John Dempsey Hospital of the University of Connecticut — 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 |
|---|---|---|---|
| 100 | SEIZURES WITH MCC | $26,462 – $40,190 · median $30,089 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $12,224 – $18,659 · median $14,020 | 20 plans |
| 102 | HEADACHES WITH MCC | $15,455 – $23,473 · median $17,637 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $11,332 – $17,211 · median $12,936 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $30,078 – $45,683 · median $34,150 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $15,756 – $23,930 · median $17,981 | 20 plans |
| 115 | Extraocular procedures except orbit | $20,407 – $30,994 · median $23,288 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $22,241 – $33,779 · median $25,349 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $14,377 – $21,835 · median $16,406 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $15,504 – $23,548 · median $17,693 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,041 – $13,732 · median $10,446 | 20 plans |
| 123 | Neurological eye disorders | $10,706 – $16,260 · median $12,241 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $17,380 – $26,396 · median $19,833 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,006 – $16,715 · median $12,574 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $32,138 – $48,810 · median $36,462 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $13,038 – $19,803 · median $14,879 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,642 – $28,313 · median $21,274 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,843 – $16,468 · median $12,394 | 20 plans |
| 139 | Salivary gland procedures | $18,301 – $27,795 · median $20,884 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $56,371 – $85,616 · median $63,675 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $28,637 – $43,494 · median $32,532 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $20,959 – $31,832 · median $23,909 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $44,011 – $66,844 · median $49,795 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $23,415 – $35,563 · median $26,667 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $15,792 – $23,985 · median $18,022 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $30,578 – $46,442 · median $34,711 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $16,592 – $25,200 · median $18,934 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,673 – $16,209 · median $12,204 | 20 plans |
| 149 | DYSEQUILIBRIUM | $9,963 – $15,132 · median $11,438 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $18,423 – $27,981 · median $21,024 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $10,103 – $15,345 · median $11,588 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $15,126 – $22,973 · median $17,261 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,486 – $14,408 · median $10,925 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $21,677 – $32,923 · median $24,716 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $12,444 – $18,900 · median $14,201 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,962 – $13,612 · median $10,362 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $21,826 – $33,150 · median $24,883 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $12,537 – $19,042 · median $14,307 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,792 – $13,353 · median $10,178 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $61,436 – $93,309 · median $69,362 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $33,549 – $50,954 · median $38,047 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $24,845 – $37,735 · median $28,273 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $51,321 – $77,945 · median $58,003 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $24,355 – $36,990 · median $27,723 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,046 – $27,408 · median $20,594 | 20 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $40,901 – $62,121 · median $46,303 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $18,782 – $28,526 · median $21,434 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,856 – $16,489 · median $12,408 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $21,546 – $32,724 · median $24,569 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $13,224 – $20,084 · median $15,091 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $10,259 – $15,582 · median $11,756 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $23,296 – $35,382 · median $26,534 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $14,799 – $22,477 · median $16,889 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $11,163 – $16,954 · median $12,749 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $21,157 – $32,133 · median $24,132 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $14,237 – $21,623 · median $16,247 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $10,366 – $15,744 · median $11,871 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $21,060 – $31,986 · median $24,023 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $13,382 – $20,325 · median $15,272 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $9,786 – $14,863 · median $11,247 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $16,493 – $27,715 · median $18,822 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $14,968 – $22,734 · median $17,082 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $11,451 – $17,392 · median $13,068 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,627 – $13,102 · median $10,001 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $17,564 – $26,676 · median $20,043 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,930 – $16,600 · median $12,490 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $8,300 – $12,606 · median $9,650 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $25,113 – $38,142 · median $28,574 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $13,196 – $20,042 · median $15,059 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $9,336 – $14,179 · median $10,763 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $23,530 – $35,737 · median $26,796 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $14,762 – $22,420 · median $16,846 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,025 – $13,707 · median $10,429 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,885 – $19,570 · median $14,704 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $9,285 – $14,102 · median $10,709 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,810 – $16,418 · median $12,357 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $25,162 – $38,217 · median $28,630 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $12,073 – $18,337 · median $13,778 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $86,201 – $130,922 · median $100,383 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $35,772 – $54,331 · median $40,544 | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $145,205 – $220,536 · median $163,429 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $141,218 – $236,939 · median $158,952 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $128,640 – $195,377 · median $144,827 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $86,077 – $130,734 · median $97,033 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $79,298 – $120,438 · median $89,420 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $103,133 – $156,638 · median $111,608 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $70,600 – $127,756 · median $85,732 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,215 – $117,508 · median $74,336 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $66,422 – $150,624 · median $74,962 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $41,404 – $97,139 · median $46,868 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $112,949 – $171,546 · median $127,207 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $81,423 – $123,665 · median $91,806 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $104,185 – $158,235 · median $117,366 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $70,913 – $107,702 · median $80,004 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $78,431 – $119,120 · median $88,446 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $54,810 – $83,245 · median $61,922 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $67,137 – $101,967 · median $75,764 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $38,817 – $58,955 · median $43,962 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $20,125 – $30,566 · median $22,967 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $45,212 – $68,668 · median $51,144 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $30,028 – $45,606 · median $34,093 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $24,055 – $36,534 · median $27,386 | 20 plans |
