Crisp Regional Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 770
Lowest published price —
Average published price —
Highest published price —
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $211,096 – $410,384 · median $282,704 | 4 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $101,048 – $160,546 · median $117,378 | 4 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,778 – $312,237 · median $215,367 | 4 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $102,988 – $205,860 · median $142,333 | 4 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $85,553 – $155,151 · median $107,263 | 4 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $36,070 – $70,648 · median $51,070 | 4 plans |
| 007 | LUNG TRANSPLANT | $91,555 – $190,399 · median $133,408 | 4 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $41,933 – $79,271 · median $60,654 | 4 plans |
| 010 | PANCREAS TRANSPLANT | $31,101 – $116,159 · median $76,214 | 4 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,739 – $78,613 · median $59,163 | 4 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,321 – $59,787 · median $46,900 | 4 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,212 – $38,608 · median $33,686 | 4 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $83,948 – $190,880 · median $124,174 | 4 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $45,633 – $87,937 · median $63,874 | 4 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $32,776 – $87,937 · median $58,947 | 4 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $271,089 – $549,438 · median $432,844 | 4 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $53,510 – $115,493 · median $75,807 | 4 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $69,775 – $117,442 · median $83,079 | 4 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $50,919 – $80,527 · median $57,575 | 4 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $32,689 – $51,434 · median $36,614 | 4 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,986 – $83,118 · median $61,899 | 4 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,616 – $55,387 · median $43,888 | 4 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $34,054 – $65,157 · median $50,176 | 4 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,676 – $44,561 · median $35,938 | 4 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,716 – $35,953 · median $30,131 | 4 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,081 – $88,572 · median $64,652 | 4 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,632 – $48,904 · median $38,933 | 4 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,559 – $32,422 · median $26,885 | 4 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,908 – $61,053 · median $49,520 | 4 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,409 – $31,114 · median $26,250 | 4 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,739 – $23,647 · median $21,412 | 4 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,996 – $56,654 · median $43,480 | 4 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,129 – $33,142 · median $28,820 | 4 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,105 – $26,706 · median $24,386 | 4 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $25,298 – $48,382 · median $37,750 | 4 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,266 – $23,475 · median $21,214 | 4 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,645 – $18,365 · median $15,895 | 4 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,413 – $54,956 · median $43,386 | 4 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,536 – $32,900 · median $26,920 | 4 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,873 – $25,606 · median $22,255 | 4 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,352 – $29,320 · median $23,083 | 4 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,671 – $16,238 · median $13,435 | 4 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,403 – $22,173 · median $20,100 | 4 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,562 – $16,676 · median $14,851 | 4 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,731 – $36,482 · median $28,152 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,761 – $19,666 · median $17,863 | 4 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,940 – $26,893 · median $22,075 | 4 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,576 – $19,074 · median $16,810 | 4 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,797 – $15,594 · median $12,957 | 4 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,995 – $39,386 · median $32,451 | 4 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,379 – $25,946 · median $22,547 | 4 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,858 – $20,839 · median $18,861 | 4 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,790 – $28,981 · median $25,061 | 4 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,623 – $16,575 · median $14,270 | 4 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,239 – $13,043 · median $10,414 | 4 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,606 – $21,542 · median $19,517 | 4 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,778 – $14,994 · median $12,629 | 4 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,984 – $14,283 · median $11,742 | 4 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,932 – $25,333 · median $21,632 | 4 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,018 – $16,745 · median $14,610 | 4 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,790 – $13,821 · median $11,187 | 4 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,245 – $23,012 · median $20,786 | 4 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,677 – $16,797 · median $14,548 | 4 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,688 – $26,405 · median $23,479 | 4 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,405 – $14,569 · median $12,711 | 4 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $15,299 – $28,960 · median $23,070 | 4 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,739 – $15,332 · median $12,939 | 4 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,990 – $33,803 · median $27,781 | 4 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,112 – $20,752 · median $18,720 | 4 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,874 – $15,984 · median $13,582 | 4 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,518 – $33,013 · median $27,645 | 4 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,748 – $19,743 · median $17,728 | 4 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,543 – $15,539 · median $12,873 | 4 plans |
| 088 | CONCUSSION WITH MCC | $11,822 – $20,552 · median $18,532 | 4 plans |
| 089 | CONCUSSION WITH CC | $8,758 – $17,532 · median $15,068 | 4 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,173 – $14,547 · median $12,268 | 4 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,956 – $26,558 · median $22,537 | 4 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,457 – $16,712 · median $14,631 | 4 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,736 – $14,256 · median $11,652 | 4 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,801 – $53,158 · median $40,001 | 4 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,176 – $34,925 · median $30,689 | 4 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,132 – $34,925 · median $30,689 | 4 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $29,162 – $52,224 · median $40,916 | 4 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,632 – $31,605 · median $27,873 | 4 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,489 – $20,390 · median $18,591 | 4 plans |
| 100 | SEIZURES WITH MCC | $14,408 – $28,924 · median $24,326 | 4 plans |
| 101 | SEIZURES WITHOUT MCC | $6,761 – $15,408 · median $13,093 | 4 plans |
| 102 | HEADACHES WITH MCC | $8,624 – $17,773 · median $15,805 | 4 plans |
