Valley View Hospital Association — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 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 771 procedures
Procedures with negotiated rates only
These 771 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 | $5,460 – $12,485 · median $11,308 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $9,455 – $19,001 · median $17,824 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,455 – $16,646 · median $11,171 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,010 – $16,646 · median $9,233 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $9,455 – $16,668 · median $16,657 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $9,455 – $16,646 · median $10,953 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,332 – $16,646 · median $9,394 | 6 plans |
| 795 | NORMAL NEWBORN | $2,130 – $5,202 · median $2,748 | 6 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,460 – $13,168 · median $12,827 | 6 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,460 – $12,485 · median $9,987 | 6 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,460 – $12,485 · median $9,987 | 6 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,460 – $12,485 · median $10,294 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,460 – $12,485 · median $7,464 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,460 – $12,485 · median $6,574 | 6 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $290,557 – $290,557 · median $290,557 | 3 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $113,669 – $113,669 · median $113,669 | 3 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $221,068 – $221,068 · median $221,068 | 3 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $145,751 – $145,751 · median $145,751 | 3 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $109,849 – $109,849 · median $109,849 | 3 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,020 – $50,020 · median $50,020 | 3 plans |
| 007 | LUNG TRANSPLANT | $134,805 – $134,805 · median $134,805 | 3 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $56,125 – $56,125 · median $56,125 | 3 plans |
| 010 | PANCREAS TRANSPLANT | $82,242 – $82,242 · median $82,242 | 3 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $55,659 – $55,659 · median $55,659 | 3 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $42,330 – $42,330 · median $42,330 | 3 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $27,335 – $27,335 · median $27,335 | 3 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $135,145 – $135,145 · median $135,145 | 3 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $62,261 – $62,261 · median $62,261 | 3 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $62,261 – $62,261 · median $62,261 | 3 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $389,009 – $389,009 · median $389,009 | 3 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $81,770 – $81,770 · median $81,770 | 3 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $83,151 – $83,151 · median $83,151 | 3 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,014 – $57,014 · median $57,014 | 3 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $36,416 – $36,416 · median $36,416 | 3 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $58,848 – $58,848 · median $58,848 | 3 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $39,215 – $39,215 · median $39,215 | 3 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $46,132 – $46,132 · median $46,132 | 3 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $31,550 – $31,550 · median $31,550 | 3 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,455 – $25,455 · median $25,455 | 3 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $62,710 – $62,710 · median $62,710 | 3 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $34,624 – $34,624 · median $34,624 | 3 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,955 – $22,955 · median $22,955 | 3 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $43,226 – $43,226 · median $43,226 | 3 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,029 – $22,029 · median $22,029 | 3 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,458 – $16,458 · median $16,458 | 3 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $40,112 – $40,112 · median $40,112 | 3 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,465 – $23,465 · median $23,465 | 3 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,908 – $18,908 · median $18,908 | 3 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $34,255 – $34,255 · median $34,255 | 3 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,621 – $16,621 · median $16,621 | 3 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,741 – $11,741 · median $11,741 | 3 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $38,909 – $38,909 · median $38,909 | 3 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,293 – $23,293 · median $23,293 | 3 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,130 – $18,130 · median $18,130 | 3 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $20,759 – $20,759 · median $20,759 | 3 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,504 – $9,504 · median $9,504 | 3 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,463 – $15,463 · median $15,463 | 3 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,254 – $11,254 · median $11,254 | 3 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $25,830 – $25,830 · median $25,830 | 3 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $13,764 – $13,764 · median $13,764 | 3 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,041 – $19,041 · median $19,041 | 3 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,621 – $12,621 · median $12,621 | 3 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,205 – $9,205 · median $9,205 | 3 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,886 – $27,886 · median $27,886 | 3 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,370 – $18,370 · median $18,370 | 3 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,491 – $14,491 · median $14,491 | 3 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,519 – $20,519 · median $20,519 | 3 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,489 – $10,489 · median $10,489 | 3 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,100 – $7,100 · median $7,100 | 3 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,007 – $15,007 · median $15,007 | 3 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,093 – $9,093 · median $9,093 | 3 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,253 – $8,253 · median $8,253 | 3 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $17,936 – $17,936 · median $17,936 | 3 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,871 – $10,871 · median $10,871 | 3 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,738 – $7,738 · median $7,738 | 3 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $15,943 – $15,943 · median $15,943 | 3 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,752 – $10,752 · median $10,752 | 3 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,767 – $17,767 · median $17,767 | 3 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,458 – $9,458 · median $9,458 | 3 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $15,950 – $15,950 · median $15,950 | 3 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,293 – $10,293 · median $10,293 | 3 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,877 – $6,877 · median $6,877 | 3 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,504 – $20,504 · median $20,504 | 3 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,333 – $9,333 · median $9,333 | 3 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,933 – $23,933 · median $23,933 | 3 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,342 – $14,342 · median $14,342 | 3 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,862 – $9,862 · median $9,862 | 3 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,374 – $23,374 · median $23,374 | 3 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,529 – $13,529 · median $13,529 | 3 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,118 – $9,118 · median $9,118 | 3 plans |
| 088 | CONCUSSION WITH MCC | $14,551 – $14,551 · median $14,551 | 3 plans |
