Community 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 | $215,969 – $237,566 · median $215,969 | 7 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $88,054 – $96,860 · median $88,054 | 7 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $163,869 – $180,256 · median $163,869 | 7 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $107,362 – $118,099 · median $107,362 | 7 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $80,228 – $88,251 · median $80,228 | 7 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,751 – $40,426 · median $36,751 | 7 plans |
| 007 | LUNG TRANSPLANT | $100,456 – $110,502 · median $100,456 | 7 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $44,166 – $48,582 · median $44,166 | 7 plans |
| 010 | PANCREAS TRANSPLANT | $56,205 – $61,826 · median $56,205 | 7 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $43,012 – $47,314 · median $43,012 | 7 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $33,525 – $36,877 · median $33,525 | 7 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,300 – $25,630 · median $23,300 | 7 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $93,312 – $102,643 · median $93,312 | 7 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $46,657 – $51,323 · median $46,657 | 7 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $42,845 – $47,130 · median $42,845 | 7 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $332,134 – $365,347 · median $332,134 | 7 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $55,890 – $61,479 · median $55,890 | 7 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $61,517 – $67,668 · median $61,517 | 7 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $41,784 – $45,962 · median $41,784 | 7 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,566 – $28,122 · median $25,566 | 7 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,129 – $49,642 · median $45,129 | 7 plans |
| 024 | CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY | $31,194 – $34,314 · median $31,194 | 7 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $36,059 – $39,665 · median $36,059 | 7 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $25,043 – $27,547 · median $25,043 | 7 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $20,550 – $22,605 · median $20,550 | 7 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $47,259 – $51,985 · median $47,259 | 7 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $27,360 – $30,096 · median $27,360 | 7 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,039 – $19,843 · median $18,039 | 7 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $35,551 – $39,107 · median $35,551 | 7 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,547 – $19,301 · median $17,547 | 7 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,960 – $15,356 · median $13,960 | 7 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $30,878 – $33,966 · median $30,878 | 7 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $19,535 – $21,489 · median $19,535 | 7 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $16,105 – $17,715 · median $16,105 | 7 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,444 – $29,089 · median $26,444 | 7 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,651 – $15,016 · median $13,651 | 7 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $10,225 – $11,247 · median $10,225 | 7 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,806 – $33,886 · median $30,806 | 7 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,066 – $19,872 · median $18,066 | 7 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,456 – $15,902 · median $14,456 | 7 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,097 – $16,607 · median $15,097 | 7 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,720 – $9,592 · median $8,720 | 7 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,917 – $14,209 · median $12,917 | 7 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $9,030 – $9,933 · median $9,030 | 7 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $19,019 – $20,921 · median $19,019 | 7 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,145 – $12,259 · median $11,145 | 7 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,317 – $15,748 · median $14,317 | 7 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,726 – $11,798 · median $10,726 | 7 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,265 – $9,092 · median $8,265 | 7 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,345 – $24,579 · median $22,345 | 7 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,682 – $16,151 · median $14,682 | 7 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,974 – $13,172 · median $11,974 | 7 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $16,627 – $18,290 · median $16,627 | 7 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $8,959 – $9,855 · median $8,959 | 7 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $6,461 – $7,107 · median $6,461 | 7 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $12,471 – $13,719 · median $12,471 | 7 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $7,841 – $8,625 · median $7,841 | 7 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,338 – $8,072 · median $7,338 | 7 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $13,974 – $15,372 · median $13,974 | 7 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $9,079 – $9,987 · median $9,079 | 7 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,011 – $7,713 · median $7,011 | 7 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $13,511 – $14,862 · median $13,511 | 7 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,116 – $10,027 · median $9,116 | 7 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,911 – $17,502 · median $15,911 | 7 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,540 – $8,294 · median $7,540 | 7 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,087 – $16,596 · median $15,087 | 7 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $8,080 – $8,888 · median $8,080 | 7 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,732 – $20,605 · median $18,732 | 7 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,913 – $13,104 · median $11,913 | 7 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,541 – $9,395 · median $8,541 | 7 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,627 – $20,489 · median $18,627 | 7 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,199 – $12,319 · median $11,199 | 7 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,226 – $9,049 · median $8,226 | 7 plans |
| 088 | CONCUSSION WITH MCC | $11,576 – $12,733 · median $11,576 | 7 plans |
| 089 | CONCUSSION WITH CC | $9,635 – $10,599 · median $9,635 | 7 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,525 – $8,277 · median $7,525 | 7 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,675 – $16,142 · median $14,675 | 7 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $9,056 – $9,962 · median $9,056 | 7 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,319 – $8,051 · median $7,319 | 7 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,186 – $31,005 · median $28,186 | 7 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $20,981 – $23,080 · median $20,981 | 7 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,981 – $23,080 · median $20,981 | 7 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,894 – $31,784 · median $28,894 | 7 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $18,803 – $20,683 · median $18,803 | 7 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,657 – $12,823 · median $11,657 | 7 plans |
| 100 | SEIZURES WITH MCC | $16,059 – $17,664 · median $16,059 | 7 plans |
| 101 | SEIZURES WITHOUT MCC | $8,133 – $8,947 · median $8,133 | 7 plans |
| 102 | HEADACHES WITH MCC | $9,806 – $10,787 · median $9,806 | 7 plans |
| 103 | HEADACHES WITHOUT MCC | $7,625 – $8,388 · median $7,625 | 7 plans |
| 113 | ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY | $19,233 – $21,157 · median $19,233 | 7 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,585 – $12,743 · median $11,585 | 7 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,979 – $14,277 · median $12,979 | 7 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,072 – $16,580 · median $15,072 | 7 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,530 – $10,483 · median $9,530 | 7 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY | $10,131 – $11,144 · median $10,131 | 7 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,238 – $7,962 · median $7,238 | 7 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,336 – $8,070 · median $7,336 | 7 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $11,356 – $12,491 · median $11,356 | 7 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,100 – $7,810 · median $7,100 | 7 plans |