| 245 | AICD generator procedures | $65,136 – $98,928 · median $73,517 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $30,825 – $57,873 · median $34,988 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $20,828 – $43,240 · median $23,762 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $45,724 – $69,445 · median $51,719 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $34,029 – $51,683 · median $38,586 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $24,809 – $35,441 · median $26,558 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $34,875 – $52,968 · median $39,536 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $22,575 – $34,287 · median $25,724 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $11,888 – $18,056 · median $13,567 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $37,395 – $56,795 · median $42,365 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $23,428 – $35,583 · median $26,682 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $45,401 – $68,955 · median $51,356 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $25,293 – $38,415 · median $28,776 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $20,231 – $30,726 · median $23,087 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $35,750 – $54,296 · median $40,518 | 20 plans |
| 264 | Other circulatory system O.R. procedures | $46,586 – $70,755 · median $52,687 | 20 plans |
| 265 | AICD lead procedures | $47,547 – $72,214 · median $53,766 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $79,851 – $194,621 · median $90,041 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $62,709 – $146,132 · median $70,792 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $88,872 – $134,979 · median $100,171 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $55,458 – $84,229 · median $62,649 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $71,040 – $103,912 · median $77,202 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $45,910 – $69,728 · median $51,928 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $33,352 – $50,655 · median $37,826 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $52,120 – $97,521 · median $58,901 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $41,600 – $63,182 · median $47,088 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $94,196 – $143,064 · median $106,149 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $82,565 – $125,399 · median $93,089 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $62,005 – $94,173 · median $70,001 | 20 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $66,689 – $101,287 · median $75,261 | 20 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $42,711 – $64,870 · median $48,336 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $21,878 – $33,229 · median $24,942 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $12,287 – $18,661 · median $14,021 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,665 – $14,679 · median $11,117 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $26,064 – $39,585 · median $29,641 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $9,877 – $15,001 · median $11,345 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,483 – $11,365 · median $8,771 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $29,501 – $44,806 · median $33,502 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $16,089 – $37,346 · median $16,723 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $36,408 – $55,296 · median $41,258 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $21,016 – $31,919 · median $23,973 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $13,049 – $19,819 · median $14,891 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $19,265 – $60,691 · median $19,951 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $11,479 – $17,434 · median $13,100 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,314 – $11,108 · median $8,589 | 20 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $16,368 – $24,860 · median $18,679 | 20 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $10,527 – $15,989 · median $12,044 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $21,838 – $33,168 · median $24,897 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $9,389 – $14,260 · median $10,820 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,887 – $8,942 · median $7,056 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $21,561 – $32,747 · median $24,585 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $14,270 – $21,673 · median $16,285 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $9,509 – $14,442 · median $10,949 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $15,506 – $23,550 · median $17,695 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,962 – $13,612 · median $10,362 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $15,659 – $23,783 · median $17,870 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $10,006 – $15,197 · median $11,484 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $19,959 – $30,313 · median $22,777 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $12,348 – $18,754 · median $14,091 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $16,073 – $24,412 · median $18,343 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,854 – $14,966 · median $11,320 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,458 – $11,327 · median $8,744 | 20 plans |
| 311 | ANGINA PECTORIS | $9,308 – $14,136 · median $10,733 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $11,614 – $17,639 · median $13,253 | 20 plans |
| 313 | CHEST PAIN | $9,509 – $14,442 · median $10,949 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $28,704 – $43,595 · median $32,606 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,827 – $19,481 · median $14,637 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $9,100 – $13,821 · median $10,509 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $58,552 – $88,928 · median $66,123 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $30,854 – $46,861 · median $35,021 | 20 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $37,945 – $57,631 · median $42,983 | 20 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $24,115 – $46,553 · median $29,284 | 20 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $56,774 – $86,227 · median $64,127 | 20 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $42,587 – $64,682 · median $48,197 | 20 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $38,149 – $57,940 · median $43,212 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $73,511 – $108,928 · median $76,661 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $35,030 – $50,043 · median $36,717 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $20,696 – $32,259 · median $24,225 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $66,530 – $121,068 · median $69,847 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $34,599 – $51,352 · median $35,907 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $24,377 – $42,016 · median $25,145 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $46,234 – $70,220 · median $52,292 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $28,328 – $43,025 · median $32,184 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $22,107 – $33,577 · median $25,199 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $48,296 – $73,352 · median $54,607 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $28,155 – $42,761 · median $31,990 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $20,461 – $31,077 · median $23,350 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $35,915 – $54,547 · median $40,704 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,843 – $30,137 · median $22,644 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,599 – $25,210 · median $18,942 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $31,547 – $47,914 · median $35,799 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $16,780 – $25,485 · median $19,149 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $11,742 – $17,833 · median $13,399 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $32,239 – $48,964 · median $36,576 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $20,053 – $30,457 · median $22,885 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,697 – $22,321 · median $16,771 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $39,094 – $59,376 · median $44,274 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $22,674 – $34,437 · median $25,835 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $17,770 – $26,989 · median $20,279 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $56,858 – $86,355 · median $64,221 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $30,017 – $45,589 · median $34,081 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,062 – $27,433 · median $20,612 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $22,259 – $33,807 · median $25,370 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $13,564 – $20,600 · median $15,479 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $9,304 – $14,130 · median $10,729 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $23,299 – $35,387 · median $26,537 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $13,720 – $23,430 · median $15,656 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,669 – $14,685 · median $11,121 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $28,143 – $42,743 · median $31,976 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $16,377 – $24,874 · median $18,690 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,770 – $17,875 · median $13,431 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $24,235 – $36,808 · median $27,588 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $13,141 – $19,959 · median $14,996 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $8,487 – $12,889 · median $9,850 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $25,649 – $38,956 · median $29,176 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $14,517 – $22,048 · median $16,566 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,987 – $15,169 · median $11,464 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,851 – $25,592 · median $19,230 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $11,591 – $17,604 · median $13,227 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $21,657 – $32,892 · median $24,693 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $13,229 – $20,092 · median $15,097 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,934 – $13,570 · median $10,332 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $19,592 – $29,757 · median $22,358 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,685 – $16,228 · median $12,218 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,294 – $11,078 · median $8,568 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $17,121 – $26,003 · median $19,538 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $10,401 – $21,949 · median $12,630 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $22,073 – $33,524 · median $25,160 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $12,547 – $19,056 · median $14,318 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,483 – $12,883 · median $9,846 | 20 plans |
| 397 | Appendix Procedures with MCC | $33,027 – $50,161 · median $37,460 | 20 plans |
| 398 | Appendix Procedures without MCC/CC | $20,169 – $30,633 · median $23,017 | 20 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,979 – $22,750 · median $17,094 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $72,359 – $109,899 · median $81,628 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $37,433 – $56,853 · median $42,409 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $28,468 – $43,237 · median $32,342 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $46,669 – $70,880 · median $52,780 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $27,944 – $42,442 · median $31,753 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $20,675 – $31,400 · median $23,590 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $36,473 – $55,396 · median $41,331 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $28,412 – $43,152 · median $32,279 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $22,159 – $33,656 · median $25,257 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $46,702 – $70,931 · median $52,817 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $26,366 – $40,045 · median $29,981 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $18,263 – $27,738 · median $20,842 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $31,676 – $48,110 · median $35,944 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $22,105 – $33,573 · median $25,196 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $17,562 – $26,673 · median $20,042 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $47,045 – $71,451 · median $53,202 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $21,828 – $33,152 · median $24,885 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $19,586 – $29,747 · median $22,351 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $54,214 – $82,340 · median $61,253 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $30,434 – $46,223 · median $34,549 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $20,604 – $31,293 · median $23,511 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $26,113 – $39,660 · median $29,697 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $14,259 – $21,657 · median $16,273 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,284 – $14,100 · median $10,707 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $24,320 – $36,937 · median $27,684 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $15,031 – $22,829 · median $17,153 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,466 – $15,896 · median $11,978 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $22,175 – $33,680 · median $25,275 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $11,466 – $17,414 · median $13,084 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,199 – $16,113 · median $9,541 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $25,197 – $38,269 · median $28,668 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,878 – $19,560 · median $14,697 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $9,366 – $14,225 · median $10,796 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $22,451 – $34,099 · median $25,585 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $14,455 – $21,955 · median $16,496 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,627 – $16,141 · median $12,154 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $112,886 – $171,450 · median $127,137 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $76,500 – $116,188 · median $86,279 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $57,555 – $87,414 · median $65,004 | 20 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $81,796 – $124,231 · median $92,225 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $38,172 – $68,791 · median $43,238 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $71,990 – $109,338 · median $81,214 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $39,302 – $59,691 · median $44,507 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $23,140 – $35,146 · median $26,359 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $67,906 – $103,135 · median $76,627 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $45,654 – $69,340 · median $51,641 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $34,966 – $53,106 · median $39,638 | 20 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $43,569 – $66,172 · median $49,298 | 20 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $27,746 – $53,067 · median $28,680 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $64,743 – $98,331 · median $73,076 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $38,617 – $58,651 · median $43,738 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $31,555 – $47,926 · median $35,808 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $59,777 – $90,788 · median $67,499 