| 089 | CONCUSSION WITH CC | $11,059 – $11,059 · median $11,059 | 3 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,843 – $8,843 · median $8,843 | 3 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $18,803 – $18,803 · median $18,803 | 3 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,921 – $10,921 · median $10,921 | 3 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,142 – $8,142 · median $8,142 | 3 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $37,636 – $37,636 · median $37,636 | 3 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $24,727 – $24,727 · median $24,727 | 3 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $24,727 – $24,727 · median $24,727 | 3 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $36,975 – $36,975 · median $36,975 | 3 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,376 – $22,376 · median $22,376 | 3 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,372 – $14,372 · median $14,372 | 3 plans |
| 100 | SEIZURES WITH MCC | $20,478 – $20,478 · median $20,478 | 3 plans |
| 101 | SEIZURES WITHOUT MCC | $9,507 – $9,507 · median $9,507 | 3 plans |
| 102 | HEADACHES WITH MCC | $11,960 – $11,960 · median $11,960 | 3 plans |
| 103 | HEADACHES WITHOUT MCC | $8,770 – $8,770 · median $8,770 | 3 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,277 – $23,277 · median $23,277 | 3 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,193 – $12,193 · median $12,193 | 3 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,792 – $15,792 · median $15,792 | 3 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,212 – $17,212 · median $17,212 | 3 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,126 – $11,126 · median $11,126 | 3 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,998 – $11,998 · median $11,998 | 3 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,997 – $6,997 · median $6,997 | 3 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,285 – $8,285 · median $8,285 | 3 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,450 – $13,450 · median $13,450 | 3 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,517 – $8,517 · median $8,517 | 3 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $24,871 – $24,871 · median $24,871 | 3 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,090 – $10,090 · median $10,090 | 3 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,427 – $14,427 · median $14,427 | 3 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,391 – $8,391 · median $8,391 | 3 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,163 – $14,163 · median $14,163 | 3 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $43,624 – $43,624 · median $43,624 | 3 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,162 – $22,162 · median $22,162 | 3 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,219 – $16,219 · median $16,219 | 3 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,059 – $34,059 · median $34,059 | 3 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,120 – $18,120 · median $18,120 | 3 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,221 – $12,221 · median $12,221 | 3 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $23,664 – $23,664 · median $23,664 | 3 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,840 – $12,840 · median $12,840 | 3 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,259 – $8,259 · median $8,259 | 3 plans |
| 149 | DYSEQUILIBRIUM | $7,710 – $7,710 · median $7,710 | 3 plans |
| 150 | EPISTAXIS WITH MCC | $14,257 – $14,257 · median $14,257 | 3 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,819 – $7,819 · median $7,819 | 3 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,706 – $11,706 · median $11,706 | 3 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,341 – $7,341 · median $7,341 | 3 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,775 – $16,775 · median $16,775 | 3 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,630 – $9,630 · median $9,630 | 3 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,936 – $6,936 · median $6,936 | 3 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $16,891 – $16,891 · median $16,891 | 3 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,702 – $9,702 · median $9,702 | 3 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,804 – $6,804 · median $6,804 | 3 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $47,544 – $47,544 · median $47,544 | 3 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,963 – $25,963 · median $25,963 | 3 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,227 – $19,227 · median $19,227 | 3 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $39,716 – $39,716 · median $39,716 | 3 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,848 – $18,848 · median $18,848 | 3 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,966 – $13,966 · median $13,966 | 3 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $31,653 – $31,653 · median $31,653 | 3 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,535 – $14,535 · median $14,535 | 3 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,402 – $8,402 · median $8,402 | 3 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $16,674 – $16,674 · median $16,674 | 3 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,234 – $10,234 · median $10,234 | 3 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,939 – $7,939 · median $7,939 | 3 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,029 – $18,029 · median $18,029 | 3 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,453 – $11,453 · median $11,453 | 3 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,639 – $8,639 · median $8,639 | 3 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,373 – $16,373 · median $16,373 | 3 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,017 – $11,017 · median $11,017 | 3 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,022 – $8,022 · median $8,022 | 3 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,298 – $16,298 · median $16,298 | 3 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,356 – $10,356 · median $10,356 | 3 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,573 – $7,573 · median $7,573 | 3 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,764 – $12,764 · median $12,764 | 3 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,584 – $11,584 · median $11,584 | 3 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,862 – $8,862 · median $8,862 | 3 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,676 – $6,676 · median $6,676 | 3 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,592 – $13,592 · median $13,592 | 3 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,458 – $8,458 · median $8,458 | 3 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,423 – $6,423 · median $6,423 | 3 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,435 – $19,435 · median $19,435 | 3 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,212 – $10,212 · median $10,212 | 3 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,225 – $7,225 · median $7,225 | 3 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,209 – $18,209 · median $18,209 | 3 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,424 – $11,424 · median $11,424 | 3 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,984 – $6,984 · median $6,984 | 3 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,972 – $9,972 · median $9,972 | 3 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,185 – $7,185 · median $7,185 | 3 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,365 – $8,365 · median $8,365 | 3 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,473 – $19,473 · median $19,473 | 3 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,343 – $9,343 · median $9,343 | 3 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $66,709 – $66,709 · median $66,709 | 3 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,683 – $27,683 · median $27,683 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $112,371 – $112,371 · median $112,371 | 3 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $109,286 – $109,286 · median $109,286 | 3 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $99,551 – $99,551 · median $99,551 | 3 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $66,613 – $66,613 · median $66,613 | 3 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,367 – $61,367 · median $61,367 | 3 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $79,813 – $79,813 · median $79,813 | 3 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $54,636 – $54,636 · median $54,636 | 3 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,373 – $47,373 · median $47,373 | 3 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $51,403 – $51,403 · median $51,403 | 3 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,042 – $32,042 · median $32,042 | 3 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $87,409 – $87,409 · median $87,409 | 3 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $63,011 – $63,011 · median $63,011 | 3 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $80,626 – $80,626 · median $80,626 | 3 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $54,878 – $54,878 · median $54,878 | 3 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,696 – $60,696 · median $60,696 | 3 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $42,416 – $42,416 · median $42,416 | 3 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $51,956 – $51,956 · median $51,956 | 3 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,039 – $30,039 · median $30,039 | 3 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,575 – $15,575 · median $15,575 | 3 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $34,989 – $34,989 · median $34,989 | 3 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $23,238 – $23,238 · median $23,238 | 3 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,616 – $18,616 · median $18,616 | 3 plans |