| 135 | SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY | $17,846 – $19,630 · median $17,846 | 7 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,997 – $9,897 · median $8,997 | 7 plans |
| 137 | MOUTH PROCEDURES WITH COMPLICATION/COMORBITY | $12,659 – $13,925 · median $12,659 | 7 plans |
| 138 | MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,008 – $8,808 · median $8,008 | 7 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,686 – $11,755 · median $10,686 | 7 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,902 – $37,293 · median $33,902 | 7 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,931 – $19,724 · median $17,931 | 7 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,450 – $14,795 · median $13,450 | 7 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,927 – $32,920 · median $29,927 | 7 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,496 – $15,946 · median $14,496 | 7 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,430 – $11,473 · median $10,430 | 7 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $17,443 – $19,187 · median $17,443 | 7 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,960 – $12,056 · median $10,960 | 7 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,325 – $8,057 · median $7,325 | 7 plans |
| 149 | DYSEQUILIBRIUM | $6,976 – $7,674 · median $6,976 | 7 plans |
| 150 | EPISTAXIS WITH MCC | $11,420 – $12,562 · median $11,420 | 7 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,841 – $7,525 · median $6,841 | 7 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,276 – $11,304 · median $10,276 | 7 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,874 – $7,561 · median $6,874 | 7 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,198 – $14,518 · median $13,198 | 7 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,240 – $9,064 · median $8,240 | 7 plans |
| 156 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,513 – $7,164 · median $6,513 | 7 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $14,373 – $15,810 · median $14,373 | 7 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,189 – $9,007 · median $8,189 | 7 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,646 – $7,311 · median $6,646 | 7 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $35,561 – $39,118 · median $35,561 | 7 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $20,558 – $22,614 · median $20,558 | 7 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,885 – $17,474 · median $15,885 | 7 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $29,859 – $32,845 · median $29,859 | 7 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $15,036 – $16,540 · median $15,036 | 7 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,688 – $12,856 · median $11,688 | 7 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,025 – $26,428 · median $24,025 | 7 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $11,743 – $12,917 · median $11,743 | 7 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $7,385 – $8,124 · median $7,385 | 7 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $13,192 – $14,511 · median $13,192 | 7 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,696 – $9,565 · median $8,696 | 7 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,002 – $7,702 · median $7,002 | 7 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $14,750 – $16,225 · median $14,750 | 7 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,424 – $10,366 · median $9,424 | 7 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,993 – $7,692 · median $6,993 | 7 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $12,940 – $14,234 · median $12,940 | 7 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $9,371 – $10,308 · median $9,371 | 7 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $7,244 – $7,968 · median $7,244 | 7 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $13,160 – $14,476 · median $13,160 | 7 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,796 – $9,676 · median $8,796 | 7 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,713 – $7,384 · median $6,713 | 7 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $10,684 – $11,752 · median $10,684 | 7 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $9,705 – $10,676 · median $9,705 | 7 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,677 – $8,444 · median $7,677 | 7 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $6,136 – $6,750 · median $6,136 | 7 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $11,289 – $12,418 · median $11,289 | 7 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $7,392 – $8,132 · median $7,392 | 7 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,033 – $6,636 · median $6,033 | 7 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $15,678 – $17,246 · median $15,678 | 7 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $8,490 – $9,339 · median $8,490 | 7 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,705 – $7,375 · median $6,705 | 7 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $14,735 – $16,209 · median $14,735 | 7 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $9,641 – $10,605 · median $9,641 | 7 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $6,696 – $7,366 · median $6,696 | 7 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $8,659 – $9,525 · median $8,659 | 7 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $6,351 – $6,986 · median $6,351 | 7 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $7,404 – $8,144 · median $7,404 | 7 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $15,248 – $16,773 · median $15,248 | 7 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,428 – $9,271 · median $8,428 | 7 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $50,527 – $55,579 · median $50,527 | 7 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,280 – $24,508 · median $22,280 | 7 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $87,955 – $96,750 · median $87,955 | 7 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $84,547 – $93,001 · median $84,547 | 7 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $44,950 – $49,444 · median $44,950 | 7 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,519 – $85,271 · median $77,519 | 7 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,184 – $83,802 · median $76,184 | 7 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,604 – $56,765 · median $51,604 | 7 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $51,604 – $56,765 · median $51,604 | 7 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,057 – $66,062 · median $60,057 | 7 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $42,083 – $46,291 · median $42,083 | 7 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $39,841 – $43,825 · median $39,841 | 7 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,129 – $43,042 · median $39,129 | 7 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $25,352 – $27,887 · median $25,352 | 7 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $65,816 – $72,398 · median $65,816 | 7 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $47,675 – $52,443 · median $47,675 | 7 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $59,803 – $65,783 · median $59,803 | 7 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $43,078 – $47,386 · median $43,078 | 7 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,189 – $50,808 · median $46,189 | 7 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $33,316 – $36,648 · median $33,316 | 7 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $38,932 – $42,826 · median $38,932 | 7 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,060 – $25,366 · median $23,060 | 7 plans |