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,755 – $43,672 · median $32,663 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,503 – $23,546 · median $17,692 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,838 – $69,619 · median $51,847 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $31,171 – $47,343 · median $35,377 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $23,670 – $35,949 · median $26,953 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $39,201 – $59,538 · median $44,393 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $27,656 – $42,004 · median $31,430 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $21,145 – $32,115 · median $24,118 | 20 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $33,965 – $51,586 · median $38,514 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $42,910 – $65,172 · median $48,559 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $28,269 – $42,936 · median $32,118 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $21,062 – $31,990 · median $24,026 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $26,197 – $39,788 · median $29,791 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,507 – $25,070 · median $18,837 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $47,334 – $71,890 · median $53,527 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $32,003 – $48,606 · median $36,311 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $25,131 – $38,168 · median $28,594 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $46,926 – $71,271 · median $53,069 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $26,298 – $39,941 · median $29,905 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $17,896 – $27,180 · median $20,422 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $33,654 – $51,114 · median $38,165 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,472 – $23,499 · median $17,657 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $42,236 – $64,147 · median $47,801 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $23,788 – $36,129 · median $27,086 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $18,623 – $28,285 · median $21,253 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $35,277 – $53,578 · median $39,987 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $23,392 – $35,528 · median $26,642 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $23,392 – $35,528 · median $26,642 | 20 plans |
| 506 | Major thumb or joint procedures | $19,982 – $30,348 · median $22,803 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $25,834 – $39,237 · median $29,384 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $17,202 – $26,127 · median $19,631 | 20 plans |
| 509 | Arthroscopy | $23,415 – $35,563 · median $26,667 | 20 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $38,096 – $57,859 · median $43,153 | 20 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $26,141 – $39,703 · median $29,728 | 20 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $21,430 – $32,548 · median $24,439 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $20,068 – $30,479 · median $22,901 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $13,590 – $20,641 · median $15,509 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $41,219 – $62,603 · median $46,659 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $26,814 – $40,725 · median $30,484 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $19,896 – $30,218 · median $22,705 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $47,771 – $72,555 · median $54,018 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $26,283 – $39,919 · median $29,888 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $19,103 – $29,014 · median $21,800 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $38,850 – $59,005 · median $44,000 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $28,099 – $42,676 · median $31,927 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $20,325 – $30,870 · median $23,195 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,850 – $16,479 · median $12,401 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $17,726 – $26,923 · median $20,229 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,808 – $16,416 · median $12,355 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $12,249 – $18,604 · median $13,979 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,950 – $13,594 · median $10,349 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $26,957 – $40,941 · median $30,644 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $17,249 – $26,198 · median $19,684 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $11,662 – $17,711 · median $13,308 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $24,860 – $37,757 · median $28,290 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $14,141 – $21,477 · median $16,137 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $10,073 – $15,298 · median $11,555 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $33,681 – $51,155 · median $38,195 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $15,431 – $23,436 · median $17,610 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,946 – $15,106 · median $11,419 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $26,853 – $40,784 · median $30,527 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $16,063 – $24,396 · median $18,331 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $11,491 – $17,452 · median $13,113 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $22,745 – $34,544 · median $25,914 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,846 – $19,511 · median $14,660 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $17,408 – $26,439 · median $19,865 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,124 – $16,896 · median $12,706 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,949 – $27,261 · median $20,483 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,883 – $16,529 · median $12,438 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $20,656 – $31,372 · median $23,569 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $11,514 – $17,487 · median $13,139 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,743 – $37,579 · median $28,158 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,178 – $23,052 · median $17,321 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,898 – $16,551 · median $12,454 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $19,507 – $29,627 · median $22,261 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $11,913 – $18,094 · median $13,595 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $20,916 – $31,767 · median $23,861 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $13,592 – $20,643 · median $15,510 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,971 – $15,145 · median $11,447 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $40,123 – $60,938 · median $45,429 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $22,317 – $33,895 · median $25,434 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $15,227 – $23,127 · median $17,377 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $82,083 – $124,667 · median $92,547 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $46,184 – $70,143 · median $52,235 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $26,614 – $40,421 · median $30,260 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $71,914 – $109,222 · median $81,128 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $35,492 – $53,906 · median $40,229 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $22,531 – $34,220 · median $25,675 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $43,445 – $65,983 · median $49,159 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $23,632 – $35,893 · median $26,911 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $19,183 – $29,135 · median $21,891 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,342 – $35,451 · median $26,585 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $21,896 – $33,255 · median $24,961 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $27,290 – $41,448 · median $31,018 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $26,459 – $40,186 · median $30,086 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $27,408 – $41,628 · median $31,152 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $16,297 – $24,752 · median $18,598 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $11,312 – $17,181 · median $12,914 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $28,192 – $42,818 · median $32,032 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $14,410 – $21,886 · median $16,444 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $23,415 – $35,563 · median $26,667 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $14,381 – $21,841 · median $16,411 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $11,395 – $17,307 · median $13,006 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,751 – $19,365 · median $14,551 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,991 – $12,136 · median $9,317 | 20 plans |
