474 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $39,427 – $84,764 · median $39,427 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $32,029 – $67,654 · median $32,029 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,055 – $35,581 · median $17,055 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,977 – $19,982 · median $10,977 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,238 – $15,718 · median $9,238 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,397 – $42,387 · median $20,397 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,964 – $16,063 · median $8,964 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $8,136 – $12,169 · median $8,136 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $26,834 – $59,211 · median $26,834 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,967 – $34,178 · median $17,967 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,071 – $21,222 · median $11,071 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $14,213 – $28,284 · median $14,213 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,355 – $18,668 · median $10,355 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,844 – $11,894 · median $7,844 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,681 – $35,516 · median $16,681 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $8,447 – $15,269 · median $8,447 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $6,860 – $9,575 · median $6,860 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,309 – $35,065 · median $17,309 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,294 – $23,207 · median $12,294 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $9,208 – $15,464 · median $9,208 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $13,439 – $25,217 · median $13,439 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,795 – $14,576 · median $8,795 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $13,381 – $25,466 · median $13,381 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,522 – $16,273 · median $9,522 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,804 – $32,459 · median $16,804 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $10,925 – $20,082 · median $10,925 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $13,505 – $26,140 · median $13,505 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,350 – $16,026 · median $9,350 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,845 – $12,128 · median $7,845 | 15 plans |
| 311 | ANGINA PECTORIS | $9,050 – $15,137 · median $9,050 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,556 – $18,887 · median $10,556 | 15 plans |
| 313 | CHEST PAIN | $9,211 – $15,464 · median $9,211 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,324 – $46,681 · median $21,324 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,369 – $20,860 · median $11,369 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,874 – $14,799 · median $8,874 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,150 – $134,103 · median $62,150 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $42,421 – $95,223 · median $42,421 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,164 – $50,178 · median $24,164 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $41,218 – $92,331 · median $41,218 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $31,307 – $62,042 · median $31,307 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $47,074 – $110,097 · median $47,074 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $24,509 – $52,634 · median $24,509 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $17,039 – $34,542 · median $17,039 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,606 – $99,539 · median $43,606 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,092 – $51,238 · median $24,092 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,754 – $35,789 · median $17,754 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $34,948 – $75,191 · median $34,948 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $23,604 – $46,070 · median $23,604 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,355 – $35,953 · median $17,355 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,506 – $78,544 · median $34,506 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,532 – $45,788 · median $21,532 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,442 – $33,276 · median $16,442 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,739 – $58,409 · median $25,739 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $16,173 – $32,271 · median $16,173 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,347 – $26,994 · median $13,347 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,191 – $51,305 · median $23,191 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $14,435 – $27,289 · median $14,435 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,547 – $19,095 · median $10,547 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,932 – $52,430 · median $24,932 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $16,349 – $32,613 · median $16,349 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $13,184 – $23,901 · median $13,184 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $28,571 – $63,579 · median $28,571 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,750 – $36,875 · median $17,750 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,756 – $28,900 · median $14,756 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $41,799 – $92,468 · median $41,799 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,456 – $48,817 · median $23,456 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,225 – $29,375 · median $15,225 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,947 – $36,201 · median $16,947 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $11,697 – $22,059 · median $11,697 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $9,040 – $15,131 · median $9,040 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,555 – $37,891 · median $18,555 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,881 – $22,312 · median $11,881 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,276 – $15,725 · median $9,276 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,798 – $45,769 · median $21,798 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $13,555 – $26,635 · median $13,555 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,023 – $19,141 · median $11,023 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,042 – $39,413 · median $19,042 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,524 – $21,371 · median $11,524 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $8,416 – $13,802 · median $8,416 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,232 – $41,713 · median $20,232 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $12,436 – $23,608 · median $12,436 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,926 – $16,243 · median $9,926 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $15,073 – $27,404 · median $15,073 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,407 – $18,850 · median $10,407 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,862 – $35,221 · median $16,862 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,485 – $21,514 · median $11,485 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,867 – $14,530 · median $8,867 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,925 – $31,863 · median $15,925 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,830 – $17,376 · median $9,830 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,649 – $11,862 · median $7,649 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $14,076 – $27,844 · median $14,076 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,739 – $16,915 · median $9,739 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,012 – $35,897 · median $17,012 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,124 – $20,405 · median $11,124 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,581 – $13,795 · median $8,581 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $24,072 – $53,711 · median $24,072 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $16,252 – $32,802 · median $16,252 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $12,979 – $24,361 · median $12,979 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $51,361 – $117,678 · median $51,361 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $28,555 – $60,878 · median $28,555 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,516 – $46,298 · median $22,516 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $34,459 – $75,898 · median $34,459 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,141 – $45,446 · median $22,141 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,910 – $33,623 · median $16,910 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $32,132 – $59,317 · median $32,132 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,477 – $46,207 · median $21,477 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,555 – $36,038 · median $17,555 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $34,432 – $75,952 · median $34,432 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $21,160 – $42,879 · median $21,160 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,918 – $29,702 · median $14,918 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $23,996 – $51,515 · median $23,996 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,831 – $35,949 · median $17,831 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $14,941 – $28,562 · median $14,941 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $33,053 – $76,509 · median $33,053 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $18,239 – $35,498 · median $18,239 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,240 – $31,852 · median $15,240 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $39,671 – $88,169 · median $39,671 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $22,235 – $49,495 · median $22,235 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,134 – $33,508 · median $16,134 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $100,611 – $227,075 · median $100,611 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $66,872 – $153,965 · median $66,872 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $82,763 – $180,799 · median $82,763 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,286 – $42,467 · median $20,286 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,194 – $23,190 · median $12,194 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,144 – $15,098 · median $9,144 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,119 – $39,552 · median $19,119 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $12,858 – $24,445 · median $12,858 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,393 – $17,021 · median $10,393 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,287 – $36,064 · median $17,287 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,286 – $18,647 · median $10,286 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,336 – $13,334 · median $8,336 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,746 – $40,978 · median $18,746 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,387 – $20,944 · median $11,387 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,030 – $15,232 · median $9,030 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,648 – $36,513 · median $17,648 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $12,533 – $23,509 · median $12,533 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,163 – $17,283 · median $10,163 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $77,384 – $183,587 · median $77,384 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $55,732 – $124,413 · median $55,732 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $39,845 – $93,601 · median $39,845 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $53,393 – $117,077 · median $53,393 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,458 – $63,917 · median $30,458 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $19,003 – $37,633 · median $19,003 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,912 – $97,215 · median $40,912 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,014 – $46,764 · median $23,014 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,294 – $25,213 · median $13,294 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $33,474 – $74,547 · median $33,474 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,642 – $50,694 · median $24,642 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $19,316 – $38,494 · median $19,316 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,903 – $68,688 · median $30,903 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,333 – $38,687 · median $18,333 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,764 – $30,287 · median $14,764 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,587 – $57,370 · median $27,587 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $19,407 – $38,043 · median $19,407 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,729 – $38,043 · median $18,729 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,793 – $32,496 · median $14,793 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,850 – $42,014 · median $18,850 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $16,259 – $27,976 · median $16,259 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,622 – $61,955 · median $29,622 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $21,272 – $42,513 · median $21,272 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $17,510 – $34,852 · median $17,510 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $16,791 – $32,637 · median $16,791 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $11,893 – $22,102 · median $11,893 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,099 – $67,034 · median $31,099 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,261 – $43,608 · median $21,261 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $16,457 – $32,357 · median $16,457 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,732 – $33,055 · median $16,732 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,975 – $17,645 · median $9,975 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,197 – $28,828 · median $14,197 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,988 – $17,578 · median $9,988 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,289 – $19,921 · median $11,289 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $9,213 – $14,556 · median $9,213 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,299 – $43,840 · median $20,299 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $14,324 – $28,052 · median $14,324 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,809 – $18,965 · median $9,809 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $18,496 – $40,430 · median $18,496 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,943 – $22,997 · median $11,943 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,518 – $16,381 · median $9,518 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,842 – $54,776 · median $24,842 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $13,056 – $25,095 · median $13,056 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,242 – $16,175 · median $10,242 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,955 – $43,670 · median $19,955 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,533 – $26,123 · median $13,533 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,578 – $18,688 · median $10,578 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,694 – $36,990 · median $17,694 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,352 – $20,892 · median $11,352 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $14,324 – $28,310 · median $14,324 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,187 – $18,092 · median $10,187 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,550 – $29,190 · median $14,550 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,192 – $17,699 · median $10,192 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,015 – $33,593 · median $16,015 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,747 – $18,725 · median $10,747 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,369 – $40,239 · median $19,369 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,814 – $24,684 · median $12,814 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,955 – $17,723 · median $9,955 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,464 – $31,724 · median $15,464 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,768 – $19,375 · median $10,768 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,518 – $34,016 · median $16,518 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,468 – $22,104 · median $11,468 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,471 – $16,217 · median $9,471 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,918 – $65,252 · median $28,918 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,813 – $36,294 · median $17,813 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,993 – $24,764 · median $12,993 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $60,952 – $133,491 · median $60,952 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $33,623 – $75,109 · median $33,623 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,767 – $43,282 · median $18,767 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,310 – $116,954 · median $46,310 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,341 – $57,722 · median $26,341 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,075 – $36,643 · median $17,075 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $31,557 – $70,654 · median $31,557 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,154 – $38,433 · median $18,154 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,626 – $31,198 · median $15,626 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,916 – $37,961 · median $19,916 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $18,122 – $35,609 · median $18,122 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,816 – $44,381 · median $21,816 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,939 – $43,031 · median $19,939 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $19,994 – $44,574 · median $19,994 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $13,348 – $26,504 · median $13,348 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,513 – $18,397 · median $10,513 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,639 – $45,849 · median $21,639 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,427 – $23,435 · median $12,427 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $17,614 – $38,080 · median $17,614 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,860 – $23,387 · median $12,860 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,649 – $18,532 · median $9,649 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,064 – $20,736 · median $12,064 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,190 – $12,995 · median $8,190 | 15 plans |
| 602 | CELLULITIS WITH MCC | $15,433 – $31,848 · median $15,433 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,549 – $19,093 · median $10,549 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,884 – $32,206 · median $15,884 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,950 – $20,023 · median $10,950 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,248 – $34,906 · median $16,248 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,864 – $18,733 · median $10,864 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $22,270 – $49,402 · median $22,270 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,238 – $31,063 · median $15,238 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,765 – $83,782 · median $33,765 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,417 – $41,871 · median $19,417 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,406 – $26,990 · median $15,406 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $34,402 – $81,115 · median $34,402 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,739 – $41,464 · median $18,739 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,930 – $21,744 · median $13,930 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $29,619 – $62,150 · median $29,619 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,126 – $32,717 · median $16,126 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $14,608 – $27,463 · median $14,608 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $35,889 – $85,531 · median $35,889 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $22,154 – $48,754 · median $22,154 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,772 – $30,376 · median $15,772 | 15 plans |
| 637 | DIABETES WITH MCC | $15,570 – $31,568 · median $15,570 | 15 plans |