| 245 | AICD GENERATOR PROCEDURES | $50,408 – $50,408 · median $50,408 | 3 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $23,855 – $23,855 · median $23,855 | 3 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,118 – $16,118 · median $16,118 | 3 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $35,385 – $35,385 · median $35,385 | 3 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,334 – $26,334 · median $26,334 | 3 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,045 – $18,045 · median $18,045 | 3 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $26,989 – $26,989 · median $26,989 | 3 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,471 – $17,471 · median $17,471 | 3 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,200 – $9,200 · median $9,200 | 3 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,939 – $28,939 · median $28,939 | 3 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,131 – $18,131 · median $18,131 | 3 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $35,135 – $35,135 · median $35,135 | 3 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,574 – $19,574 · median $19,574 | 3 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,656 – $15,656 · median $15,656 | 3 plans |
| 263 | VEIN LIGATION AND STRIPPING | $27,666 – $27,666 · median $27,666 | 3 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $36,052 – $36,052 · median $36,052 | 3 plans |
| 265 | AICD LEAD PROCEDURES | $36,796 – $36,796 · median $36,796 | 3 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $61,795 – $61,795 · median $61,795 | 3 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $48,529 – $48,529 · median $48,529 | 3 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $68,777 – $68,777 · median $68,777 | 3 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $42,918 – $42,918 · median $42,918 | 3 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $52,947 – $52,947 · median $52,947 | 3 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $35,529 – $35,529 · median $35,529 | 3 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,810 – $25,810 · median $25,810 | 3 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $40,335 – $40,335 · median $40,335 | 3 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $32,193 – $32,193 · median $32,193 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $72,896 – $72,896 · median $72,896 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $63,895 – $63,895 · median $63,895 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $47,985 – $47,985 · median $47,985 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $51,609 – $51,609 · median $51,609 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,054 – $33,054 · median $33,054 | 3 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,931 – $16,931 · median $16,931 | 3 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,508 – $9,508 · median $9,508 | 3 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,479 – $7,479 · median $7,479 | 3 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,170 – $20,170 · median $20,170 | 3 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,643 – $7,643 · median $7,643 | 3 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,791 – $5,791 · median $5,791 | 3 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,830 – $22,830 · median $22,830 | 3 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,240 – $11,240 · median $11,240 | 3 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,176 – $28,176 · median $28,176 | 3 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,264 – $16,264 · median $16,264 | 3 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,098 – $10,098 · median $10,098 | 3 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,459 – $13,459 · median $13,459 | 3 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,883 – $8,883 · median $8,883 | 3 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,660 – $5,660 · median $5,660 | 3 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,667 – $12,667 · median $12,667 | 3 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,147 – $8,147 · median $8,147 | 3 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $16,900 – $16,900 · median $16,900 | 3 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,266 – $7,266 · median $7,266 | 3 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,556 – $4,556 · median $4,556 | 3 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,686 – $16,686 · median $16,686 | 3 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,043 – $11,043 · median $11,043 | 3 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,359 – $7,359 · median $7,359 | 3 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,999 – $11,999 · median $11,999 | 3 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,936 – $6,936 · median $6,936 | 3 plans |
| 304 | HYPERTENSION WITH MCC | $12,118 – $12,118 · median $12,118 | 3 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,743 – $7,743 · median $7,743 | 3 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,446 – $15,446 · median $15,446 | 3 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,556 – $9,556 · median $9,556 | 3 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,439 – $12,439 · median $12,439 | 3 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,626 – $7,626 · median $7,626 | 3 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,771 – $5,771 · median $5,771 | 3 plans |
| 311 | ANGINA PECTORIS | $7,203 – $7,203 · median $7,203 | 3 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,988 – $8,988 · median $8,988 | 3 plans |
| 313 | CHEST PAIN | $7,359 – $7,359 · median $7,359 | 3 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,213 – $22,213 · median $22,213 | 3 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,926 – $9,926 · median $9,926 | 3 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,042 – $7,042 · median $7,042 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $63,813 – $63,813 · median $63,813 | 3 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $45,312 – $45,312 · median $45,312 | 3 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $23,877 – $23,877 · median $23,877 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $29,365 – $29,365 · median $29,365 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,662 – $18,662 · median $18,662 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $43,936 – $43,936 · median $43,936 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $32,958 – $32,958 · median $32,958 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,523 – $29,523 · median $29,523 | 3 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $52,390 – $52,390 · median $52,390 | 3 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,046 – $25,046 · median $25,046 | 3 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,437 – $16,437 · median $16,437 | 3 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $47,366 – $47,366 · median $47,366 | 3 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,382 – $24,382 · median $24,382 | 3 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,030 – $17,030 · median $17,030 | 3 plans |
| 332 | RECTAL RESECTION WITH MCC | $35,780 – $35,780 · median $35,780 | 3 plans |