| 241 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITHOUT COMPLICATION/COMORBITY | $11,825 – $13,008 · median $11,825 | 7 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $25,684 – $28,252 · median $25,684 | 7 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $17,546 – $19,301 · median $17,546 | 7 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,068 – $16,575 · median $15,068 | 7 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,179 – $39,797 · median $36,179 | 7 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,941 – $19,736 · median $17,941 | 7 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,669 – $13,936 · median $12,669 | 7 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $27,948 – $30,743 · median $27,948 | 7 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,107 – $23,218 · median $21,107 | 7 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,870 – $16,357 · median $14,870 | 7 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,887 – $24,076 · median $21,887 | 7 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $14,228 – $15,651 · median $14,228 | 7 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,586 – $10,545 · median $9,586 | 7 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $25,295 – $27,825 · median $25,295 | 7 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,712 – $18,383 · median $16,712 | 7 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,143 – $28,758 · median $26,143 | 7 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,704 – $17,274 · median $15,704 | 7 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,707 – $15,077 · median $13,707 | 7 plans |
| 263 | VEIN LIGATION & STRIPPING | $24,646 – $27,111 · median $24,646 | 7 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $26,816 – $29,498 · median $26,816 | 7 plans |
| 265 | AICD LEAD PROCEDURES | $28,943 – $31,838 · median $28,943 | 7 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $48,180 – $52,998 · median $48,180 | 7 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,699 – $41,469 · median $37,699 | 7 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $53,923 – $59,315 · median $53,923 | 7 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $33,580 – $36,938 · median $33,580 | 7 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $41,650 – $45,815 · median $41,650 | 7 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $28,469 – $31,316 · median $28,469 | 7 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $20,781 – $22,859 · median $20,781 | 7 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $32,831 – $36,114 · median $32,831 | 7 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $26,441 – $29,086 · median $26,441 | 7 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $55,858 – $61,444 · median $55,858 | 7 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $47,246 – $51,971 · median $47,246 | 7 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $36,609 – $40,270 · median $36,609 | 7 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $43,871 – $48,258 · median $43,871 | 7 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $28,853 – $31,738 · median $28,853 | 7 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $13,509 – $14,860 · median $13,509 | 7 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $8,260 – $9,086 · median $8,260 | 7 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $6,758 – $7,434 · median $6,758 | 7 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,396 – $18,035 · median $16,396 | 7 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,521 – $7,173 · median $6,521 | 7 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,806 – $6,387 · median $5,806 | 7 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $18,174 – $19,991 · median $18,174 | 7 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,417 – $10,359 · median $9,417 | 7 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,955 – $24,150 · median $21,955 | 7 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,297 – $15,727 · median $14,297 | 7 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,341 – $9,175 · median $8,341 | 7 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $11,055 – $12,160 · median $11,055 | 7 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,723 – $8,495 · median $7,723 | 7 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,554 – $6,109 · median $5,554 | 7 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $13,186 – $14,504 · median $13,186 | 7 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,075 – $6,683 · median $6,075 | 7 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,704 – $5,174 · median $4,704 | 7 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,728 – $15,101 · median $13,728 | 7 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,397 – $10,337 · median $9,397 | 7 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,732 – $7,405 · median $6,732 | 7 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $10,386 – $11,425 · median $10,386 | 7 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,375 – $7,013 · median $6,375 | 7 plans |
| 304 | HYPERTENSION WITH COMORBITY | $10,336 – $11,369 · median $10,336 | 7 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,003 – $7,703 · median $7,003 | 7 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $13,292 – $14,621 · median $13,292 | 7 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,215 – $9,036 · median $8,215 | 7 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $10,443 – $11,487 · median $10,443 | 7 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $6,854 – $7,540 · median $6,854 | 7 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,555 – $6,110 · median $5,555 | 7 plans |
| 311 | ANGINA PECTORIS | $6,595 – $7,255 · median $6,595 | 7 plans |
| 312 | SYNCOPE & COLLAPSE | $7,896 – $8,685 · median $7,896 | 7 plans |
| 313 | CHEST PAIN | $6,734 – $7,407 · median $6,734 | 7 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $17,196 – $18,915 · median $17,196 | 7 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $8,598 – $9,458 · median $8,598 | 7 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,444 – $7,088 · median $6,444 | 7 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $52,456 – $57,702 · median $52,456 | 7 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $19,778 – $21,756 · median $19,778 | 7 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,417 – $38,958 · median $35,417 | 7 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,649 – $21,614 · median $19,649 | 7 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $22,067 – $24,273 · median $22,067 | 7 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $14,727 – $16,199 · median $14,727 | 7 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $34,378 – $37,816 · median $34,378 | 7 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,363 – $27,900 · median $25,363 | 7 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $25,818 – $28,400 · median $25,818 | 7 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $39,436 – $43,379 · median $39,436 | 7 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $19,947 – $21,942 · median $19,947 | 7 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $13,495 – $14,845 · median $13,495 | 7 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $36,440 – $40,084 · median $36,440 | 7 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $19,587 – $21,545 · median $19,587 | 7 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,113 – $15,524 · median $14,113 | 7 plans |
| 332 | RECTAL RESECTION WITH MCC | $28,963 – $31,859 · median $28,963 | 7 plans |
| 333 | RECTAL RESECTION WITH CC | $19,165 – $21,082 · median $19,165 | 7 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,768 – $15,145 · median $13,768 | 7 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $28,581 – $31,439 · median $28,581 | 7 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $17,376 – $19,113 · median $17,376 | 7 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $12,980 – $14,277 · median $12,980 | 7 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $21,009 – $23,110 · median $21,009 | 7 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,747 – $14,022 · median $12,747 | 7 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,307 – $11,337 · median $10,307 | 7 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,808 – $20,689 · median $18,808 | 7 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,246 – $12,371 · median $11,246 | 7 plans |