| 103 | HEADACHES WITHOUT MCC | $6,244 – $14,689 · median $12,275 | 4 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,840 – $32,876 · median $28,430 | 4 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,771 – $20,288 · median $17,011 | 4 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,393 – $22,305 · median $20,346 | 4 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,149 – $25,220 · median $22,596 | 4 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,446 – $17,383 · median $15,054 | 4 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,190 – $18,233 · median $16,022 | 4 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,181 – $14,142 · median $10,796 | 4 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,954 – $14,281 · median $11,763 | 4 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,505 – $19,964 · median $17,764 | 4 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,466 – $13,947 · median $11,789 | 4 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $18,380 – $35,127 · median $26,636 | 4 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,702 – $16,629 · median $14,010 | 4 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,247 – $21,808 · median $19,217 | 4 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,632 – $15,230 · median $12,231 | 4 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,431 – $20,003 · median $17,382 | 4 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,172 – $61,615 · median $47,389 | 4 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,745 – $31,302 · median $26,746 | 4 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,763 – $22,926 · median $20,946 | 4 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,795 – $48,105 · median $42,251 | 4 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,570 – $25,593 · median $22,307 | 4 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,059 – $18,655 · median $16,354 | 4 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,107 – $33,423 · median $26,115 | 4 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,083 – $19,405 · median $17,102 | 4 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,132 – $14,265 · median $11,738 | 4 plans |
| 149 | DYSEQUILIBRIUM | $5,663 – $13,772 · median $11,147 | 4 plans |
| 150 | EPISTAXIS WITH MCC | $10,345 – $20,137 · median $18,331 | 4 plans |
| 151 | EPISTAXIS WITHOUT MCC | $5,783 – $13,581 · median $11,144 | 4 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,983 – $18,438 · median $15,900 | 4 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,179 – $13,626 · median $10,826 | 4 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,272 – $23,694 · median $20,629 | 4 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,895 – $15,558 · median $13,242 | 4 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,113 – $13,116 · median $10,328 | 4 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,539 – $24,231 · median $21,960 | 4 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,968 – $15,486 · median $13,263 | 4 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,624 – $13,304 · median $10,313 | 4 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,328 – $67,151 · median $49,533 | 4 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,370 – $36,670 · median $30,142 | 4 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,452 – $27,157 · median $24,102 | 4 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,494 – $56,095 · median $42,163 | 4 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,258 – $26,620 · median $23,005 | 4 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,632 – $20,434 · median $18,322 | 4 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,476 – $20,529 · median $18,748 | 4 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,132 – $14,350 · median $11,874 | 4 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,349 – $23,551 · median $20,621 | 4 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,153 – $16,203 · median $13,935 | 4 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,891 – $13,808 · median $11,324 | 4 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,704 – $25,464 · median $22,634 | 4 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,503 – $17,233 · median $15,223 | 4 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,656 – $13,795 · median $11,812 | 4 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,267 – $23,125 · median $20,296 | 4 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,839 – $17,158 · median $14,884 | 4 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,663 – $14,150 · median $11,523 | 4 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,451 – $23,019 · median $20,579 | 4 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,844 – $16,345 · median $14,081 | 4 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,430 – $13,399 · median $10,896 | 4 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,053 – $19,014 · median $16,886 | 4 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,141 – $17,630 · median $15,480 | 4 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,482 – $14,762 · median $12,370 | 4 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,891 – $12,584 · median $9,924 | 4 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,740 – $19,870 · median $17,825 | 4 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,302 – $14,360 · median $11,918 | 4 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,814 – $12,438 · median $9,685 | 4 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,033 – $27,449 · median $23,835 | 4 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,377 – $15,912 · median $13,799 | 4 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,332 – $13,388 · median $10,645 | 4 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,190 – $25,719 · median $22,616 | 4 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,040 – $17,539 · median $15,329 | 4 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,459 – $13,376 · median $10,470 | 4 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,944 – $16,151 · median $13,729 | 4 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,003 – $12,887 · median $10,410 | 4 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,071 – $14,376 · median $11,860 | 4 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,358 – $27,503 · median $23,278 | 4 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,701 – $15,825 · median $13,150 | 4 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,244 – $94,221 · median $68,875 | 4 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,501 – $39,100 · median $32,368 | 4 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $77,274 – $154,356 · median $103,762 | 4 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $73,064 – $140,607 · median $102,036 | 4 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,616 – $94,085 · median $70,268 | 4 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $44,540 – $86,675 · median $70,268 | 4 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $60,962 – $112,728 · median $81,192 | 4 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $40,763 – $77,168 · median $57,962 | 4 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,487 – $66,910 · median $55,064 | 4 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,962 – $72,602 · median $54,144 | 4 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,757 – $45,256 · median $36,337 | 4 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $62,949 – $123,456 · median $88,637 | 4 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,934 – $88,998 · median $65,190 | 4 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $58,087 – $113,877 · median $80,865 | 4 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,897 – $77,510 · median $59,248 | 4 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $44,925 – $85,727 · median $63,268 | 4 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,588 – $59,909 · median $46,631 | 4 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,876 – $73,383 · median $53,890 | 4 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,357 – $42,428 · median $33,376 | 4 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,617 – $21,998 · median $18,855 | 4 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $26,051 – $49,418 · median $36,766 | 4 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $17,580 – $32,821 · median $26,249 | 4 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,258 – $26,293 · median $23,045 | 4 plans |
