Mc Donough District Hospital — Pricing
842 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 842 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 842 procedures
Procedures with negotiated rates only
These 842 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 | $199,413 – $368,198 · median $199,413 | 11 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,635 – $117,178 · median $80,635 | 11 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,035 – $247,678 · median $151,035 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,564 – $158,920 · median $98,564 | 11 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $73,368 – $130,568 · median $73,368 | 11 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,996 – $63,520 · median $32,996 | 11 plans |
| 007 | LUNG TRANSPLANT | $92,151 – $129,502 · median $92,151 | 11 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $39,881 – $57,858 · median $39,881 | 11 plans |
| 010 | PANCREAS TRANSPLANT | $51,061 – $84,781 · median $51,061 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $38,810 – $63,128 · median $38,810 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $30,000 – $42,160 · median $30,000 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $20,506 – $28,818 · median $20,506 | 11 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $85,517 – $120,179 · median $85,517 | 11 plans |
| 016 | AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,195 – $59,297 · median $42,195 | 11 plans |
| 017 | AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,655 – $64,182 · median $38,655 | 11 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $307,282 – $431,828 · median $307,282 | 11 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,769 – $84,295 · median $50,769 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,993 – $124,762 · median $55,993 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,670 – $52,938 · median $37,670 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,610 – $36,909 · median $22,610 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,776 – $60,635 · median $40,776 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,836 – $39,119 · median $27,836 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,354 – $45,467 · median $32,354 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,125 – $31,092 · median $22,125 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,953 – $27,163 · median $17,953 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,586 – $60,083 · median $42,754 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,276 – $34,116 · median $24,276 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,621 – $21,952 · median $15,621 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,693 – $44,805 · median $31,882 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,164 – $21,310 · median $15,164 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,833 – $17,074 · median $11,833 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,543 – $41,351 · median $27,543 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,010 – $26,336 · median $17,010 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,825 – $21,561 · median $13,825 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,426 – $43,656 · median $23,426 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,546 – $19,195 · median $11,546 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,365 – $15,684 · median $8,365 | 11 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,476 – $47,931 · median $27,476 | 11 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $15,646 – $23,911 · median $15,646 | 11 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $12,294 – $17,277 · median $12,294 | 11 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $12,889 – $18,113 · median $12,889 | 11 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,968 – $10,221 · median $6,968 | 11 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,865 – $15,269 · median $10,865 | 11 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,255 – $10,196 · median $7,255 | 11 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $16,531 – $23,231 · median $16,531 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,219 – $15,479 · median $9,219 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,165 – $22,126 · median $12,165 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $8,830 – $12,725 · median $8,830 | 11 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $6,545 – $10,505 · median $6,545 | 11 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,619 – $27,571 · median $19,619 | 11 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $12,504 – $17,572 · median $12,504 | 11 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,989 – $14,038 · median $9,989 | 11 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,310 – $20,568 · median $14,310 | 11 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,189 – $10,345 · median $7,189 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,870 – $8,742 · median $4,870 | 11 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,451 – $15,470 · median $10,451 | 11 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,151 – $9,759 · median $6,151 | 11 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,684 – $8,274 · median $5,684 | 11 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $11,846 – $20,991 · median $11,846 | 11 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $7,301 – $10,260 · median $7,301 | 11 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $5,381 – $8,601 · median $5,381 | 11 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,416 – $16,043 · median $11,416 | 11 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,335 – $10,308 · median $7,335 | 11 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $10,661 – $19,175 · median $13,645 | 11 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $4,111 – $8,252 · median $5,872 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $12,880 – $18,100 · median $12,880 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,373 – $8,956 · median $6,373 | 11 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,264 – $22,856 · median $16,264 | 11 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,932 – $13,958 · median $9,932 | 11 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,801 – $9,558 · median $6,801 | 11 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,166 – $26,292 · median $16,166 | 11 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $9,270 – $13,027 · median $9,270 | 11 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,509 – $9,147 · median $6,509 | 11 plans |
| 088 | CONCUSSION WITH MCC | $9,619 – $15,001 · median $9,619 | 11 plans |
| 089 | CONCUSSION WITH CC | $7,817 – $14,573 · median $7,817 | 11 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,858 – $11,938 · median $5,858 | 11 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $12,497 – $19,410 · median $12,497 | 11 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,280 – $10,230 · median $7,280 | 11 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $5,666 – $8,888 · median $5,666 | 11 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,043 – $35,194 · median $25,043 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $18,353 – $25,792 · median $18,353 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,353 – $25,792 · median $18,353 | 11 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,240 – $36,118 · median $25,701 | 11 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,140 – $22,949 · median $16,330 | 11 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $9,695 – $13,624 · median $9,695 | 11 plans |