| 602 | CELLULITIS WITH MCC | $19,583 – $29,742 · median $22,348 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $11,740 – $17,831 · median $13,398 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $19,803 – $30,077 · median $22,599 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $12,312 – $18,699 · median $14,050 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $21,464 – $32,599 · median $24,476 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $11,519 – $17,495 · median $13,145 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $30,377 – $46,136 · median $34,485 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $19,100 – $29,010 · median $21,797 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $51,517 – $78,243 · median $58,223 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $25,746 – $39,103 · median $29,285 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $16,596 – $25,206 · median $18,939 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $36,342 – $55,195 · median $41,183 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $21,286 – $32,330 · median $24,277 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $19,484 – $29,593 · median $22,235 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $49,877 – $75,753 · median $56,382 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $25,496 – $38,723 · median $29,004 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,370 – $20,307 · median $15,258 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $38,216 – $58,042 · median $43,287 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $20,117 – $30,554 · median $22,958 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,887 – $25,647 · median $19,271 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $52,592 – $79,877 · median $59,431 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $29,978 – $45,531 · median $34,037 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $18,678 – $28,368 · median $21,315 | 20 plans |
| 637 | DIABETES WITH MCC | $19,411 – $29,481 · median $22,152 | 20 plans |
| 638 | DIABETES WITH CC | $12,225 – $18,568 · median $13,951 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $17,701 – $26,884 · median $20,200 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $10,415 – $15,819 · median $11,924 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $16,543 – $25,125 · median $18,878 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $22,090 – $33,550 · median $25,180 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $13,774 – $20,920 · median $15,719 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $10,379 – $15,764 · median $11,885 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $61,411 – $93,270 · median $69,334 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $46,285 – $70,297 · median $52,349 | 20 plans |
| 652 | Kidney transplant | $40,939 – $62,177 · median $46,345 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $74,304 – $112,852 · median $83,812 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $37,616 – $57,131 · median $42,614 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $27,688 – $42,053 · median $31,466 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $43,426 – $65,955 · median $49,138 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $24,367 – $37,008 · median $27,736 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $20,047 – $30,447 · median $22,877 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $34,446 – $52,317 · median $39,054 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $17,861 – $27,127 · median $20,382 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $13,684 – $20,782 · median $15,615 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $41,581 – $63,153 · median $47,067 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $20,359 – $30,921 · median $23,233 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $14,393 – $21,859 · median $16,425 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $45,766 – $69,510 · median $51,766 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $21,957 – $33,348 · median $25,030 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,700 – $20,807 · median $15,634 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $38,871 – $59,038 · median $44,024 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $20,627 – $31,328 · median $23,536 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,739 – $19,347 · median $14,537 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $22,975 – $34,895 · median $26,173 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $14,587 – $22,155 · median $16,647 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $55,843 – $84,814 · median $63,082 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $30,769 – $46,731 · median $34,925 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $20,864 – $31,688 · median $23,803 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $20,019 – $30,404 · median $22,845 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $11,848 – $19,245 · median $13,521 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $8,096 – $12,296 · median $9,430 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $25,135 – $38,174 · median $28,598 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $14,031 – $21,311 · median $16,012 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,653 – $14,661 · median $11,104 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $15,599 – $23,692 · median $17,801 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,698 – $16,248 · median $12,232 | 20 plans |
| 693 | URINARY STONES WITH MCC | $19,599 – $29,767 · median $22,366 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $10,415 – $15,819 · median $11,924 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $15,032 – $22,831 · median $17,155 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $9,221 – $14,005 · median $10,640 | 20 plans |
| 697 | Urethral stricture | $13,353 – $20,280 · median $15,238 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $22,405 – $34,028 · median $25,533 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $13,594 – $23,297 · median $15,514 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $9,253 – $14,053 · median $10,674 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $25,866 – $39,286 · median $29,420 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $19,760 – $30,012 · median $22,550 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $29,952 – $45,490 · median $34,007 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $20,012 – $30,394 · median $22,838 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $25,466 – $38,678 · median $28,971 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $14,257 – $21,653 · median $16,269 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $19,274 – $29,273 · median $21,995 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,525 – $19,023 · median $14,294 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $30,101 – $45,717 · median $34,175 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $18,918 – $28,732 · median $21,589 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $24,732 – $37,563 · median $28,146 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,420 – $24,939 · median $18,738 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $23,045 – $35,000 · median $26,251 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,967 – $22,732 · median $17,080 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,712 – $14,750 · median $11,167 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $16,829 – $25,560 · median $19,205 