| 333 | RECTAL RESECTION WITH CC | $21,923 – $21,923 · median $21,923 | 3 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,109 – $17,109 · median $17,109 | 3 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $37,375 – $37,375 · median $37,375 | 3 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,788 – $21,788 · median $21,788 | 3 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,835 – $15,835 · median $15,835 | 3 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $27,794 – $27,794 · median $27,794 | 3 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,356 – $15,356 · median $15,356 | 3 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,845 – $12,845 · median $12,845 | 3 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,414 – $24,414 · median $24,414 | 3 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,986 – $12,986 · median $12,986 | 3 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,087 – $9,087 · median $9,087 | 3 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $24,949 – $24,949 · median $24,949 | 3 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,519 – $15,519 · median $15,519 | 3 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,373 – $11,373 · median $11,373 | 3 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,254 – $30,254 · median $30,254 | 3 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,547 – $17,547 · median $17,547 | 3 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,752 – $13,752 · median $13,752 | 3 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $44,001 – $44,001 · median $44,001 | 3 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,229 – $23,229 · median $23,229 | 3 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,978 – $13,978 · median $13,978 | 3 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,226 – $17,226 · median $17,226 | 3 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,497 – $10,497 · median $10,497 | 3 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,200 – $7,200 · median $7,200 | 3 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,031 – $18,031 · median $18,031 | 3 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,617 – $10,617 · median $10,617 | 3 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,483 – $7,483 · median $7,483 | 3 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,779 – $21,779 · median $21,779 | 3 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,674 – $12,674 · median $12,674 | 3 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,108 – $9,108 · median $9,108 | 3 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,755 – $18,755 · median $18,755 | 3 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,170 – $10,170 · median $10,170 | 3 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,568 – $6,568 · median $6,568 | 3 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,849 – $19,849 · median $19,849 | 3 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,234 – $11,234 · median $11,234 | 3 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,729 – $7,729 · median $7,729 | 3 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,040 – $13,040 · median $13,040 | 3 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,970 – $8,970 · median $8,970 | 3 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,760 – $16,760 · median $16,760 | 3 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,238 – $10,238 · median $10,238 | 3 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,914 – $6,914 · median $6,914 | 3 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,162 – $15,162 · median $15,162 | 3 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,269 – $8,269 · median $8,269 | 3 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,644 – $5,644 · median $5,644 | 3 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,250 – $13,250 · median $13,250 | 3 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,049 – $8,049 · median $8,049 | 3 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,082 – $17,082 · median $17,082 | 3 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,710 – $9,710 · median $9,710 | 3 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,564 – $6,564 · median $6,564 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $25,559 – $25,559 · median $25,559 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,609 – $15,609 · median $15,609 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,592 – $11,592 · median $11,592 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $40,354 – $40,354 · median $40,354 | 3 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $55,997 – $55,997 · median $55,997 | 3 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $28,969 – $28,969 · median $28,969 | 3 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,031 – $22,031 · median $22,031 | 3 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,116 – $36,116 · median $36,116 | 3 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,625 – $21,625 · median $21,625 | 3 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,000 – $16,000 · median $16,000 | 3 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,226 – $28,226 · median $28,226 | 3 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,988 – $21,988 · median $21,988 | 3 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,149 – $17,149 · median $17,149 | 3 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $36,142 – $36,142 · median $36,142 | 3 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,404 – $20,404 · median $20,404 | 3 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,134 – $14,134 · median $14,134 | 3 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $24,514 – $24,514 · median $24,514 | 3 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,106 – $17,106 · median $17,106 | 3 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,591 – $13,591 · median $13,591 | 3 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $36,407 – $36,407 · median $36,407 | 3 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,892 – $16,892 · median $16,892 | 3 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,157 – $15,157 · median $15,157 | 3 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $41,955 – $41,955 · median $41,955 | 3 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,552 – $23,552 · median $23,552 | 3 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $15,945 – $15,945 · median $15,945 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $108,054 – $108,054 · median $108,054 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $73,265 – $73,265 · median $73,265 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $56,775 – $56,775 · median $56,775 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $86,034 – $86,034 · median $86,034 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $56,428 – $56,428 · median $56,428 | 3 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,208 – $20,208 · median $20,208 | 3 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,035 – $11,035 · median $11,035 | 3 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,184 – $7,184 · median $7,184 | 3 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $18,821 – $18,821 · median $18,821 | 3 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,632 – $11,632 · median $11,632 | 3 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,099 – $8,099 · median $8,099 | 3 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,161 – $17,161 · median $17,161 | 3 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,873 – $8,873 · median $8,873 | 3 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,345 – $6,345 · median $6,345 | 3 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,500 – $19,500 · median $19,500 | 3 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,966 – $9,966 · median $9,966 | 3 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,248 – $7,248 · median $7,248 | 3 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,375 – $17,375 · median $17,375 | 3 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,187 – $11,187 · median $11,187 | 3 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,224 – $8,224 · median $8,224 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,159 – $69,159 · median $69,159 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,121 – $42,121 · median $42,121 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,123 – $53,123 · median $53,123 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,832 – $31,832 · median $31,832 | 3 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $87,360 – $87,360 · median $87,360 | 3 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $59,202 – $59,202 · median $59,202 | 3 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $44,540 – $44,540 · median $44,540 | 3 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $63,300 – $63,300 · median $63,300 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $29,540 – $29,540 · median $29,540 | 3 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $55,711 – $55,711 · median $55,711 | 3 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,415 – $30,415 · median $30,415 | 3 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $17,908 – $17,908 · median $17,908 | 3 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $52,551 – $52,551 · median $52,551 | 3 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $35,331 – $35,331 · median $35,331 | 3 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,059 – $27,059 · median $27,059 | 3 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $33,717 – $33,717 · median $33,717 | 3 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,449 – $19,449 · median $19,449 | 3 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $50,103 – $50,103 · median $50,103 | 3 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $29,885 – $29,885 · median $29,885 | 3 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,420 – $24,420 · median $24,420 | 3 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $46,260 – $46,260 · median $46,260 | 3 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,253 – $22,253 · median $22,253 | 3 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,997 – $11,997 · median $11,997 | 3 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,473 – $35,473 · median $35,473 | 3 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,123 – $24,123 · median $24,123 | 3 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,317 – $18,317 · median $18,317 | 3 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,337 – $30,337 · median $30,337 | 3 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,403 – $21,403 · median $21,403 | 3 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,364 – $16,364 · median $16,364 | 3 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,285 – $26,285 · median $26,285 | 3 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,207 – $33,207 · median $33,207 | 3 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,877 – $21,877 · median $21,877 | 3 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,300 – $16,300 · median $16,300 | 3 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,273 – $20,273 · median $20,273 | 3 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,774 – $12,774 · median $12,774 | 3 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $36,631 – $36,631 · median $36,631 | 3 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $24,766 – $24,766 · median $24,766 | 3 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,448 – $19,448 · median $19,448 | 3 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $36,315 – $36,315 · median $36,315 | 3 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,352 – $20,352 · median $20,352 | 3 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,849 – $13,849 · median $13,849 | 3 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $26,044 – $26,044 · median $26,044 | 3 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,974 – $11,974 · median $11,974 | 3 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $32,685 – $32,685 · median $32,685 | 3 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,409 – $18,409 · median $18,409 | 3 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,412 – $14,412 · median $14,412 | 3 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,300 – $27,300 · median $27,300 | 3 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,103 – $18,103 · median $18,103 | 3 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,103 – $18,103 · median $18,103 | 3 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,463 – $15,463 · median $15,463 | 3 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,993 – $19,993 · median $19,993 | 3 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,313 – $13,313 · median $13,313 | 3 plans |
| 509 | ARTHROSCOPY | $18,120 – $18,120 · median $18,120 | 3 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,481 – $29,481 · median $29,481 | 3 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,230 – $20,230 · median $20,230 | 3 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,585 – $16,585 · median $16,585 | 3 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,530 – $15,530 · median $15,530 | 3 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,517 – $10,517 · median $10,517 | 3 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $31,898 – $31,898 · median $31,898 | 3 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,751 – $20,751 · median $20,751 | 3 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,397 – $15,397 · median $15,397 | 3 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $36,969 – $36,969 · median $36,969 | 3 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,340 – $20,340 · median $20,340 | 3 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $14,784 – $14,784 · median $14,784 | 3 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,065 – $30,065 · median $30,065 | 3 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $21,745 – $21,745 · median $21,745 | 3 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,729 – $15,729 · median $15,729 | 3 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,396 – $8,396 · median $8,396 | 3 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $13,718 – $13,718 · median $13,718 | 3 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,364 – $8,364 · median $8,364 | 3 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,480 – $9,480 · median $9,480 | 3 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,927 – $6,927 · median $6,927 | 3 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,861 – $20,861 · median $20,861 | 3 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,349 – $13,349 · median $13,349 | 3 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,025 – $9,025 · median $9,025 | 3 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,239 – $19,239 · median $19,239 | 3 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,943 – $10,943 · median $10,943 | 3 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,795 – $7,795 · median $7,795 | 3 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,065 – $26,065 · median $26,065 | 3 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,942 – $11,942 · median $11,942 | 3 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,697 – $7,697 · median $7,697 | 3 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,781 – $20,781 · median $20,781 | 3 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,431 – $12,431 · median $12,431 | 3 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,893 – $8,893 · median $8,893 | 3 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,602 – $17,602 · median $17,602 | 3 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,942 – $9,942 · median $9,942 | 3 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,471 – $13,471 · median $13,471 | 3 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,609 – $8,609 · median $8,609 | 3 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,890 – $13,890 · median $13,890 | 3 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,422 – $8,422 · median $8,422 | 3 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $15,985 – $15,985 · median $15,985 | 3 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,910 – $8,910 · median $8,910 | 3 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,148 – $19,148 · median $19,148 | 3 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,746 – $11,746 · median $11,746 | 3 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,434 – $8,434 · median $8,434 | 3 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,096 – $15,096 · median $15,096 | 3 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,220 – $9,220 · median $9,220 | 3 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,186 – $16,186 · median $16,186 | 3 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,518 – $10,518 · median $10,518 | 3 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,717 – $7,717 · median $7,717 | 3 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,050 – $31,050 · median $31,050 | 3 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,270 – $17,270 · median $17,270 | 3 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,784 – $11,784 · median $11,784 | 3 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $63,522 – $63,522 · median $63,522 | 3 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $35,741 – $35,741 · median $35,741 | 3 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $20,596 – $20,596 · median $20,596 | 3 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $55,653 – $55,653 · median $55,653 | 3 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,467 – $27,467 · median $27,467 | 3 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,437 – $17,437 · median $17,437 | 3 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $33,621 – $33,621 · median $33,621 | 3 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,289 – $18,289 · median $18,289 | 3 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,845 – $14,845 · median $14,845 | 3 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,064 – $18,064 · median $18,064 | 3 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,945 – $16,945 · median $16,945 | 3 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,119 – $21,119 · median $21,119 | 3 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,476 – $20,476 · median $20,476 | 3 plans |
| 592 | SKIN ULCERS WITH MCC | $21,211 – $21,211 · median $21,211 | 3 plans |
| 593 | SKIN ULCERS WITH CC | $12,612 – $12,612 · median $12,612 | 3 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,754 – $8,754 · median $8,754 | 3 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,817 – $21,817 · median $21,817 | 3 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,152 – $11,152 · median $11,152 | 3 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,120 – $18,120 · median $18,120 | 3 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,129 – $11,129 · median $11,129 | 3 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,818 – $8,818 · median $8,818 | 3 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,867 – $9,867 · median $9,867 | 3 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,184 – $6,184 · median $6,184 | 3 plans |
| 602 | CELLULITIS WITH MCC | $15,155 – $15,155 · median $15,155 | 3 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,085 – $9,085 · median $9,085 | 3 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,325 – $15,325 · median $15,325 | 3 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,528 – $9,528 · median $9,528 | 3 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,610 – $16,610 · median $16,610 | 3 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,914 – $8,914 · median $8,914 | 3 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,508 – $23,508 · median $23,508 | 3 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,781 – $14,781 · median $14,781 | 3 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $39,868 – $39,868 · median $39,868 | 3 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,925 – $19,925 · median $19,925 | 3 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,843 – $12,843 · median $12,843 | 3 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $28,124 – $28,124 · median $28,124 | 3 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,473 – $16,473 · median $16,473 | 3 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,079 – $15,079 · median $15,079 | 3 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,599 – $38,599 · median $38,599 | 3 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $19,731 – $19,731 · median $19,731 | 3 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,347 – $10,347 · median $10,347 | 3 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $29,574 – $29,574 · median $29,574 | 3 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,568 – $15,568 · median $15,568 | 3 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,068 – $13,068 · median $13,068 | 3 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $40,700 – $40,700 · median $40,700 | 3 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,200 – $23,200 · median $23,200 | 3 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,454 – $14,454 · median $14,454 | 3 plans |
| 637 | DIABETES WITH MCC | $15,022 – $15,022 · median $15,022 | 3 plans |
| 638 | DIABETES WITH CC | $9,461 – $9,461 · median $9,461 | 3 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,463 – $6,463 · median $6,463 | 3 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,698 – $13,698 · median $13,698 | 3 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,060 – $8,060 · median $8,060 | 3 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $12,802 – $12,802 · median $12,802 | 3 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,095 – $17,095 · median $17,095 | 3 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,660 – $10,660 · median $10,660 | 3 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,032 – $8,032 · median $8,032 | 3 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $47,524 – $47,524 · median $47,524 | 3 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $35,819 – $35,819 · median $35,819 | 3 plans |
| 652 | KIDNEY TRANSPLANT | $31,682 – $31,682 · median $31,682 | 3 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $57,502 – $57,502 · median $57,502 | 3 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,110 – $29,110 · median $29,110 | 3 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,427 – $21,427 · median $21,427 | 3 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $33,606 – $33,606 · median $33,606 | 3 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,857 – $18,857 · median $18,857 | 3 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,514 – $15,514 · median $15,514 | 3 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $26,657 – $26,657 · median $26,657 | 3 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,822 – $13,822 · median $13,822 | 3 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,589 – $10,589 · median $10,589 | 3 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $32,179 – $32,179 · median $32,179 | 3 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,755 – $15,755 · median $15,755 | 3 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,138 – $11,138 · median $11,138 | 3 plans |
| 665 | PROSTATECTOMY WITH MCC | $35,418 – $35,418 · median $35,418 | 3 plans |
| 666 | PROSTATECTOMY WITH CC | $16,992 – $16,992 · median $16,992 | 3 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,602 – $10,602 · median $10,602 | 3 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $30,082 – $30,082 · median $30,082 | 3 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,963 – $15,963 · median $15,963 | 3 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,858 – $9,858 · median $9,858 | 3 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $17,780 – $17,780 · median $17,780 | 3 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,289 – $11,289 · median $11,289 | 3 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $43,216 – $43,216 · median $43,216 | 3 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,811 – $23,811 · median $23,811 | 3 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,146 – $16,146 · median $16,146 | 3 plans |
| 682 | RENAL FAILURE WITH MCC | $15,492 – $15,492 · median $15,492 | 3 plans |
| 683 | RENAL FAILURE WITH CC | $9,169 – $9,169 · median $9,169 | 3 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,265 – $6,265 · median $6,265 | 3 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,451 – $19,451 · median $19,451 | 3 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,859 – $10,859 · median $10,859 | 3 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,470 – $7,470 · median $7,470 | 3 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,072 – $12,072 · median $12,072 | 3 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,279 – $8,279 · median $8,279 | 3 plans |
| 693 | URINARY STONES WITH MCC | $15,167 – $15,167 · median $15,167 | 3 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,060 – $8,060 · median $8,060 | 3 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,633 – $11,633 · median $11,633 | 3 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,136 – $7,136 · median $7,136 | 3 plans |