| 638 | DIABETES WITH CC | $10,774 – $19,882 · median $10,774 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $8,334 – $13,583 · median $8,334 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $14,673 – $28,787 · median $14,673 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,727 – $16,938 · median $9,727 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $15,440 – $26,903 · median $15,440 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,428 – $35,925 · median $17,428 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $11,917 – $22,401 · median $11,917 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,639 – $16,880 · median $9,639 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $44,537 – $99,872 · median $44,537 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,703 – $75,273 · median $35,703 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $31,477 – $66,579 · median $31,477 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $48,929 – $120,841 · median $48,929 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $27,660 – $61,175 · median $27,660 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,602 – $45,030 · median $21,602 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $31,071 – $70,624 · median $31,071 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,059 – $39,628 · median $19,059 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $16,591 – $32,602 · median $16,591 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $25,367 – $56,020 · median $25,367 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,549 – $29,047 · median $14,549 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,009 – $22,254 · median $12,009 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $29,986 – $67,624 · median $29,986 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,311 – $33,109 · median $16,311 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,111 – $23,407 · median $12,111 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $30,516 – $74,430 · median $30,516 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $18,343 – $35,709 · median $18,343 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $12,637 – $22,280 · median $12,637 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $28,731 – $63,217 · median $28,731 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,593 – $33,545 · median $16,593 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,494 – $20,717 · median $11,494 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,749 – $37,365 · median $18,749 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $12,400 – $23,723 · median $12,400 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $40,102 – $90,818 · median $40,102 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,572 – $50,039 · median $23,572 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $17,386 – $33,931 · median $17,386 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $15,963 – $32,557 · median $15,963 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $10,593 – $19,269 · median $10,593 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $8,148 – $13,167 · median $8,148 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,826 – $40,876 · median $18,826 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,119 – $22,819 · median $12,119 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,834 – $15,698 · median $9,834 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $13,117 – $25,369 · median $13,117 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,005 – $17,398 · median $10,005 | 15 plans |
| 693 | URINARY STONES WITH MCC | $14,752 – $31,874 · median $14,752 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,758 – $16,938 · median $9,758 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $12,971 – $24,447 · median $12,971 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,935 – $14,996 · median $8,935 | 15 plans |
| 697 | URETHRAL STRICTURE | $12,385 – $21,716 · median $12,385 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,501 – $36,437 · median $17,501 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $11,828 – $22,108 · median $11,828 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,943 – $15,048 · median $8,943 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,570 – $42,066 · median $20,570 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $16,435 – $32,136 · median $16,435 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,470 – $48,710 · median $23,470 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,255 – $32,546 · median $15,255 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $21,311 – $41,416 · median $21,311 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $12,580 – $23,186 · median $12,580 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $16,162 – $31,345 · median $16,162 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,204 – $20,370 · median $12,204 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,673 – $48,953 · median $22,673 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $15,874 – $30,766 · median $15,874 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,596 – $40,222 · median $19,596 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,739 – $26,704 · median $14,739 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,879 – $37,477 · median $18,879 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $12,961 – $24,341 · median $12,961 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,640 – $15,794 · median $8,640 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,205 – $27,369 · median $13,205 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,228 – $16,136 · median $9,228 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,980 – $31,852 · median $15,980 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,020 – $17,712 · median $10,020 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,216 – $23,864 · median $12,216 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,785 – $13,156 · median $8,785 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,721 – $45,582 · median $21,721 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $14,760 – $26,314 · median $14,760 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $34,538 – $85,355 · median $34,538 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $21,105 – $43,319 · median $21,105 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,852 – $32,882 · median $15,852 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $34,612 – $86,294 · median $34,612 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,878 – $39,415 · median $18,878 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,476 – $29,776 · median $15,476 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $21,003 – $42,357 · median $21,003 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $12,915 – $22,215 · median $12,915 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $18,235 – $36,300 · median $18,235 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,450 – $20,706 · median $10,450 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $15,131 – $29,531 · median $15,131 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $25,604 – $56,113 · median $25,604 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $15,917 – $27,952 · median $15,917 