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,922 – $15,070 · median $11,394 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $19,586 – $29,747 · median $22,351 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,891 – $16,541 · median $12,447 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $14,674 – $22,287 · median $16,746 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,089 – $12,286 · median $9,423 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $28,028 – $42,569 · median $31,848 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $16,180 – $24,574 · median $18,464 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $52,484 – $81,355 · median $63,734 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $26,637 – $40,456 · median $32,346 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $20,219 – $30,708 · median $22,464 | 20 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $51,378 – $80,589 · median $57,774 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $24,236 – $36,810 · median $26,783 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $18,309 – $176,891 · median $21,936 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $22,669 – $36,980 · median $26,903 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,977 – $24,302 · median $19,402 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $26,045 – $39,557 · median $29,620 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,660 – $20,746 · median $15,588 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $22,321 – $33,901 · median $25,438 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $12,732 – $19,337 · median $14,529 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $18,158 – $27,578 · median $20,722 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $34,503 – $52,404 · median $39,119 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,188 – $26,105 · median $19,614 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $24,116 – $36,627 · median $27,455 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $14,797 – $22,473 · median $16,886 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,729 – $19,333 · median $14,526 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,865 – $28,651 · median $21,528 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,586 – $20,635 · median $15,504 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,531 – $12,956 · median $9,897 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $13,137 – $19,952 · median $14,992 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $8,449 – $12,833 · median $9,810 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,268 – $21,332 · median $13,613 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $2,397 – $28,129 · median $20,638 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $3,268 – $21,783 · median $16,146 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $2,397 – $14,444 · median $10,951 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $3,268 – $18,924 · median $14,122 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,373 – $35,844 · median $20,199 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,373 – $21,073 · median $14,760 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,373 – $16,997 · median $13,244 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,373 – $31,442 · median $18,578 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,373 – $20,661 · median $14,608 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,373 – $17,604 · median $13,482 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $24,027 – $36,492 · median $27,354 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $79,238 – $120,347 · median $89,353 | 20 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $54,114 – $82,189 · median $61,141 | 20 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $32,652 – $49,592 · median $37,040 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $55,589 – $84,428 · median $62,796 | 20 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $19,676 – $29,884 · median $22,454 | 20 plans |
| 795 | Normal newborn | $2,663 – $4,045 · median $3,589 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $3,268 – $24,840 · median $14,905 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $3,268 – $18,839 · median $12,695 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $3,268 – $18,839 · median $12,695 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $63,377 – $96,256 · median $71,542 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $38,838 – $58,987 · median $43,986 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $21,882 – $33,235 · median $24,946 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $47,782 – $72,571 · median $54,029 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $23,726 – $36,034 · median $27,016 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $14,737 – $22,382 · median $16,817 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $3,268 – $19,419 · median $12,908 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $3,268 – $14,080 · median $10,942 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $3,268 – $12,401 · median $9,859 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $30,527 – $46,365 · median $34,654 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $16,508 – $25,072 · median $18,839 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,687 – $19,268 · median $14,478 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $18,753 – $28,481 · median $21,400 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $12,301 – $18,683 · median $14,938 | 20 plans |
| 813 | Coagulation disorders | $20,633 – $31,338 · median $23,544 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $27,864 – $42,320 · median $31,663 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $13,544 – $20,570 · median $15,456 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $8,789 – $13,349 · median $10,175 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $2,397 – $51,321 · median $37,055 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $2,397 – $26,074 · median $19,184 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $2,397 – $16,529 · median $12,427 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $77,605 – $117,867 · median $87,519 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $29,756 – $45,193 · median $33,787 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,244 – $23,153 · median $17,397 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $62,373 – $94,732 · median $70,414 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $29,316 – $44,525 · median $33,293 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,405 – $24,916 · median $18,721 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $63,653 – $96,675 · median $71,851 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $31,455 – $47,774 · median $35,696 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $21,365 – $32,449 · median $24,365 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $41,104 – $62,428 · median $46,531 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $19,494 – $29,607 · median $22,246 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $2,397 – $23,301 · median $17,220 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $2,397 – $15,130 · median $11,437 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,397 – $10,523 · median $8,175 | 20 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $73,673 – $111,895 · median $83,104 | 20 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $28,469 – $43,239 · median $32,343 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,937 – $25,724 · median $19,328 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $66,741 – $101,366 · median $75,319 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $27,034 – $41,059 · median $30,731 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $18,266 – $27,742 · median $20,845 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $42,506 – $64,558 · median $48,105 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $20,900 – $31,743 · median $23,843 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $14,021 – $21,295 · median $16,000 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $25,236 – $38,328 · median $28,712 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,931 – $24,196 · median $18,180 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $11,154 – $16,940 · median $12,738 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $34,040 – $51,699 · median $38,598 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $16,937 – $25,724 · median $19,328 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,915 – $16,578 · median $12,473 | 20 plans |