| 245 | AICD GENERATOR PROCEDURES | $36,570 – $71,196 · median $50,331 | 4 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,148 – $33,692 · median $26,760 | 4 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,190 – $22,766 · median $19,945 | 4 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,075 – $49,978 · median $39,693 | 4 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,055 – $37,195 · median $30,851 | 4 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,714 – $25,487 · median $22,790 | 4 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,242 – $38,120 · median $31,859 | 4 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,242 – $24,676 · median $21,960 | 4 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,865 – $17,462 · median $13,727 | 4 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $21,385 – $40,873 · median $36,264 | 4 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,956 – $27,539 · median $24,205 | 4 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $26,240 – $49,625 · median $37,360 | 4 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,331 – $27,646 · median $23,868 | 4 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,576 – $23,289 · median $20,698 | 4 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,895 – $39,076 · median $35,425 | 4 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,823 – $50,920 · median $38,230 | 4 plans |
| 265 | AICD LEAD PROCEDURES | $25,366 – $51,971 · median $40,979 | 4 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,505 – $87,280 · median $65,842 | 4 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,705 – $68,543 · median $52,296 | 4 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $51,906 – $97,140 · median $73,265 | 4 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $32,072 – $60,617 · median $46,972 | 4 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,345 – $74,783 · median $57,402 | 4 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,129 – $50,181 · median $40,366 | 4 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,473 – $36,455 · median $30,429 | 4 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,098 – $56,969 · median $46,004 | 4 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,196 – $45,470 · median $37,746 | 4 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,048 – $23,914 · median $21,031 | 4 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $6,890 – $15,587 · median $13,168 | 4 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,375 – $13,463 · median $10,856 | 4 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,390 – $28,488 · median $24,762 | 4 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,516 – $13,128 · median $10,833 | 4 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,064 – $12,117 · median $9,106 | 4 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $15,908 – $32,246 · median $27,060 | 4 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,252 – $17,223 · median $15,068 | 4 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,224 – $39,795 · median $31,947 | 4 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,053 – $24,123 · median $21,473 | 4 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,043 – $15,701 · median $13,632 | 4 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,599 – $19,539 · median $17,594 | 4 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,471 – $14,827 · median $12,412 | 4 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,202 – $11,760 · median $8,866 | 4 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,287 – $23,870 · median $20,613 | 4 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,772 – $12,497 · median $10,305 | 4 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,664 – $10,559 · median $7,589 | 4 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,535 – $23,567 · median $21,314 | 4 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,733 – $17,195 · median $14,918 | 4 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,372 – $13,426 · median $10,755 | 4 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,044 – $18,594 · median $16,172 | 4 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,071 – $12,922 · median $10,248 | 4 plans |
| 304 | HYPERTENSION WITH MCC | $8,240 – $18,522 · median $16,226 | 4 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,592 – $13,809 · median $11,186 | 4 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,069 – $22,703 · median $20,307 | 4 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,836 – $15,523 · median $13,175 | 4 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,795 – $18,674 · median $16,516 | 4 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,532 – $13,599 · median $11,016 | 4 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,134 – $11,761 · median $8,945 | 4 plans |
| 311 | ANGINA PECTORIS | $5,011 – $13,233 · median $10,565 | 4 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,395 – $15,072 · median $12,587 | 4 plans |
| 313 | CHEST PAIN | $5,426 – $13,429 · median $10,757 | 4 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,620 – $31,374 · median $25,796 | 4 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,264 – $16,066 · median $13,661 | 4 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,115 – $13,018 · median $10,363 | 4 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,300 – $63,999 · median $49,346 | 4 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,536 – $33,724 · median $28,966 | 4 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $38,391 – $73,996 · median $54,541 | 4 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,210 – $35,375 · median $29,352 | 4 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,433 – $23,216 · median $21,013 | 4 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,675 – $66,899 · median $50,669 | 4 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,416 – $34,437 · median $28,886 | 4 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,816 – $24,053 · median $21,811 | 4 plans |
| 332 | RECTAL RESECTION WITH MCC | $30,452 – $50,535 · median $41,004 | 4 plans |
| 333 | RECTAL RESECTION WITH CC | $16,748 – $31,008 · median $28,319 | 4 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,859 – $24,164 · median $21,366 | 4 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $27,629 – $52,789 · median $40,511 | 4 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,953 – $30,774 · median $26,029 | 4 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,816 – $22,365 · median $20,347 | 4 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,744 – $39,256 · median $30,724 | 4 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,636 – $21,932 · median $19,925 | 4 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,380 – $18,481 · median $16,723 | 4 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,037 – $34,482 · median $27,880 | 4 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,358 – $19,809 · median $17,372 | 4 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,479 – $15,061 · median $12,652 | 4 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,678 – $35,238 · median $29,824 | 4 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,027 – $22,147 · median $20,129 | 4 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,266 – $18,282 · median $15,601 | 4 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,509 – $42,731 · median $33,886 | 4 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,140 – $24,783 · median $21,806 | 4 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,292 – $20,202 · median $18,075 | 4 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,669 – $62,147 · median $48,651 | 4 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,847 – $32,809 · median $28,176 | 4 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,404 – $20,775 · median $18,472 | 4 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,157 – $24,330 · median $20,910 | 4 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,666 – $16,465 · median $14,230 | 4 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,615 – $13,221 · median $10,558 | 4 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,689 – $25,467 · median $22,705 | 4 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,635 – $16,691 · median $14,408 | 4 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,445 – $13,509 · median $10,877 | 4 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $14,950 – $30,761 · median $26,326 | 4 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,035 – $18,735 · median $16,707 | 4 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,584 – $15,643 · median $12,909 | 4 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,335 – $26,489 · median $23,249 | 4 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,388 – $16,254 · median $13,911 | 4 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,754 – $12,458 · median $9,796 | 4 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,281 – $28,035 · median $24,578 | 4 