| 349 | ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,888 – $8,677 · median $7,888 | 7 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY | $20,312 – $22,344 · median $20,312 | 7 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,899 – $14,189 · median $12,899 | 7 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,166 – $11,182 · median $10,166 | 7 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $23,455 – $25,801 · median $23,455 | 7 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $14,109 – $15,520 · median $14,109 | 7 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $11,524 – $12,676 · median $11,524 | 7 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $34,879 – $38,367 · median $34,879 | 7 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $19,037 – $20,941 · median $19,037 | 7 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,929 – $13,122 · median $11,929 | 7 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $27,567 – $30,324 · median $27,567 | 7 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,718 – $21,690 · median $19,718 | 7 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,416 – $14,757 · median $13,416 | 7 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,881 – $9,769 · median $8,881 | 7 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,587 – $7,246 · median $6,587 | 7 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $14,804 – $16,285 · median $14,804 | 7 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $9,041 – $9,945 · median $9,041 | 7 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,791 – $7,470 · median $6,791 | 7 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $17,606 – $19,366 · median $17,606 | 7 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,486 – $11,535 · median $10,486 | 7 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,300 – $9,130 · median $8,300 | 7 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $15,225 – $16,747 · median $15,225 | 7 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $8,732 – $9,605 · median $8,732 | 7 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $6,047 – $6,652 · median $6,047 | 7 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $16,253 – $17,879 · median $16,253 | 7 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $9,520 – $10,472 · median $9,520 | 7 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $7,352 – $8,087 · median $7,352 | 7 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $11,797 – $12,977 · median $11,797 | 7 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,767 – $8,544 · median $7,767 | 7 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $13,342 – $14,676 · median $13,342 | 7 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,698 – $9,568 · median $8,698 | 7 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,437 – $7,081 · median $6,437 | 7 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $12,534 – $13,787 · median $12,534 | 7 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $7,269 – $7,996 · median $7,269 | 7 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $5,385 – $5,924 · median $5,385 | 7 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $10,936 – $12,029 · median $10,936 | 7 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $7,191 – $7,910 · median $7,191 | 7 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $13,472 – $14,819 · median $13,472 | 7 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $8,387 – $9,226 · median $8,387 | 7 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,190 – $6,809 · median $6,190 | 7 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,569 – $21,526 · median $19,569 | 7 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,816 – $14,097 · median $12,816 | 7 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,989 – $10,987 · median $9,989 | 7 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $32,026 – $35,229 · median $32,026 | 7 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,138 – $47,452 · median $43,138 | 7 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,441 – $25,785 · median $23,441 | 7 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $18,226 – $20,048 · median $18,226 | 7 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,540 – $31,394 · median $28,540 | 7 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,902 – $19,692 · median $17,902 | 7 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,383 – $14,722 · median $13,383 | 7 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,530 – $29,183 · median $26,530 | 7 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,328 – $19,061 · median $17,328 | 7 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,941 – $15,335 · median $13,941 | 7 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,517 – $31,369 · median $28,517 | 7 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,054 – $18,759 · median $17,054 | 7 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $11,664 – $12,830 · median $11,664 | 7 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $19,504 – $21,454 · median $19,504 | 7 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $14,180 – $15,598 · median $14,180 | 7 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,683 – $12,851 · median $11,683 | 7 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY | $27,326 – $30,058 · median $27,326 | 7 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION | $14,531 – $15,984 · median $14,531 | 7 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,941 – $13,135 · median $11,941 | 7 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,042 – $36,346 · median $33,042 | 7 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,983 – $19,781 · median $17,983 | 7 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,714 – $13,985 · median $12,714 | 7 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $85,674 – $94,241 · median $85,674 | 7 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,534 – $62,187 · median $56,534 | 7 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $44,299 – $48,729 · median $44,299 | 7 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $70,259 – $77,285 · median $70,259 | 7 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $45,411 – $49,952 · median $45,411 | 7 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $16,299 – $17,929 · median $16,299 | 7 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $9,310 – $10,241 · median $9,310 | 7 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,677 – $7,344 · median $6,677 | 7 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $15,292 – $16,821 · median $15,292 | 7 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $9,884 – $10,873 · median $9,884 | 7 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,756 – $8,531 · median $7,756 | 7 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $13,709 – $15,080 · median $13,709 | 7 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $7,663 – $8,429 · median $7,663 | 7 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,978 – $6,576 · median $5,978 | 7 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $14,970 – $16,467 · median $14,970 | 7 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $8,614 – $9,475 · median $8,614 | 7 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $6,578 – $7,236 · median $6,578 | 7 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $14,021 – $15,423 · median $14,021 | 7 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $9,603 – $10,563 · median $9,603 | 7 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,556 – $8,312 · median $7,556 | 7 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,419 – $57,661 · median $52,419 | 7 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,715 – $37,086 · median $33,715 | 7 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $42,058 – $46,264 · median $42,058 | 7 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $25,972 – $28,569 · median $25,972 | 7 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $65,613 – $72,175 · median $65,613 | 7 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $46,913 – $51,604 · median $46,913 | 7 plans |