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,163 – $39,220 · median $19,163 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,474 – $24,064 · median $12,474 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,344 – $20,702 · median $11,344 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,527 – $30,679 · median $15,527 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,509 – $22,095 · median $11,509 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,710 – $13,873 · median $8,710 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,761 – $21,365 · median $11,761 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,884 – $13,741 · median $7,884 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,815 – $30,120 · median $17,815 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,719 – $23,324 · median $11,719 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,631 – $15,467 · median $8,631 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $10,287 – $20,264 · median $10,287 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $43,006 – $103,070 · median $43,006 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,749 – $63,162 · median $27,749 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $19,759 – $35,587 · median $19,759 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $38,172 – $77,708 · median $38,172 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,316 – $38,585 · median $19,316 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $14,854 – $23,966 · median $14,854 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,412 – $49,647 · median $22,412 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,054 – $26,847 · median $14,054 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,108 – $20,632 · median $12,108 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $15,282 – $30,497 · median $15,282 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $10,969 – $20,006 · median $10,969 | 15 plans |
| 813 | COAGULATION DISORDERS | $16,356 – $33,556 · median $16,356 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,692 – $45,316 · median $21,692 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,819 – $22,026 · median $11,819 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,430 – $14,294 · median $8,430 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $23,066 – $54,953 · median $23,066 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,107 – $27,920 · median $13,107 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,452 – $17,699 · median $10,452 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,859 – $126,210 · median $54,859 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $22,685 – $48,392 · median $22,685 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,505 – $24,792 · median $13,505 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $43,502 – $101,438 · median $43,502 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,924 – $47,676 · median $22,924 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $14,795 – $26,680 · median $14,795 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $44,327 – $103,519 · median $44,327 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,329 – $51,156 · median $23,329 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,940 – $34,746 · median $17,940 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $30,860 – $66,848 · median $30,860 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,176 – $31,703 · median $16,176 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $13,492 – $24,950 · median $13,492 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,225 – $16,201 · median $9,225 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $7,462 – $11,268 · median $7,462 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,533 – $119,815 · median $51,533 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $21,329 – $46,300 · median $21,329 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,643 – $27,545 · median $13,643 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $45,450 – $108,541 · median $45,450 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,343 – $43,965 · median $21,343 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $15,634 – $29,706 · median $15,634 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $31,525 – $69,128 · median $31,525 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $17,297 – $33,990 · median $17,297 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,787 – $22,802 · median $11,787 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,522 – $41,041 · median $20,522 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,624 – $25,908 · median $13,624 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,378 – $18,139 · median $10,378 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $25,825 – $55,359 · median $25,825 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $14,430 – $27,545 · median $14,430 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,359 – $17,751 · median $10,359 | 15 plans |
| 849 | RADIOTHERAPY | $26,863 – $57,901 · median $26,863 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $79,656 – $199,686 · median $79,656 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $46,641 – $108,413 · median $46,641 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,551 – $43,313 · median $20,551 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,107 – $35,238 · median $16,107 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $43,182 – $97,798 · median $43,182 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,823 – $47,232 · median $21,823 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,181 – $27,929 · median $15,181 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,003 – $39,858 · median $19,003 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $11,676 – $21,675 · median $11,676 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,699 – $19,466 · median $10,699 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $16,116 – $31,993 · median $16,116 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,538 – $19,180 · median $10,538 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $21,395 – $46,482 · median $21,395 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,971 – $22,763 · median $11,971 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,297 – $15,599 · median $9,297 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,149 – $150,796 · median $64,149 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,058 – $42,532 · median $20,058 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $11,902 – $22,349 · median $11,902 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,115 – $85,182 · median $37,115 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,342 – $20,780 · median $11,342 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $11,171 – $19,815 · median $11,171 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $12,350 – $20,853 · median $12,350 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,269 – $40,187 · median $20,269 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,098 – $36,205 · median $17,098 | 15 plans |