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,916 – $17,368 · median $15,124 | 4 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,774 – $14,303 · median $11,380 | 4 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,200 – $20,589 · median $17,733 | 4 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,762 – $14,890 · median $12,499 | 4 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,215 – $23,672 · median $20,815 | 4 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,424 – $16,206 · median $13,940 | 4 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,187 – $13,010 · median $10,269 | 4 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,006 – $21,630 · median $19,663 | 4 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,053 – $14,186 · median $11,712 | 4 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,241 – $11,522 · median $8,756 | 4 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,630 – $19,371 · median $17,377 | 4 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,907 – $14,075 · median $11,511 | 4 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,085 – $24,126 · median $20,983 | 4 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,073 – $15,766 · median $13,384 | 4 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,837 – $12,660 · median $9,877 | 4 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $41,564 – $79,091 · median $59,325 | 4 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,973 – $40,916 · median $33,868 | 4 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,693 – $31,116 · median $27,127 | 4 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,521 – $51,010 · median $40,458 | 4 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,986 – $30,544 · median $26,708 | 4 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,733 – $22,832 · median $20,752 | 4 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,337 – $41,422 · median $37,083 | 4 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,218 – $31,055 · median $25,967 | 4 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,153 – $24,221 · median $21,590 | 4 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,510 – $51,047 · median $40,429 | 4 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,000 – $28,819 · median $25,613 | 4 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,323 – $20,400 · median $18,427 | 4 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,833 – $34,623 · median $28,779 | 4 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,458 – $24,161 · median $21,898 | 4 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,788 – $20,427 · median $18,055 | 4 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,459 – $51,421 · median $38,889 | 4 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,587 – $24,455 · median $22,054 | 4 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,392 – $21,408 · median $19,004 | 4 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,489 – $59,258 · median $46,276 | 4 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,765 – $33,265 · median $26,813 | 4 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,730 – $22,521 · median $20,003 | 4 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,162 – $28,542 · median $24,637 | 4 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,799 – $17,072 · median $14,861 | 4 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,708 – $13,348 · median $10,600 | 4 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,112 – $26,583 · median $23,335 | 4 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,253 – $17,884 · median $15,619 | 4 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,344 – $14,874 · median $11,878 | 4 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,431 – $24,238 · median $21,289 | 4 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,524 – $14,742 · median $12,370 | 4 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,548 – $12,361 · median $9,598 | 4 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,211 – $27,541 · median $22,919 | 4 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,095 – $16,087 · median $13,699 | 4 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,889 – $13,209 · median $10,588 | 4 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,485 – $24,540 · median $21,693 | 4 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,247 – $17,486 · median $15,140 | 4 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,088 – $14,592 · median $11,849 | 4 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $63,369 – $123,388 · median $88,374 | 4 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,276 – $83,617 · median $64,204 | 4 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $36,098 – $62,909 · median $46,470 | 4 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,114 – $89,406 · median $59,845 | 4 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,312 – $78,687 · median $61,594 | 4 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,404 – $42,958 · median $35,993 | 4 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,945 – $25,389 · median $23,158 | 4 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $39,338 – $74,223 · median $56,700 | 4 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,194 – $49,902 · median $40,072 | 4 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,920 – $38,219 · median $32,361 | 4 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,236 – $47,622 · median $35,185 | 4 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,339 – $27,470 · median $24,248 | 4 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $37,778 – $70,766 · median $52,969 | 4 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,033 – $42,209 · median $34,323 | 4 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,013 – $34,491 · median $29,323 | 4 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,727 – $65,338 · median $47,662 | 4 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,659 – $31,430 · median $27,683 | 4 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,206 – $18,416 · median $16,097 | 4 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,521 – $50,103 · median $39,359 | 4 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,617 – $34,071 · median $29,500 | 4 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,263 – $25,872 · median $23,555 | 4 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,245 – $42,847 · median $33,988 | 4 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,843 – $30,229 · median $25,888 | 4 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,346 – $23,301 · median $21,203 | 4 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,682 – $37,125 · median $32,597 | 4 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,383 – $46,902 · median $37,106 | 4 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,645 – $30,899 · median $25,854 | 4 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,030 – $23,022 · median $20,656 | 4 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,019 – $28,634 · median $22,663 | 4 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,971 – $18,042 · median $16,204 | 4 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,144 – $51,737 · median $41,508 | 4 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,819 – $34,980 · median $30,262 | 4 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,166 – $27,468 · median $25,016 | 4 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,858 – $51,292 · median $41,054 | 4 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,748 – $28,745 · median $23,010 | 4 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,413 – $19,560 · median $17,111 | 4 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,223 – $38,318 · median $34,257 | 4 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,890 – $27,460 · median $19,825 | 4 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,034 – $46,165 · median $36,489 | 4 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,184 – $26,001 · median $22,457 | 4 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,309 – $20,356 · median $18,474 | 4 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,000 – $38,558 · median $32,787 | 4 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,311 – $25,882 · median $23,500 | 4 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,251 – $25,569 · median $22,900 | 4 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,574 – $21,840 · median $18,506 | 4 