| 458 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY | $33,192 – $36,511 · median $33,192 | 7 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY | $43,540 – $47,894 · median $43,540 | 7 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY | $21,601 – $23,761 · median $21,601 | 7 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $44,893 – $49,382 · median $44,893 | 7 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $25,085 – $27,594 · median $25,085 | 7 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $15,192 – $16,711 · median $15,192 | 7 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $41,106 – $45,217 · median $41,106 | 7 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $28,242 – $31,066 · median $28,242 | 7 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $22,275 – $24,502 · median $22,275 | 7 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $24,460 – $26,907 · median $24,460 | 7 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $15,998 – $17,598 · median $15,998 | 7 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $38,220 – $42,042 · median $38,220 | 7 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $23,793 – $26,172 · median $23,793 | 7 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $19,925 – $21,917 · median $19,925 | 7 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,114 – $37,525 · median $34,114 | 7 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $18,656 – $20,521 · median $18,656 | 7 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,261 – $11,287 · median $10,261 | 7 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,690 – $30,459 · median $27,690 | 7 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $20,062 – $22,068 · median $20,062 | 7 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,462 – $17,008 · median $15,462 | 7 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $23,534 – $25,887 · median $23,534 | 7 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $17,267 – $18,994 · median $17,267 | 7 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $13,715 – $15,087 · median $13,715 | 7 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $22,458 – $24,704 · median $22,458 | 7 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $25,946 – $28,541 · median $25,946 | 7 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,241 – $18,965 · median $17,241 | 7 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $13,219 – $14,540 · median $13,219 | 7 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $14,772 – $16,249 · median $14,772 | 7 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $9,775 – $10,752 · median $9,775 | 7 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $29,353 – $32,288 · median $29,353 | 7 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $20,651 – $22,716 · median $20,651 | 7 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $16,593 – $18,252 · median $16,593 | 7 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $29,001 – $31,901 · median $29,001 | 7 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,040 – $16,544 · median $15,040 | 7 plans |
| 497 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $10,476 – $11,524 · median $10,476 | 7 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,335 – $26,768 · median $24,335 | 7 plans |
| 499 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY | $16,656 – $18,322 · median $16,656 | 7 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $25,469 – $28,016 · median $25,469 | 7 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $14,613 – $16,074 · median $14,613 | 7 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,530 – $12,683 · median $11,530 | 7 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,605 – $24,866 · median $22,605 | 7 plans |
| 504 | FOOT PROCEDURES WITH CC | $15,541 – $17,095 · median $15,541 | 7 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,955 – $16,451 · median $14,955 | 7 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,556 – $12,711 · median $11,556 | 7 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,059 – $16,565 · median $15,059 | 7 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,822 – $14,104 · median $12,822 | 7 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,363 – $26,800 · median $24,363 | 7 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $17,151 – $18,867 · median $17,151 | 7 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,902 – $15,292 · median $13,902 | 7 plans |
| 513 | HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY | $13,281 – $14,609 · median $13,281 | 7 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,051 – $9,956 · median $9,051 | 7 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $25,638 – $28,202 · median $25,638 | 7 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $17,141 – $18,856 · median $17,141 | 7 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $12,993 – $14,292 · median $12,993 | 7 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $29,856 – $32,842 · median $29,856 | 7 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $16,544 – $18,199 · median $16,544 | 7 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $12,665 – $13,931 · median $12,665 | 7 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,211 – $25,533 · median $23,211 | 7 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,445 – $19,189 · median $17,445 | 7 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $13,230 – $14,553 · median $13,230 | 7 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,394 – $8,133 · median $7,394 | 7 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $11,041 – $12,145 · median $11,041 | 7 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $7,405 – $8,146 · median $7,405 | 7 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,530 – $9,382 · median $8,530 | 7 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,736 – $7,410 · median $6,736 | 7 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $16,311 – $17,942 · median $16,311 | 7 plans |
| 540 | OSTEOMYELITIS WITH COMPLICATION | $11,150 – $12,265 · median $11,150 | 7 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $7,251 – $7,976 · median $7,251 | 7 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $14,754 – $16,229 · median $14,754 | 7 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $9,094 – $10,004 · median $9,094 | 7 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,999 – $7,699 · median $6,999 | 7 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,234 – $22,258 · median $20,234 | 7 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $10,055 – $11,061 · median $10,055 | 7 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,624 – $8,387 · median $7,624 | 7 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,013 – $17,615 · median $16,013 | 7 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,468 – $11,514 · median $10,468 | 7 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,915 – $8,706 · median $7,915 | 7 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $14,061 – $15,467 · median $14,061 | 7 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $8,583 – $9,441 · median $8,583 | 7 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,150 – $12,265 · median $11,150 | 7 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,578 – $8,336 · median $7,578 | 7 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $11,346 – $12,480 · median $11,346 | 7 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $7,582 – $8,340 · median $7,582 | 7 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $12,611 – $13,872 · median $12,611 | 7 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,061 – $8,867 · median $8,061 | 7 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,508 – $17,058 · median $15,508 | 7 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $9,846 – $10,831 · median $9,846 | 7 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $7,377 – $8,115 · median $7,377 | 7 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $12,135 – $13,349 · median $12,135 | 7 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,079 – $8,887 · median $8,079 | 7 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $13,045 – $14,350 · median $13,045 | 7 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,684 – $9,552 · median $8,684 | 7 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,959 – $7,654 · median $6,959 | 7 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,755 – $26,130 · median $23,755 | 7 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $14,163 – $15,580 · median $14,163 | 7 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,001 – $11,001 · median $10,001 | 7 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,421 – $56,563 · median $51,421 | 7 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,819 – $30,600 · median $27,819 | 7 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,987 – $16,486 · median $14,987 | 7 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,775 – $42,653 · median $38,775 | 7 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,529 – $23,682 · median $21,529 | 7 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,527 – $14,879 · median $13,527 | 7 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,034 – $28,637 · median $26,034 | 7 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $14,459 – $15,904 · median $14,459 | 7 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $12,275 – $13,503 · median $12,275 | 7 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,980 – $17,578 · median $15,980 | 7 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $14,431 – $15,874 · median $14,431 | 7 plans |
| 584 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY | $17,621 – $19,383 · median $17,621 | 7 plans |
| 585 | BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,000 – $17,600 · median $16,000 | 7 plans |