| 885 | PSYCHOSES | $15,216 – $30,556 · median $15,216 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $21,236 – $38,943 · median $21,236 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,324 – $25,783 · median $12,324 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $8,296 – $13,529 · median $8,296 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,382 – $31,386 · median $15,382 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,306 – $38,602 · median $18,306 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,655 – $19,123 · median $10,655 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $40,058 – $96,040 · median $40,058 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,809 – $41,134 · median $19,809 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $13,200 – $26,426 · median $13,200 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $35,413 – $83,697 · median $35,413 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,984 – $35,728 · median $15,984 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,251 – $47,310 · median $20,251 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $36,888 – $86,355 · median $36,888 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,525 – $43,725 · median $20,525 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $14,469 – $27,493 · median $14,469 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,326 – $35,080 · median $17,326 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,679 – $19,865 · median $10,679 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,743 – $37,672 · median $17,743 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,734 – $14,396 · median $8,734 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,738 – $35,544 · median $16,738 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,427 – $19,175 · median $10,427 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,066 – $39,530 · median $19,066 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,715 – $22,022 · median $11,715 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,930 – $14,907 · median $8,930 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $18,344 – $36,621 · median $18,344 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $11,852 – $22,108 · median $11,852 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $192,261 – $514,239 · median $192,261 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,464 – $144,779 · median $66,464 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $31,400 – $68,942 · median $31,400 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $37,375 – $93,794 · median $37,375 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,436 – $46,515 · median $22,436 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $21,100 – $47,611 · median $21,100 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $35,017 – $68,803 · median $35,017 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,557 – $45,769 · median $23,557 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,814 – $42,363 · median $20,814 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,563 – $33,090 · median $16,563 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $12,997 – $24,202 · median $12,997 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $14,085 – $27,881 · median $14,085 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,925 – $17,222 · median $9,925 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $13,378 – $23,389 · median $13,378 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $8,392 – $12,705 · median $8,392 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,755 – $12,291 · median $7,755 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $62,546 – $148,017 · median $62,546 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $70,432 – $161,801 · median $70,432 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $40,211 – $89,088 · median $40,211 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,945 – $57,312 · median $28,945 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,079 – $58,890 · median $27,079 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,421 – $32,518 · median $16,421 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,167 – $19,782 · median $11,167 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $57,135 – $137,092 · median $57,135 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $26,223 – $57,516 · median $26,223 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $28,429 – $64,732 · median $28,429 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,312 – $30,812 · median $14,312 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,832 – $21,742 · median $10,832 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,336 – $31,256 · median $14,336 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,452 – $103,050 · median $44,452 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,636 – $53,072 · median $24,636 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $18,030 – $36,162 · median $18,030 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,242 – $75,928 · median $33,242 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,405 – $37,198 · median $17,405 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,462 – $25,048 · median $13,462 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,813 – $39,075 · median $18,813 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,558 – $128,865 · median $55,558 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $38,837 – $88,006 · median $38,837 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $24,553 – $53,102 · median $24,553 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $39,818 – $90,404 · median $39,818 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,918 – $32,000 · median $15,918 | 14 plans |
| 795 | NORMAL NEWBORN | $3,360 – $4,595 · median $4,595 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $103,252 – $103,252 · median $103,252 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,458 – $53,458 · median $53,458 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $24,314 – $24,314 · median $24,314 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $33,332 – $33,332 · median $33,332 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $24,244 – $24,244 · median $24,244 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $26,004 – $33,519 · median $28,894 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $16,781 – $21,631 · median $18,646 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $11,213 – $14,452 · median $12,459 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $20,651 – $26,619 · median $22,946 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $13,283 – $17,120 · median $14,759 | 3 plans |
| 509 | ARTHROSCOPY | $29,541 – $38,080 · median $32,824 | 3 plans |
| 237 | MAJOR CARDIOVASC PROCEDURES W MCC | $95,813 – $95,813 · median $95,813 | 1 plans |
| 238 | MAJOR CARDIOVASC PROCEDURES W/O MCC | $69,383 – $69,383 · median $69,383 | 1 plans |
No procedures match that keyword.