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,911 – $28,238 · median $23,035 | 4 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,862 – $22,037 · median $18,525 | 4 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $21,661 – $41,640 · median $35,060 | 4 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,843 – $28,573 · median $25,739 | 4 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,049 – $23,565 · median $21,468 | 4 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,955 – $22,686 · median $20,360 | 4 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,745 – $16,705 · median $14,343 | 4 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,384 – $45,053 · median $36,708 | 4 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,254 – $29,308 · median $25,726 | 4 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,324 – $22,279 · median $20,097 | 4 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,958 – $52,215 · median $42,159 | 4 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,995 – $28,729 · median $24,954 | 4 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,099 – $21,815 · median $19,472 | 4 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,644 – $42,464 · median $33,571 | 4 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,297 – $30,713 · median $26,118 | 4 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,697 – $22,615 · median $20,471 | 4 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,969 – $14,362 · median $11,876 | 4 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,671 – $19,519 · median $17,769 | 4 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,828 – $14,378 · median $11,860 | 4 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,451 – $15,968 · median $13,305 | 4 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,222 – $13,432 · median $10,453 | 4 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,969 – $29,464 · median $24,652 | 4 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,100 – $19,674 · median $17,572 | 4 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,135 – $14,159 · median $12,235 | 4 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,710 – $27,173 · median $22,639 | 4 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,168 – $16,767 · median $14,670 | 4 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,836 – $13,804 · median $11,220 | 4 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,815 – $36,814 · median $29,723 | 4 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,042 – $18,126 · median $15,937 | 4 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,861 – $14,688 · median $11,517 | 4 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,549 – $29,351 · median $24,268 | 4 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,088 – $18,709 · median $16,524 | 4 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,862 – $15,099 · median $12,531 | 4 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,551 – $24,861 · median $21,744 | 4 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,204 – $16,044 · median $13,663 | 4 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,944 – $19,674 · median $17,659 | 4 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,152 – $14,622 · median $12,133 | 4 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,984 – $19,950 · median $18,069 | 4 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,060 – $14,628 · median $12,004 | 4 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,739 – $22,578 · median $19,870 | 4 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,518 – $15,306 · median $12,629 | 4 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,388 – $27,044 · median $23,614 | 4 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,217 – $17,830 · median $15,677 | 4 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,927 – $14,338 · median $11,892 | 4 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,971 – $21,322 · median $19,255 | 4 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $6,459 – $15,331 · median $12,858 | 4 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,650 – $22,862 · median $20,432 | 4 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,406 – $16,186 · median $14,129 | 4 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,570 – $13,747 · median $11,141 | 4 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,878 – $43,856 · median $34,273 | 4 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,365 – $24,393 · median $21,877 | 4 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,027 – $18,049 · median $15,794 | 4 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,029 – $89,719 · median $70,031 | 4 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,035 – $50,480 · median $39,525 | 4 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,372 – $29,090 · median $22,941 | 4 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,368 – $78,604 · median $53,687 | 4 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,640 – $38,794 · median $31,397 | 4 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,844 – $24,627 · median $21,054 | 4 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,638 – $47,486 · median $37,219 | 4 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,022 – $25,831 · median $22,258 | 4 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,586 – $21,265 · median $19,288 | 4 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,511 – $26,504 · median $23,730 | 4 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,331 – $24,313 · median $22,032 | 4 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,019 – $29,829 · median $26,346 | 4 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,808 – $28,921 · median $24,250 | 4 plans |
| 592 | SKIN ULCERS WITH MCC | $13,380 – $29,958 · median $24,311 | 4 plans |
| 593 | SKIN ULCERS WITH CC | $8,639 – $18,482 · median $16,559 | 4 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,804 – $15,020 · median $12,401 | 4 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,061 – $30,815 · median $26,148 | 4 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,189 – $17,357 · median $15,061 | 4 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,630 – $25,593 · median $21,655 | 4 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,011 – $17,886 · median $15,264 | 4 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,607 – $13,964 · median $12,009 | 4 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,808 – $16,914 · median $13,971 | 4 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,279 – $12,183 · median $9,411 | 4 plans |
| 602 | CELLULITIS WITH MCC | $10,809 – $21,405 · median $19,220 | 4 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,614 – $15,064 · median $12,653 | 4 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,319 – $21,645 · median $19,724 | 4 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,828 – $15,553 · median $13,168 | 4 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,512 – $23,460 · median $20,131 | 4 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,362 – $15,449 · median $12,691 | 4 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,624 – $33,203 · median $26,852 | 4 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,069 – $20,877 · median $19,002 | 4 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,234 – $56,309 · median $39,684 | 4 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,580 – $28,141 · median $23,667 | 4 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,797 – $20,996 · median $17,763 | 4 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,688 – $39,722 · median $33,741 | 4 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,642 – $23,267 · median $20,993 | 4 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,663 – $21,972 · median $19,745 | 4 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,158 – $54,517 · median $40,395 | 4 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,135 – $27,868 · median $22,911 | 4 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,418 – $19,193 · median $15,253 | 4 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,579 – $41,771 · median $35,056 | 4 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,144 – $21,989 · median $19,994 | 4 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,569 – $20,021 · median $17,518 | 4 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,336 – $57,485 · median $42,055 | 4 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,829 – $32,767 · median $26,723 | 4 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,532 – $21,442 · median $19,085 | 4 plans |