| 849 | RADIOTHERAPY | $35,603 – $54,074 · median $40,354 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $66,662 – $101,246 · median $75,231 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $26,633 – $40,450 · median $30,280 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $21,668 – $32,909 · median $24,705 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $60,135 – $91,333 · median $67,901 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $29,043 – $44,110 · median $35,268 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,173 – $26,082 · median $19,598 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $24,508 – $37,223 · median $27,895 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $13,328 – $20,242 · median $15,209 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,969 – $19,580 · median $13,659 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $19,672 – $29,878 · median $22,450 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,794 – $17,912 · median $13,459 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $28,581 – $43,409 · median $32,469 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,997 – $21,258 · median $15,973 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,592 – $14,568 · median $11,038 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $92,723 – $140,827 · median $104,496 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $26,153 – $39,721 · median $31,759 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $13,742 – $23,656 · median $15,682 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $52,378 – $79,551 · median $59,190 | 20 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $12,777 – $19,406 · median $14,581 | 20 plans |
| 881 | Depressive neuroses | $12,184 – $18,505 · median $13,904 | 20 plans |
| 882 | Neuroses except depressive | $12,823 – $19,475 · median $14,633 | 20 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $24,711 – $37,530 · median $28,122 | 20 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $22,262 – $33,812 · median $25,373 | 20 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $23,946 – $36,368 · median $27,263 | 20 plans |
| 887 | Other mental disorder diagnoses | $15,854 – $24,078 · median $18,092 | 20 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $8,319 – $12,634 · median $9,670 | 20 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $19,299 – $29,311 · median $22,024 | 20 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $23,736 – $36,051 · median $27,028 | 20 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $11,759 – $19,649 · median $13,419 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $59,054 – $89,691 · median $66,688 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $25,293 – $38,415 · median $28,776 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $16,249 – $24,679 · median $18,544 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $51,465 – $78,164 · median $58,165 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $21,969 – $33,366 · median $25,043 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $29,091 – $44,183 · median $33,040 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $53,099 – $80,646 · median $60,000 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $26,886 – $40,834 · median $30,565 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $16,905 – $25,675 · median $19,292 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $21,570 – $32,761 · median $24,596 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $12,215 – $18,552 · median $13,939 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $23,164 – $35,182 · median $26,386 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,852 – $13,444 · median $10,243 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,856 – $33,194 · median $24,916 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,791 – $17,908 · median $13,455 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $24,307 – $36,917 · median $27,669 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $13,541 – $20,566 · median $15,453 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $9,166 – $13,922 · median $10,581 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $22,518 – $34,200 · median $25,660 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $13,594 – $20,647 · median $15,514 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $316,201 – $480,244 · median $355,446 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $89,023 – $135,208 · median $100,341 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $42,392 – $64,384 · median $47,977 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $57,673 – $87,594 · median $65,137 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $28,601 – $43,440 · median $32,491 | 20 plans |
| 935 | Non-extensive burns | $29,276 – $44,464 · median $33,249 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $42,306 – $64,254 · median $47,881 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $28,143 – $42,743 · median $31,976 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $26,049 – $39,563 · median $29,625 | 20 plans |
| 945 | REHABILITATION WITH CC/MCC | $20,347 – $30,902 · median $23,219 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,882 – $22,602 · median $16,983 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $17,144 – $37,264 · median $19,564 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $10,590 – $16,084 · median $12,113 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,382 – $21,843 · median $16,412 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,812 – $11,865 · median $9,125 | 20 plans |
| 951 | Other factors influencing health status | $7,558 – $11,478 · median $8,851 | 20 plans |
| 955 | Craniotomy for multiple significant trauma | $91,014 – $138,232 · median $102,577 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $50,949 – $77,381 · median $57,586 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $99,490 – $151,105 · median $112,095 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $54,780 – $83,199 · median $61,887 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $35,241 – $53,523 · median $39,947 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $36,211 – $54,997 · median $41,036 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,995 – $30,368 · median $22,818 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $12,164 – $18,475 · median $13,881 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $84,297 – $128,029 · median $95,033 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $35,366 – $53,713 · median $40,087 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $39,803 – $60,453 · median $45,070 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $18,946 – $28,775 · median $21,621 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $13,369 – $20,305 · median $15,256 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $19,219 – $29,190 · median $21,932 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $63,365 – $96,238 · median $71,528 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $32,633 – $49,563 · median $37,019 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $22,235 – $33,771 · median $25,343 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $46,687 – $70,909 · median $52,801 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,873 – $34,739 · median $26,058 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,919 – $23,392 · median $17,298 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $8,352 – $12,685 · median $10,142 | 19 plans |
| 885 | PSYCHOSES | $2,540 – $28,536 · median $20,926 | 19 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $56,790 – $86,329 · median $56,790 | 13 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $73,197 – $231,159 · median $150,844 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $375,455 – $570,239 · median $459,017 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $146,882 – $223,083 · median $179,572 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $285,662 – $433,861 · median $349,239 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $188,339 – $286,048 · median $230,255 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $141,946 – $215,586 · median $173,537 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $64,635 – $98,167 · median $79,020 | 12 plans |