| 592 | SKIN ULCERS WITH MCC | $16,047 – $17,652 · median $16,047 | 7 plans |
| 593 | SKIN ULCERS WITH CC | $10,307 – $11,338 · median $10,307 | 7 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,859 – $8,645 · median $7,859 | 7 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,468 – $19,215 · median $17,468 | 7 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,512 – $10,463 · median $9,512 | 7 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,992 – $15,391 · median $13,992 | 7 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,886 – $10,874 · median $9,886 | 7 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,113 – $7,824 · median $7,113 | 7 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,199 – $10,118 · median $9,199 | 7 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,853 – $6,438 · median $5,853 | 7 plans |
| 602 | CELLULITIS WITH COMORBITY | $12,108 – $13,319 · median $12,108 | 7 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $7,890 – $8,679 · median $7,890 | 7 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,498 – $13,747 · median $12,498 | 7 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $8,236 – $9,060 · median $8,236 | 7 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,812 – $14,094 · median $12,812 | 7 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,162 – $8,979 · median $8,162 | 7 plans |
| 614 | ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY | $18,013 – $19,814 · median $18,013 | 7 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,940 – $13,134 · median $11,940 | 7 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $27,941 – $30,735 · median $27,941 | 7 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $15,549 – $17,104 · median $15,549 | 7 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,085 – $13,294 · median $12,085 | 7 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,343 – $25,678 · median $23,343 | 7 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $13,480 – $14,828 · median $13,480 | 7 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $12,776 – $14,053 · median $12,776 | 7 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,491 – $31,340 · median $28,491 | 7 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $14,964 – $16,460 · median $14,964 | 7 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,810 – $11,891 · median $10,810 | 7 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,360 – $26,796 · median $24,360 | 7 plans |
| 626 | THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION | $12,707 – $13,977 · median $12,707 | 7 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $11,396 – $12,535 · median $11,396 | 7 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $29,776 – $32,753 · median $29,776 | 7 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,913 – $19,704 · median $17,913 | 7 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,401 – $13,641 · median $12,401 | 7 plans |
| 637 | DIABETES WITH COMORBITY | $12,226 – $13,449 · median $12,226 | 7 plans |
| 638 | DIABETES WITH COMPLICATION | $8,084 – $8,893 · median $8,084 | 7 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $5,977 – $6,575 · median $5,977 | 7 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $11,451 – $12,597 · median $11,451 | 7 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $7,180 – $7,898 · median $7,180 | 7 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,114 – $13,326 · median $12,114 | 7 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $13,831 – $15,214 · median $13,831 | 7 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,071 – $9,978 · median $9,071 | 7 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,104 – $7,815 · median $7,104 | 7 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $37,244 – $40,969 · median $37,244 | 7 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $29,615 – $32,576 · median $29,615 | 7 plans |
| 652 | KIDNEY TRANSPLANT | $25,965 – $28,561 · median $25,965 | 7 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,037 – $45,141 · median $41,037 | 7 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $22,668 – $24,935 · median $22,668 | 7 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $17,436 – $19,180 · median $17,436 | 7 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $25,615 – $28,176 · median $25,615 | 7 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $15,240 – $16,764 · median $15,240 | 7 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $13,108 – $14,419 · median $13,108 | 7 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,688 – $22,757 · median $20,688 | 7 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $11,345 – $12,479 · median $11,345 | 7 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $9,151 – $10,066 · median $9,151 | 7 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,677 – $27,145 · median $24,677 | 7 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $12,866 – $14,153 · median $12,866 | 7 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,239 – $10,163 · median $9,239 | 7 plans |
| 665 | PROSTATECTOMY WITH MCC | $25,135 – $27,648 · median $25,135 | 7 plans |
| 666 | PROSTATECTOMY WITH COMPLICATION | $14,622 – $16,084 · median $14,622 | 7 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,694 – $10,663 · median $9,694 | 7 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,593 – $25,952 · median $23,593 | 7 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $13,110 – $14,421 · median $13,110 | 7 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,706 – $9,576 · median $8,706 | 7 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,972 – $16,469 · median $14,972 | 7 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,489 – $10,438 · median $9,489 | 7 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,414 – $36,756 · median $33,414 | 7 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $19,138 – $21,051 · median $19,138 | 7 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,795 – $15,174 · median $13,795 | 7 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $12,566 – $13,822 · median $12,566 | 7 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $7,928 – $8,721 · median $7,928 | 7 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,817 – $6,398 · median $5,817 | 7 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,039 – $16,542 · median $15,039 | 7 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,246 – $10,171 · median $9,246 | 7 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,273 – $8,000 · median $7,273 | 7 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $10,108 – $11,119 · median $10,108 | 7 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $7,420 – $8,162 · median $7,420 | 7 plans |
| 693 | URINARY STONES WITH COMORBITY | $11,520 – $12,672 · median $11,520 | 7 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,207 – $7,928 · median $7,207 | 7 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,982 – $10,980 · median $9,982 | 7 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,496 – $7,146 · median $6,496 | 7 plans |
| 697 | URETHRAL STRICTURE | $9,476 – $10,424 · median $9,476 | 7 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $13,895 – $15,284 · median $13,895 | 7 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $8,995 – $9,894 · median $8,995 | 7 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,503 – $7,154 · median $6,503 | 7 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $16,545 – $18,200 · median $16,545 | 7 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,973 – $14,271 · median $12,973 | 7 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,050 – $20,954 · median $19,050 | 7 plans |
| 710 | PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,954 – $13,150 · median $11,954 | 7 plans |