| 637 | DIABETES WITH MCC | $10,468 – $21,217 · median $19,373 | 4 plans |
| 638 | DIABETES WITH CC | $6,570 – $15,338 · median $13,032 | 4 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,506 – $12,359 · median $9,681 | 4 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $9,490 – $20,100 · median $17,995 | 4 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,777 – $14,060 · median $11,513 | 4 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,525 – $21,037 · median $17,750 | 4 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,328 – $24,145 · median $21,447 | 4 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,643 – $16,734 · median $14,456 | 4 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,570 – $13,953 · median $11,449 | 4 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,829 – $67,124 · median $51,708 | 4 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,597 – $50,591 · median $41,847 | 4 plans |
| 652 | KIDNEY TRANSPLANT | $23,138 – $44,747 · median $37,130 | 4 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $41,675 – $81,216 · median $56,611 | 4 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,319 – $41,115 · median $32,869 | 4 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,190 – $30,264 · median $26,107 | 4 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,790 – $47,466 · median $36,677 | 4 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,085 – $26,634 · median $23,268 | 4 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,843 – $22,443 · median $20,247 | 4 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,327 – $37,651 · median $30,309 | 4 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,584 – $19,949 · median $18,020 | 4 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,084 – $16,847 · median $14,453 | 4 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,790 – $45,449 · median $35,466 | 4 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,438 – $22,253 · median $20,200 | 4 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,450 – $16,971 · median $14,892 | 4 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,952 – $50,024 · median $36,057 | 4 plans |
| 666 | PROSTATECTOMY WITH CC | $12,914 – $24,583 · median $22,177 | 4 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,379 – $17,614 · median $14,779 | 4 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,172 – $42,488 · median $34,064 | 4 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,807 – $22,546 · median $20,515 | 4 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,406 – $16,217 · median $13,676 | 4 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,736 – $25,113 · median $22,922 | 4 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,813 – $17,325 · median $15,145 | 4 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,205 – $61,038 · median $46,758 | 4 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,779 – $33,631 · median $28,306 | 4 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,648 – $23,414 · median $21,096 | 4 plans |
| 682 | RENAL FAILURE WITH MCC | $11,150 – $21,881 · median $19,812 | 4 plans |
| 683 | RENAL FAILURE WITH CC | $6,712 – $15,117 · median $12,734 | 4 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,536 – $12,132 · median $9,447 | 4 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,734 – $27,473 · median $23,008 | 4 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,799 – $16,981 · median $14,699 | 4 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,498 – $14,191 · median $11,151 | 4 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,603 – $18,200 · median $16,060 | 4 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,967 – $14,399 · median $11,808 | 4 plans |
| 693 | URINARY STONES WITH MCC | $10,731 – $21,422 · median $18,460 | 4 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,978 – $14,098 · median $11,529 | 4 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,612 – $18,022 · median $15,677 | 4 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,198 – $13,093 · median $10,460 | 4 plans |
| 697 | URETHRAL STRICTURE | $7,443 – $17,306 · median $14,463 | 4 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,019 – $24,489 · median $21,529 | 4 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,591 – $16,626 · median $14,313 | 4 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,556 – $13,103 · median $10,482 | 4 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,965 – $28,273 · median $24,955 | 4 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,135 – $22,252 · median $20,012 | 4 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,090 – $32,738 · median $28,192 | 4 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,811 – $21,874 · median $19,021 | 4 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,326 – $28,208 · median $25,596 | 4 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,312 – $17,544 · median $15,055 | 4 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,114 – $21,918 · median $19,608 | 4 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,187 – $17,085 · median $13,919 | 4 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,749 – $32,901 · median $27,302 | 4 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,857 – $21,567 · median $19,268 | 4 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,277 – $27,033 · median $23,868 | 4 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,518 – $20,181 · median $17,329 | 4 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,733 – $25,237 · median $23,043 | 4 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,643 – $18,010 · median $15,636 | 4 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,738 – $12,732 · median $10,579 | 4 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,370 – $18,395 · median $16,733 | 4 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,787 – $13,451 · median $10,991 | 4 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,776 – $21,696 · median $19,686 | 4 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,163 – $14,417 · median $11,921 | 4 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,084 – $17,099 · median $15,099 | 4 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,919 – $12,909 · median $9,765 | 4 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,389 – $30,636 · median $26,240 | 4 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,542 – $20,207 · median $17,209 | 4 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,989 – $57,367 · median $40,547 | 4 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,176 – $29,115 · median $25,552 | 4 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,529 – $22,100 · median $19,688 | 4 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $29,267 – $57,998 · median $40,629 | 4 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,518 – $26,491 · median $23,066 | 4 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,847 – $21,081 · median $18,734 | 4 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,516 – $26,613 · median $23,316 | 4 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,780 – $19,072 · median $16,628 | 4 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,237 – $28,468 · median $25,438 | 4 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,631 – $17,953 · median $14,898 | 4 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $11,726 – $24,451 · median $22,322 | 4 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,340 – $14,943 · median $13,145 | 4 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,629 – $20,660 · median $18,477 | 4 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,947 – $37,713 · median $30,574 | 4 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,703 – $21,619 · median $18,344 | 4 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,027 – $26,360 · median $23,384 | 4 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,108 – $17,415 · median $15,296 | 4 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,476 – $16,035 · median $13,595 | 4 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,292 – $21,143 · median $19,063 | 4 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,166 – $16,236 · median $14,147 | 4 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,653 – $12,818 · median $9,969 | 4 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,250 – $16,545 · median $14,029 | 4 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,243 – $11,809 · median $9,507 | 4 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,330 – $17,239 · median $12,286 | 4 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,460 – $23,938 · median $20,032 | 4 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,494 – $16,493 · median $14,666 | 4 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,228 – $12,722 · median $10,464 | 4 plans |