| 007 | Lung transplant | $174,194 – $264,565 · median $212,963 | 12 plans |
| 008 | Simultaneous pancreas/kidney transplant | $72,524 – $110,150 · median $88,665 | 12 plans |
| 010 | Pancreas transplant | $106,272 – $161,405 · median $129,924 | 12 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $71,922 – $109,235 · median $87,929 | 12 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $54,698 – $83,075 · median $66,872 | 12 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $35,322 – $53,647 · median $43,183 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $174,634 – $265,233 · median $213,500 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $80,453 – $122,191 · median $98,358 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $80,453 – $122,191 · median $98,358 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $502,674 – $763,458 · median $614,549 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $105,663 – $160,480 · median $129,179 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $107,446 – $163,189 · median $131,360 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $73,673 – $111,895 · median $90,070 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $47,057 – $71,469 · median $57,530 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $76,043 – $115,494 · median $92,967 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $50,673 – $76,962 · median $61,951 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $59,611 – $90,537 · median $72,844 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $41,927 – $61,918 · median $50,911 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $34,437 – $49,958 · median $41,789 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $81,034 – $123,073 · median $99,068 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $44,741 – $67,953 · median $54,699 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $32,317 – $46,167 · median $38,189 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $55,857 – $84,835 · median $68,288 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $28,465 – $43,233 · median $34,801 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $21,266 – $32,299 · median $25,999 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $51,832 – $78,723 · median $63,368 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $30,321 – $46,051 · median $37,069 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $24,433 – $37,109 · median $29,871 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $44,264 – $67,228 · median $54,116 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $21,477 – $32,619 · median $26,257 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,171 – $23,042 · median $18,548 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $50,278 – $76,362 · median $61,468 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $30,100 – $45,715 · median $36,799 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $23,427 – $35,581 · median $28,641 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $26,825 – $40,741 · median $32,795 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $12,281 – $18,653 · median $15,015 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $19,982 – $30,348 · median $24,429 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $14,542 – $22,086 · median $17,778 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $33,377 – $50,693 · median $40,806 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $17,786 – $27,014 · median $21,745 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $24,604 – $37,368 · median $30,080 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $16,309 – $24,771 · median $19,939 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,895 – $18,066 · median $14,542 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $36,034 – $54,728 · median $44,053 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $23,738 – $36,053 · median $29,021 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $18,725 – $28,439 · median $22,892 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $26,514 – $40,269 · median $32,415 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $13,554 – $21,922 · median $16,571 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $9,747 – $15,404 · median $11,835 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $19,392 – $29,453 · median $23,708 | 12 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $11,750 – $17,845 · median $14,364 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $10,665 – $16,197 · median $13,038 | 12 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $23,176 – $35,200 · median $28,335 | 12 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $14,047 – $21,335 · median $17,174 | 12 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,999 – $15,187 · median $12,225 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $20,601 – $31,289 · median $25,186 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $13,894 – $21,102 · median $16,986 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $22,958 – $34,868 · median $28,067 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $12,221 – $18,562 · median $14,941 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $20,611 – $31,303 · median $25,198 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $13,301 – $20,201 · median $16,261 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $8,886 – $13,497 · median $10,864 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $26,495 – $40,241 · median $32,392 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $12,060 – $18,317 · median $14,744 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $30,926 – $46,970 · median $37,809 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $18,533 – $28,147 · median $22,657 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $12,744 – $19,355 · median $15,580 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $30,204 – $45,873 · median $36,926 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $17,482 – $26,552 · median $21,373 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,783 – $17,896 · median $14,405 | 12 plans |
| 088 | CONCUSSION WITH MCC | $18,803 – $28,558 · median $22,988 | 12 plans |
| 089 | CONCUSSION WITH CC | $14,290 – $21,704 · median $17,470 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $11,427 – $17,355 · median $13,970 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,297 – $36,903 · median $29,705 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $14,111 – $21,432 · median $17,252 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $10,521 – $15,979 · median $12,862 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $48,634 – $73,864 · median $59,457 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $31,952 – $48,529 · median $39,064 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,952 – $48,529 · median $39,064 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $47,779 – $72,567 · median $58,413 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $28,915 – $43,915 · median $35,350 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $18,571 – $28,206 · median $22,705 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $102,511 – $156,734 · median $102,511 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $79,603 – $121,458 · median $79,603 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $120,251 – $184,051 · median $120,251 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $79,121 – $120,717 · median $79,121 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $96,808 – $147,951 · median $96,808 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $59,245 – $90,109 · median $59,245 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,530 – $113,647 · median $74,530 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $44,950 – $68,098 · median $44,950 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $89,380 – $92,062 · median $89,380 | 8 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $132,737 – $136,720 · median $132,737 | 8 plans |
No procedures match that keyword.