| 711 | TESTES PROCEDURES WITH COMPLICATION/COMORBITY | $17,185 – $18,904 · median $17,185 | 7 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,644 – $10,608 · median $9,644 | 7 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,737 – $14,011 · median $12,737 | 7 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,320 – $10,252 · median $9,320 | 7 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,361 – $20,198 · median $18,361 | 7 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $12,489 – $13,738 · median $12,489 | 7 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,704 – $17,274 · median $15,704 | 7 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,509 – $12,660 · median $11,509 | 7 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $15,085 – $16,593 · median $15,085 | 7 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,973 – $10,971 · median $9,973 | 7 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,241 – $6,865 · median $6,241 | 7 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,184 – $11,202 · median $10,184 | 7 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,749 – $7,424 · median $6,749 | 7 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,580 – $13,838 · median $12,580 | 7 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,433 – $8,176 · median $7,433 | 7 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION/COMORBITY | $9,330 – $10,262 · median $9,330 | 7 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,366 – $7,003 · median $6,366 | 7 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $17,539 – $19,293 · median $17,539 | 7 plans |
| 735 | PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY | $11,527 – $12,680 · median $11,527 | 7 plans |
| 736 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY | $28,609 – $31,469 · median $28,609 | 7 plans |
| 737 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION | $17,007 – $18,708 · median $17,007 | 7 plans |
| 738 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $12,470 – $13,717 · median $12,470 | 7 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,672 – $31,539 · median $28,672 | 7 plans |
| 740 | UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION | $15,084 – $16,592 · median $15,084 | 7 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,145 – $13,360 · median $12,145 | 7 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $15,277 – $16,805 · median $15,277 | 7 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $10,724 – $11,797 · median $10,724 | 7 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,919 – $18,611 · median $16,919 | 7 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,933 – $10,927 · median $9,933 | 7 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $14,528 – $15,981 · median $14,528 | 7 plans |
| 747 | VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $7,805 – $8,585 · median $7,805 | 7 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,848 – $13,032 · median $11,848 | 7 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $20,893 – $22,982 · median $20,893 | 7 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,526 – $13,778 · median $12,526 | 7 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,330 – $16,863 · median $15,330 | 7 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $9,553 – $10,508 · median $9,553 | 7 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,577 – $9,435 · median $8,577 | 7 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $12,189 – $13,408 · median $12,189 | 7 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,719 – $9,591 · median $8,719 | 7 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,302 – $6,932 · median $6,302 | 7 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,937 – $9,831 · median $8,937 | 7 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,588 – $6,147 · median $5,588 | 7 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $9,428 – $10,371 · median $9,428 | 7 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,166 – $15,582 · median $14,166 | 7 plans |
| 770 | ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,900 – $9,790 · median $8,900 | 7 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $6,234 – $6,857 · median $6,234 | 7 plans |
| 779 | ABORTION WITHOUT D&C | $7,664 – $8,430 · median $7,664 | 7 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $20,030 – $22,033 · median $20,030 | 7 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $9,340 – $10,274 · median $9,340 | 7 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $8,556 – $9,412 · median $8,556 | 7 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $13,857 – $15,243 · median $13,857 | 7 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $9,775 – $10,752 · median $9,775 | 7 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $8,564 – $9,420 · median $8,564 | 7 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,027 – $16,530 · median $15,027 | 7 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $46,763 – $51,439 · median $46,763 | 7 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,321 – $35,554 · median $32,321 | 7 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,985 – $21,984 · median $19,985 | 7 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,169 – $36,486 · median $33,169 | 7 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,527 – $13,779 · median $12,527 | 7 plans |
| 795 | NORMAL NEWBORN | $2,748 – $3,022 · median $2,748 | 7 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,159 – $11,175 · median $10,159 | 7 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION | $8,883 – $9,771 · median $8,883 | 7 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $8,551 – $9,406 · median $8,551 | 7 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,922 – $39,515 · median $35,922 | 7 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,745 – $25,020 · median $22,745 | 7 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,845 – $17,429 · median $15,845 | 7 plans |
| 802 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY | $31,747 – $34,922 · median $31,747 | 7 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,462 – $17,008 · median $15,462 | 7 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,608 – $12,769 · median $11,608 | 7 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $9,487 – $10,435 · median $9,487 | 7 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $6,995 – $7,694 · median $6,995 | 7 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $6,383 – $7,021 · median $6,383 | 7 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $18,136 – $19,950 · median $18,136 | 7 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $10,917 – $12,009 · median $10,917 | 7 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,237 – $10,161 · median $9,237 | 7 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $11,978 – $13,176 · median $11,978 | 7 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $8,253 – $9,078 · median $8,253 | 7 plans |
| 813 | COAGULATION DISORDERS | $12,905 – $14,196 · median $12,905 | 7 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,514 – $19,265 · median $17,514 | 7 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $8,987 – $9,886 · median $8,987 | 7 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,060 – $6,666 · median $6,060 | 7 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY | $18,701 – $20,571 · median $18,701 | 7 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,100 – $11,110 · median $10,100 | 7 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,806 – $8,587 · median $7,806 | 7 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,160 – $50,776 · median $46,160 | 7 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $18,371 – $20,208 · median $18,371 | 7 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,443 – $11,487 · median $10,443 | 7 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $36,351 – $39,986 · median $36,351 | 7 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $18,578 – $20,436 · median $18,578 | 7 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,557 – $12,713 · median $11,557 | 7 plans |
| 826 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY | $37,063 – $40,770 · median $37,063 | 7 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,928 – $20,820 · median $18,928 | 7 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,273 – $15,700 · median $14,273 | 7 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $25,432 – $27,975 · median $25,432 | 7 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,750 – $14,025 · median $12,750 | 7 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,432 – $11,475 · median $10,432 | 7 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,746 – $7,421 · median $6,746 | 7 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $5,224 – $5,746 · median $5,224 | 7 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $43,287 – $47,615 · median $43,287 | 7 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,200 – $18,920 · median $17,200 | 7 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,562 – $11,618 · median $10,562 | 7 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $38,033 – $41,836 · median $38,033 | 7 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,213 – $18,934 · median $17,213 | 7 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $12,281 – $13,510 · median $12,281 | 7 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $26,006 – $28,607 · median $26,006 | 7 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $13,718 – $15,090 · median $13,718 | 7 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,959 – $9,855 · median $8,959 | 7 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $16,503 – $18,153 · median $16,503 | 7 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,546 – $11,600 · median $10,546 | 7 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,743 – $8,517 · median $7,743 | 7 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,083 – $23,192 · median $21,083 | 7 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION | $11,242 – $12,366 · median $11,242 | 7 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,726 – $8,498 · median $7,726 | 7 plans |