| 779 | ABORTION WITHOUT D&C | $7,640 – $14,744 · median $12,914 | 4 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $14,473 – $32,231 · median $26,763 | 4 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,830 – $17,115 · median $14,975 | 4 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,841 – $16,006 · median $12,990 | 4 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,113 – $23,542 · median $21,481 | 4 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,990 – $17,729 · median $15,075 | 4 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,543 – $16,017 · median $13,221 | 4 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,694 – $26,262 · median $22,993 | 4 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,158 – $86,610 · median $64,010 | 4 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,841 – $59,149 · median $45,345 | 4 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,609 – $35,690 · median $29,401 | 4 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,680 – $60,760 · median $46,441 | 4 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,213 – $21,620 · median $19,704 | 4 plans |
| 795 | NORMAL NEWBORN | $1,518 – $7,792 · median $4,681 | 4 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,848 – $18,599 · median $16,702 | 4 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,959 – $16,468 · median $13,871 | 4 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,959 – $15,998 · median $13,676 | 4 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $39,058 – $69,273 · median $49,999 | 4 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,939 – $42,451 · median $32,969 | 4 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,470 – $26,312 · median $22,853 | 4 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,590 – $52,227 · median $44,603 | 4 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $15,400 – $25,933 · median $23,555 | 4 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,464 – $20,321 · median $16,467 | 4 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,542 – $17,321 · median $14,441 | 4 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,234 – $13,798 · median $10,983 | 4 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,736 – $12,933 · median $9,997 | 4 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,058 – $33,367 · median $27,011 | 4 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,118 – $19,345 · median $17,031 | 4 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,041 – $16,968 · median $13,958 | 4 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,427 – $20,844 · median $18,878 | 4 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,735 – $15,577 · median $13,172 | 4 plans |
| 813 | COAGULATION DISORDERS | $11,738 – $22,553 · median $20,250 | 4 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,093 – $30,456 · median $26,207 | 4 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,733 – $16,615 · median $14,281 | 4 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,468 – $12,476 · median $9,968 | 4 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $23,474 – $36,934 · median $27,741 | 4 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,926 – $18,765 · median $16,624 | 4 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,664 – $14,945 · median $12,135 | 4 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $39,882 – $84,825 · median $63,231 | 4 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,218 – $32,524 · median $27,315 | 4 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,038 – $18,674 · median $16,062 | 4 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,448 – $68,176 · median $50,553 | 4 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,177 – $32,043 · median $27,583 | 4 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,875 – $20,249 · median $17,349 | 4 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,564 – $69,574 · median $51,474 | 4 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $18,260 – $34,381 · median $28,034 | 4 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,043 – $24,090 · median $21,650 | 4 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,735 – $44,928 · median $36,441 | 4 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,029 – $21,936 · median $19,735 | 4 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,961 – $18,658 · median $16,109 | 4 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,254 – $13,446 · median $11,011 | 4 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,780 – $11,293 · median $8,462 | 4 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $41,475 – $80,527 · median $59,518 | 4 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,728 – $31,118 · median $25,802 | 4 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,766 – $18,842 · median $17,057 | 4 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $40,367 – $72,950 · median $52,727 | 4 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,681 – $29,549 · median $25,818 | 4 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,310 – $21,273 · median $18,790 | 4 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,303 – $46,461 · median $37,183 | 4 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,961 – $23,305 · median $21,071 | 4 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,278 – $16,576 · median $14,525 | 4 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,531 – $27,583 · median $24,901 | 4 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,555 – $18,819 · median $16,498 | 4 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,341 – $14,855 · median $12,246 | 4 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,068 – $37,206 · median $30,820 | 4 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,136 – $19,803 · median $17,455 | 4 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,968 – $14,831 · median $12,106 | 4 plans |
| 849 | RADIOTHERAPY | $17,542 – $38,915 · median $31,979 | 4 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,758 – $72,864 · median $54,057 | 4 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,417 – $29,110 · median $24,933 | 4 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,458 – $23,683 · median $19,972 | 4 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,095 – $65,730 · median $50,196 | 4 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,818 – $31,744 · median $26,354 | 4 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,610 – $20,721 · median $17,964 | 4 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,718 – $26,788 · median $23,206 | 4 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,544 – $16,441 · median $14,090 | 4 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,362 – $15,246 · median $12,854 | 4 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,546 – $21,863 · median $19,803 | 4 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $6,748 – $15,050 · median $12,676 | 4 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,851 – $31,240 · median $25,875 | 4 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,918 – $16,800 · median $14,605 | 4 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,556 – $13,534 · median $10,845 | 4 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,932 – $101,349 · median $73,601 | 4 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,679 – $28,586 · median $24,383 | 4 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,710 – $16,716 · median $14,431 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $23,972 – $57,250 · median $43,423 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,797 – $16,032 · median $13,620 | 4 plans |
| 881 | DEPRESSIVE NEUROSES | $6,416 – $15,823 · median $13,210 | 4 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,551 – $17,263 · median $14,155 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,109 – $27,009 · median $24,618 | 4 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,775 – $24,333 · median $21,078 | 4 plans |