| 697 | URETHRAL STRICTURE | $10,334 – $10,334 · median $10,334 | 3 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,339 – $17,339 · median $17,339 | 3 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,520 – $10,520 · median $10,520 | 3 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,161 – $7,161 · median $7,161 | 3 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,017 – $20,017 · median $20,017 | 3 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,292 – $15,292 · median $15,292 | 3 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,179 – $23,179 · median $23,179 | 3 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,487 – $15,487 · median $15,487 | 3 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,708 – $19,708 · median $19,708 | 3 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,033 – $11,033 · median $11,033 | 3 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,916 – $14,916 · median $14,916 | 3 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,693 – $9,693 · median $9,693 | 3 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,294 – $23,294 · median $23,294 | 3 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,640 – $14,640 · median $14,640 | 3 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,140 – $19,140 · median $19,140 | 3 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,707 – $12,707 · median $12,707 | 3 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $17,834 – $17,834 · median $17,834 | 3 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,583 – $11,583 · median $11,583 | 3 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,516 – $7,516 · median $7,516 | 3 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,024 – $13,024 · median $13,024 | 3 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,679 – $7,679 · median $7,679 | 3 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,157 – $15,157 · median $15,157 | 3 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,428 – $8,428 · median $8,428 | 3 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,356 – $11,356 · median $11,356 | 3 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,260 – $6,260 · median $6,260 | 3 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,690 – $21,690 · median $21,690 | 3 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,521 – $12,521 · median $12,521 | 3 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $40,616 – $40,616 · median $40,616 | 3 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,614 – $20,614 · median $20,614 | 3 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,647 – $15,647 · median $15,647 | 3 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $41,063 – $41,063 · median $41,063 | 3 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,756 – $18,756 · median $18,756 | 3 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,169 – $14,169 · median $14,169 | 3 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,842 – $18,842 · median $18,842 | 3 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,365 – $12,365 · median $12,365 | 3 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,156 – $20,156 · median $20,156 | 3 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,571 – $10,571 · median $10,571 | 3 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,274 – $17,274 · median $17,274 | 3 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,853 – $9,853 · median $9,853 | 3 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,052 – $14,052 · median $14,052 | 3 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $26,701 – $26,701 · median $26,701 | 3 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,301 – $13,301 · median $13,301 | 3 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,663 – $18,663 · median $18,663 | 3 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,451 – $11,451 · median $11,451 | 3 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,851 – $9,851 · median $9,851 | 3 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,599 – $14,599 · median $14,599 | 3 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,514 – $10,514 · median $10,514 | 3 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,602 – $6,602 · median $6,602 | 3 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,166 – $10,166 · median $10,166 | 3 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,539 – $6,539 · median $6,539 | 3 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,333 – $14,333 · median $14,333 | 3 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,099 – $11,099 · median $11,099 | 3 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,360 – $7,360 · median $7,360 | 3 plans |
| 779 | ABORTION WITHOUT D&C | $9,642 – $9,642 · median $9,642 | 3 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,594 – $18,594 · median $18,594 | 3 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $61,321 – $61,321 · median $61,321 | 3 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $41,878 – $41,878 · median $41,878 | 3 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,269 – $25,269 · median $25,269 | 3 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,019 – $43,019 · median $43,019 | 3 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,227 – $15,227 · median $15,227 | 3 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $49,046 – $49,046 · median $49,046 | 3 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $30,056 – $30,056 · median $30,056 | 3 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,934 – $16,934 · median $16,934 | 3 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $36,977 – $36,977 · median $36,977 | 3 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,361 – $18,361 · median $18,361 | 3 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,404 – $11,404 · median $11,404 | 3 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $23,625 – $23,625 · median $23,625 | 3 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $12,775 – $12,775 · median $12,775 | 3 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,818 – $9,818 · median $9,818 | 3 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,512 – $14,512 · median $14,512 | 3 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,520 – $9,520 · median $9,520 | 3 plans |
| 813 | COAGULATION DISORDERS | $15,968 – $15,968 · median $15,968 | 3 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,564 – $21,564 · median $21,564 | 3 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,481 – $10,481 · median $10,481 | 3 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,802 – $6,802 · median $6,802 | 3 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,150 – $26,150 · median $26,150 | 3 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,286 – $13,286 · median $13,286 | 3 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,422 – $8,422 · median $8,422 | 3 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $60,057 – $60,057 · median $60,057 | 3 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,027 – $23,027 · median $23,027 | 3 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,797 – $11,797 · median $11,797 | 3 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $48,269 – $48,269 · median $48,269 | 3 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,687 – $22,687 · median $22,687 | 3 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,696 – $12,696 · median $12,696 | 3 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $49,259 – $49,259 · median $49,259 | 3 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,342 – $24,342 · median $24,342 | 3 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,534 – $16,534 · median $16,534 | 3 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $31,809 – $31,809 · median $31,809 | 3 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,086 – $15,086 · median $15,086 | 3 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $11,873 – $11,873 · median $11,873 | 3 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,709 – $7,709 · median $7,709 | 3 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,362 – $5,362 · median $5,362 | 3 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $57,014 – $57,014 · median $57,014 | 3 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $22,032 – $22,032 · median $22,032 | 3 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,107 – $13,107 · median $13,107 | 3 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $51,649 – $51,649 · median $51,649 | 3 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $20,921 – $20,921 · median $20,921 | 3 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,136 – $14,136 · median $14,136 | 3 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $32,895 – $32,895 · median $32,895 | 3 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,174 – $16,174 · median $16,174 | 3 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,850 – $10,850 · median $10,850 | 3 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,529 – $19,529 · median $19,529 | 3 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,329 – $12,329 · median $12,329 | 3 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,632 – $8,632 · median $8,632 | 3 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,343 – $26,343 · median $26,343 | 3 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,107 – $13,107 · median $13,107 | 3 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,447 – $8,447 · median $8,447 | 3 plans |