| 849 | RADIOTHERAPY | $21,980 – $24,178 · median $21,980 | 7 plans |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $67,576 – $74,333 · median $67,576 | 7 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $39,062 – $42,968 · median $39,062 | 7 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $16,528 – $18,181 · median $16,528 | 7 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,690 – $13,959 · median $12,690 | 7 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $36,074 – $39,681 · median $36,074 | 7 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $17,627 – $19,390 · median $17,627 | 7 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $11,891 – $13,080 · median $11,891 | 7 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $15,192 – $16,711 · median $15,192 | 7 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $8,864 – $9,750 · median $8,864 | 7 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,019 – $8,821 · median $8,019 | 7 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $12,698 – $13,968 · median $12,698 | 7 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,880 – $8,669 · median $7,880 | 7 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,257 – $18,983 · median $17,257 | 7 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,118 – $10,030 · median $9,118 | 7 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,808 – $7,489 · median $6,808 | 7 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,183 – $59,601 · median $54,183 | 7 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $16,102 – $17,712 · median $16,102 | 7 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $9,058 – $9,964 · median $9,058 | 7 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $30,834 – $33,917 · median $30,834 | 7 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,575 – $9,432 · median $8,575 | 7 plans |
| 881 | DEPRESSIVE NEUROSES | $8,427 – $9,270 · median $8,427 | 7 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,445 – $10,390 · median $9,445 | 7 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,285 – $17,913 · median $16,285 | 7 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,546 – $14,900 · median $13,546 | 7 plans |
| 885 | PSYCHOSES | $11,920 – $13,113 · median $11,920 | 7 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,120 – $18,832 · median $17,120 | 7 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,423 – $10,365 · median $9,423 | 7 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,944 – $6,538 · median $5,944 | 7 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $12,065 – $13,271 · median $12,065 | 7 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,590 – $16,049 · median $14,590 | 7 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $7,982 – $8,780 · median $7,982 | 7 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $33,376 – $36,713 · median $33,376 | 7 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,888 – $17,476 · median $15,888 | 7 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $10,179 – $11,197 · median $10,179 | 7 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY | $29,364 – $32,301 · median $29,364 | 7 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $12,584 – $13,843 · median $12,584 | 7 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,269 – $17,896 · median $16,269 | 7 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $30,638 – $33,702 · median $30,638 | 7 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $16,506 – $18,157 · median $16,506 | 7 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $11,276 – $12,404 · median $11,276 | 7 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,743 – $15,117 · median $13,743 | 7 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,002 – $8,803 · median $8,002 | 7 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,103 – $15,513 · median $14,103 | 7 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,323 – $6,955 · median $6,323 | 7 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $13,235 – $14,559 · median $13,235 | 7 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $7,785 – $8,563 · median $7,785 | 7 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $15,246 – $16,771 · median $15,246 | 7 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,897 – $9,787 · median $8,897 | 7 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,492 – $7,141 · median $6,492 | 7 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,623 – $16,085 · median $14,623 | 7 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,015 – $9,917 · median $9,015 | 7 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $164,829 – $181,312 · median $164,829 | 7 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $56,182 – $61,800 · median $56,182 | 7 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,898 – $28,488 · median $25,898 | 7 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,058 – $34,164 · median $31,058 | 7 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,157 – $19,972 · median $18,157 | 7 plans |
| 935 | NON-EXTENSIVE BURNS | $17,003 – $18,703 · median $17,003 | 7 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,022 – $31,925 · median $29,022 | 7 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $19,125 – $21,037 · median $19,125 | 7 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,755 – $18,431 · median $16,755 | 7 plans |
| 945 | REHABILITATION WITH CC/MCC | $13,084 – $14,392 · median $13,084 | 7 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,005 – $11,005 · median $10,005 | 7 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,944 – $12,039 · median $10,944 | 7 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $7,351 – $8,086 · median $7,351 | 7 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,333 – $11,367 · median $10,333 | 7 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,027 – $6,629 · median $6,027 | 7 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,477 – $6,025 · median $5,477 | 7 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $52,798 – $58,078 · median $52,798 | 7 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $30,053 – $33,058 · median $30,053 | 7 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,609 – $65,570 · median $59,609 | 7 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $33,508 – $36,859 · median $33,508 | 7 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,778 – $26,155 · median $23,778 | 7 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,166 – $24,383 · median $22,166 | 7 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,961 – $14,257 · median $12,961 | 7 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,424 – $9,266 · median $8,424 | 7 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $48,125 – $52,938 · median $48,125 | 7 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,427 – $23,570 · median $21,427 | 7 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,332 – $25,666 · median $23,332 | 7 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,140 – $12,254 · median $11,140 | 7 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,134 – $8,948 · median $8,134 | 7 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,161 – $12,277 · median $11,161 | 7 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $37,171 – $40,888 · median $37,171 | 7 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,056 – $22,062 · median $20,056 | 7 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $14,351 – $15,786 · median $14,351 | 7 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $27,489 – $30,238 · median $27,489 | 7 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $13,812 – $15,193 · median $13,812 | 7 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,406 – $11,447 · median $10,406 | 7 plans |
No procedures match that keyword.