| 885 | PSYCHOSES | $9,716 – $20,763 · median $18,864 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $10,238 – $28,115 · median $24,727 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,724 – $17,328 · median $15,750 | 4 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $4,289 – $12,312 · median $9,644 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,690 – $21,094 · median $19,164 | 4 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,167 – $25,944 · median $22,427 | 4 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $6,385 – $15,193 · median $12,717 | 4 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $32,990 – $64,548 · median $46,708 | 4 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,864 – $27,646 · median $24,105 | 4 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,117 – $18,301 · median $16,457 | 4 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,639 – $56,252 · median $41,523 | 4 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,699 – $24,013 · median $19,835 | 4 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,409 – $31,797 · median $24,598 | 4 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,993 – $58,039 · median $43,169 | 4 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,424 – $29,387 · median $24,905 | 4 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,235 – $19,852 · median $17,458 | 4 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,356 – $23,577 · median $21,333 | 4 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,668 – $15,223 · median $12,978 | 4 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,651 – $25,319 · median $21,798 | 4 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,982 – $12,847 · median $10,157 | 4 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,419 – $23,889 · median $20,677 | 4 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,133 – $14,915 · median $12,619 | 4 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,452 – $26,568 · median $23,276 | 4 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,664 – $16,488 · median $14,227 | 4 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,459 – $13,087 · median $10,428 | 4 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $11,669 – $24,613 · median $22,470 | 4 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,074 – $16,655 · median $14,325 | 4 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $142,367 – $345,617 · median $216,608 | 4 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $46,435 – $97,305 · median $76,185 | 4 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,041 – $46,335 · median $37,043 | 4 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,748 – $63,039 · median $43,713 | 4 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,070 – $31,262 · median $27,038 | 4 plans |
| 935 | NON-EXTENSIVE BURNS | $15,181 – $31,999 · median $25,546 | 4 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,228 – $46,242 · median $41,081 | 4 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,525 – $30,950 · median $28,194 | 4 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,156 – $28,472 · median $25,226 | 4 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,289 – $22,408 · median $20,397 | 4 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,420 – $18,054 · median $15,608 | 4 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,117 – $19,383 · median $17,394 | 4 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,832 – $14,301 · median $11,709 | 4 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,940 – $18,519 · median $15,527 | 4 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,321 – $12,429 · median $9,415 | 4 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,269 – $11,652 · median $8,954 | 4 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $50,520 – $99,482 · median $71,811 | 4 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,532 – $55,689 · median $42,414 | 4 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,579 – $108,746 · median $80,614 | 4 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,279 – $59,876 · median $46,880 | 4 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,265 – $38,519 · median $34,303 | 4 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,799 – $39,580 · median $32,220 | 4 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,984 – $22,235 · median $20,133 | 4 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,824 – $15,819 · median $13,197 | 4 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $54,357 – $92,139 · median $65,771 | 4 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,163 – $38,656 · median $31,265 | 4 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,548 – $43,506 · median $33,727 | 4 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,318 – $20,708 · median $17,969 | 4 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,921 – $15,409 · median $13,686 | 4 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,749 – $21,007 · median $17,996 | 4 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,353 – $69,260 · median $51,613 | 4 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,812 – $35,669 · median $29,493 | 4 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,527 – $24,304 · median $22,119 | 4 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,888 – $51,031 · median $39,100 | 4 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,723 – $25,000 · median $21,422 | 4 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,268 – $18,622 · median $16,127 | 4 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $31,366 – $44,706 · median $37,880 | 3 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $102,229 – $158,713 · median $123,461 | 3 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $68,638 – $102,959 · median $82,894 | 3 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $58,555 – $90,246 · median $70,716 | 3 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $46,100 – $67,774 · median $55,674 | 3 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $54,603 – $72,893 · median $65,944 | 3 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $37,018 – $46,685 · median $44,707 | 3 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $64,655 – $90,130 · median $78,083 | 3 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $29,072 – $41,475 · median $35,110 | 3 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,478 – $26,358 · median $24,731 | 3 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $43,488 – $62,055 · median $52,520 | 3 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $32,932 – $46,549 · median $39,772 | 3 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $33,465 – $41,698 · median $40,416 | 3 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,148 – $36,099 · median $31,579 | 3 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $18,240 – $22,046 · median $22,029 | 3 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,930 – $18,031 · median $16,373 | 3 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $40,734 – $56,997 · median $49,194 | 3 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $103,549 – $152,616 · median $125,055 | 3 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $69,429 – $103,479 · median $83,849 | 3 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $55,104 – $80,189 · median $66,548 | 3 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $85,499 – $121,514 · median $103,257 | 3 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $56,406 – $79,700 · median $68,121 | 3 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $64,611 – $97,681 · median $78,030 | 3 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,711 – $59,493 · median $51,581 | 3 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $52,480 – $75,032 · median $63,380 | 3 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,645 – $44,960 · median $40,632 | 3 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $28,527 – $41,723 · median $34,451 | 3 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $82,358 – $134,208 · median $99,463 | 3 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $106,219 – $128,280 · median $117,250 | 2 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $55,865 – $67,468 · median $61,667 | 2 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $26,393 – $31,875 · median $29,134 | 2 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $35,513 – $42,888 · median $39,201 | 2 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,322 – $31,789 · median $29,055 | 2 plans |
No procedures match that keyword.