| 849 | RADIOTHERAPY | $27,552 – $27,552 · median $27,552 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $95,021 – $95,021 · median $95,021 | 3 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $51,589 – $51,589 · median $51,589 | 3 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,610 – $20,610 · median $20,610 | 3 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,768 – $16,768 · median $16,768 | 3 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $46,537 – $46,537 · median $46,537 | 3 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,475 – $22,475 · median $22,475 | 3 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,290 – $13,290 · median $13,290 | 3 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,966 – $18,966 · median $18,966 | 3 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,314 – $10,314 · median $10,314 | 3 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,263 – $9,263 · median $9,263 | 3 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,224 – $15,224 · median $15,224 | 3 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,127 – $9,127 · median $9,127 | 3 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,119 – $22,119 · median $22,119 | 3 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,832 – $10,832 · median $10,832 | 3 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,423 – $7,423 · median $7,423 | 3 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $71,757 – $71,757 · median $71,757 | 3 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,239 – $20,239 · median $20,239 | 3 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,635 – $10,635 · median $10,635 | 3 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $40,534 – $40,534 · median $40,534 | 3 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,888 – $9,888 · median $9,888 | 3 plans |
| 881 | DEPRESSIVE NEUROSES | $9,429 – $9,429 · median $9,429 | 3 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,923 – $9,923 · median $9,923 | 3 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,123 – $19,123 · median $19,123 | 3 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,228 – $17,228 · median $17,228 | 3 plans |
| 885 | PSYCHOSES | $14,540 – $14,540 · median $14,540 | 3 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,531 – $18,531 · median $18,531 | 3 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,269 – $12,269 · median $12,269 | 3 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,438 – $6,438 · median $6,438 | 3 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $14,935 – $14,935 · median $14,935 | 3 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,369 – $18,369 · median $18,369 | 3 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,100 – $9,100 · median $9,100 | 3 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $45,701 – $45,701 · median $45,701 | 3 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,574 – $19,574 · median $19,574 | 3 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,575 – $12,575 · median $12,575 | 3 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $39,827 – $39,827 · median $39,827 | 3 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,001 – $17,001 · median $17,001 | 3 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,513 – $22,513 · median $22,513 | 3 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $41,092 – $41,092 · median $41,092 | 3 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,806 – $20,806 · median $20,806 | 3 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,083 – $13,083 · median $13,083 | 3 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,693 – $16,693 · median $16,693 | 3 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,453 – $9,453 · median $9,453 | 3 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $17,926 – $17,926 · median $17,926 | 3 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,850 – $6,850 · median $6,850 | 3 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,914 – $16,914 · median $16,914 | 3 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,125 – $9,125 · median $9,125 | 3 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,810 – $18,810 · median $18,810 | 3 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,479 – $10,479 · median $10,479 | 3 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,094 – $7,094 · median $7,094 | 3 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,426 – $17,426 · median $17,426 | 3 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,520 – $10,520 · median $10,520 | 3 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $244,701 – $244,701 · median $244,701 | 3 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $68,893 – $68,893 · median $68,893 | 3 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $32,806 – $32,806 · median $32,806 | 3 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $44,632 – $44,632 · median $44,632 | 3 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,134 – $22,134 · median $22,134 | 3 plans |
| 935 | NON-EXTENSIVE BURNS | $22,656 – $22,656 · median $22,656 | 3 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $32,740 – $32,740 · median $32,740 | 3 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,779 – $21,779 · median $21,779 | 3 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,159 – $20,159 · median $20,159 | 3 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,746 – $15,746 · median $15,746 | 3 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,517 – $11,517 · median $11,517 | 3 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,267 – $13,267 · median $13,267 | 3 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,195 – $8,195 · median $8,195 | 3 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,130 – $11,130 · median $11,130 | 3 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,046 – $6,046 · median $6,046 | 3 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,849 – $5,849 · median $5,849 | 3 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $70,434 – $70,434 · median $70,434 | 3 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $39,428 – $39,428 · median $39,428 | 3 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $76,993 – $76,993 · median $76,993 | 3 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $42,393 – $42,393 · median $42,393 | 3 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,272 – $27,272 · median $27,272 | 3 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,023 – $28,023 · median $28,023 | 3 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,474 – $15,474 · median $15,474 | 3 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,414 – $9,414 · median $9,414 | 3 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $65,235 – $65,235 · median $65,235 | 3 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,369 – $27,369 · median $27,369 | 3 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,803 – $30,803 · median $30,803 | 3 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,662 – $14,662 · median $14,662 | 3 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,346 – $10,346 · median $10,346 | 3 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,873 – $14,873 · median $14,873 | 3 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,037 – $49,037 · median $49,037 | 3 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,254 – $25,254 · median $25,254 | 3 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,208 – $17,208 · median $17,208 | 3 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,130 – $36,130 · median $36,130 | 3 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,701 – $17,701 · median $17,701 | 3 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,919 – $11,919 · median $11,919 | 3 plans |
No procedures match that keyword.