| 100 | SEIZURES WITH MCC | $13,782 – $19,368 · median $13,782 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $6,390 – $9,026 · median $6,423 | 11 plans |
| 102 | HEADACHES WITH MCC | $7,976 – $11,209 · median $7,976 | 11 plans |
| 103 | HEADACHES WITHOUT MCC | $5,951 – $8,407 · median $5,951 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $15,044 – $23,511 · median $16,730 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,628 – $13,530 · median $9,628 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,922 – $22,306 · median $10,922 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,866 – $18,081 · median $12,866 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,720 – $11,469 · median $7,720 | 11 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $4,625 – $11,633 · median $8,278 | 11 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $2,966 – $7,858 · median $5,592 | 11 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,683 – $8,549 · median $5,683 | 11 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,415 – $13,865 · median $9,415 | 11 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $5,464 – $7,678 · median $5,464 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $15,441 – $25,638 · median $15,441 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,225 – $10,402 · median $7,225 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,602 – $14,932 · median $10,625 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,306 – $8,862 · median $6,306 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $8,793 – $14,600 · median $8,793 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $4,994 – $42,653 · median $30,351 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $3,813 – $21,811 · median $15,520 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,360 – $17,085 · median $11,360 | 11 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,229 – $37,466 · median $26,660 | 11 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $9,312 – $17,329 · median $12,331 | 11 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $4,749 – $12,023 · median $8,555 | 11 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $13,655 – $21,174 · median $15,067 | 11 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $9,048 – $12,715 · median $9,048 | 11 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,672 – $8,514 · median $5,672 | 11 plans |
| 149 | DYSEQUILIBRIUM | $5,348 – $7,516 · median $5,348 | 11 plans |
| 150 | EPISTAXIS WITH MCC | $9,475 – $14,697 · median $9,475 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,771 – $7,340 · median $5,223 | 11 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,412 – $11,822 · median $8,412 | 11 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,569 – $7,382 · median $5,253 | 11 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $11,126 – $15,635 · median $11,126 | 11 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $6,522 – $9,165 · median $6,522 | 11 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,304 – $6,911 · median $4,918 | 11 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,216 – $17,168 · median $12,216 | 11 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $6,474 – $9,098 · median $6,474 | 11 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,042 – $7,085 · median $5,042 | 11 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,892 – $44,818 · median $31,892 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $17,960 – $25,732 · median $17,960 | 11 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,621 – $19,142 · median $13,621 | 11 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,597 – $37,377 · median $26,597 | 11 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $12,833 – $18,034 · median $12,833 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,723 – $13,664 · median $9,723 | 11 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $21,180 – $32,629 · median $21,180 | 11 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $9,774 – $13,736 · median $9,774 | 11 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,728 – $8,050 · median $5,728 | 11 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,120 – $15,627 · median $11,120 | 11 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,945 – $9,760 · median $6,945 | 11 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $5,372 – $7,648 · median $5,372 | 11 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $12,567 – $22,496 · median $12,567 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,621 – $10,710 · median $7,621 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,364 – $8,905 · median $5,364 | 11 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,887 – $15,299 · median $10,887 | 11 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,572 – $10,641 · median $7,572 | 11 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,597 – $7,865 · median $5,597 | 11 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,090 – $15,585 · median $11,090 | 11 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,038 – $9,891 · median $7,038 | 11 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,103 – $7,807 · median $5,103 | 11 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,494 – $12,354 · median $8,791 | 11 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,882 – $11,077 · median $7,882 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,999 – $8,430 · median $5,999 | 11 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,568 – $6,420 · median $4,568 | 11 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $9,353 – $13,144 · median $9,353 | 11 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,735 – $8,059 · median $5,735 | 11 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,472 – $6,285 · median $4,472 | 11 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $13,429 – $18,872 · median $13,429 | 11 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,754 – $9,491 · median $6,754 | 11 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,096 – $7,447 · median $5,096 | 11 plans |
| 199 | PNEUMOTHORAX WITH MCC | $8,011 – $17,641 · median $12,553 | 11 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,572 – $10,993 · median $7,822 | 11 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,265 – $7,151 · median $5,089 | 11 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,911 – $9,712 · median $6,911 | 11 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,529 – $6,700 · median $4,768 | 11 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,479 – $8,074 · median $5,745 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,939 – $18,310 · median $13,029 | 11 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $6,292 – $9,411 · median $6,697 | 11 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,788 – $64,424 · median $45,788 | 11 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,559 – $27,487 · median $19,559 | 11 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | — | 11 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $77,378 – $115,840 · median $77,378 | 11 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $17,670 – $57,069 · median $40,609 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,852 – $101,608 · median $70,852 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,613 – $109,950 · median $69,613 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,789 – $65,753 · median $46,789 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,789 – $65,753 · median $46,789 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,638 – $76,783 · median $54,638 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,947 – $53,328 · median $37,947 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,865 – $50,402 · median $35,865 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,205 – $61,900 · median $35,205 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,411 – $37,135 · median $22,411 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $56,753 – $84,299 · median $59,986 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,140 – $64,957 · median $43,140 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $54,402 – $76,452 · median $54,402 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,872 – $61,660 · median $38,872 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,760 – $58,686 · median $41,760 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,807 – $46,822 · median $29,807 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,022 – $49,217 · median $35,022 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $19,964 – $28,505 · median $20,284 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,851 – $16,056 · median $9,851 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,719 – $39,934 · median $22,719 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $15,163 – $21,812 · median $15,163 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $12,862 – $18,075 · median $12,862 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,465 – $51,963 · median $32,465 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $15,530 – $21,825 · median $15,530 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,635 – $16,839 · median $10,635 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,822 – $34,883 · median $24,822 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,470 – $28,339 · median $18,470 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,678 – $22,299 · median $12,678 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,194 – $27,822 · median $19,194 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,082 – $18,010 · median $12,082 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,772 – $10,922 · median $7,772 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,359 – $31,421 · median $22,359 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,389 – $20,221 · median $14,389 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,146 – $56,600 · median $23,146 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,452 – $26,575 · median $13,452 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,598 – $16,299 · median $11,598 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,756 – $30,574 · median $21,756 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $22,016 – $33,406 · median $23,771 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $25,747 – $37,932 · median $25,747 | 11 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $40,240 – $61,284 · median $43,609 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $3,877 – $47,608 · median $33,877 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $14,455 – $68,779 · median $48,942 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $6,571 – $42,232 · median $30,052 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $3,499 – $52,763 · median $37,545 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $4,388 – $35,563 · median $25,306 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,167 – $28,661 · median $18,167 | 11 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $29,356 – $47,930 · median $29,356 | 11 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $23,423 – $36,582 · median $23,423 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,739 – $71,304 · median $50,739 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $36,092 – $60,066 · median $42,742 | 11 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,864 – $51,324 · median $32,864 | 11 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $31,262 – $55,662 · median $39,608 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,663 – $36,064 · median $25,663 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $11,415 – $16,041 · median $11,415 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $6,540 – $9,838 · median $6,540 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $5,145 – $8,825 · median $5,145 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $14,095 – $27,089 · median $14,095 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $4,926 – $7,879 · median $4,926 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $4,262 – $5,989 · median $4,262 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $15,746 – $22,128 · median $15,746 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $7,615 – $11,612 · median $7,615 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,257 – $28,643 · median $19,257 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $7,377 – $17,069 · median $12,146 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,616 – $10,410 · median $6,616 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,135 – $12,838 · median $9,135 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,041 – $8,490 · median $6,041 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,028 – $5,660 · median $4,028 | 11 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $11,114 – $22,085 · median $11,114 | 11 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $4,511 – $7,490 · median $4,511 | 11 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,238 – $4,697 · median $3,238 | 11 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $9,090 – $16,327 · median $11,618 | 11 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,596 – $10,675 · median $7,596 | 11 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,121 – $7,197 · median $5,121 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,515 – $12,370 · median $8,515 | 11 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,790 – $6,732 · median $4,790 | 11 plans |
| 304 | HYPERTENSION WITH MCC | $8,468 – $11,900 · median $8,468 | 11 plans |
| 305 | HYPERTENSION WITHOUT MCC | $5,373 – $7,551 · median $5,373 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,213 – $15,922 · median $11,213 | 11 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $6,498 – $9,132 · median $6,498 | 11 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $8,567 – $12,040 · median $8,567 | 11 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,086 – $7,357 · median $5,235 | 11 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,028 – $5,661 · median $4,028 | 11 plans |
| 311 | ANGINA PECTORIS | $4,995 – $7,019 · median $4,995 | 11 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,202 – $8,716 · median $6,202 | 11 plans |
| 313 | CHEST PAIN | $5,123 – $7,200 · median $5,123 | 11 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $14,838 – $20,852 · median $14,838 | 11 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,855 – $9,633 · median $6,855 | 11 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,854 – $6,821 · median $4,854 | 11 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,580 – $68,559 · median $47,580 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $17,236 – $37,921 · median $17,236 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,757 – $46,711 · median $31,757 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,116 – $24,614 · median $17,116 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $19,361 – $30,983 · median $19,361 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $12,545 – $23,486 · median $12,545 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,793 – $50,667 · median $30,793 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,422 – $38,192 · median $22,422 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,845 – $32,104 · median $22,845 | 11 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,490 – $49,874 · median $35,490 | 11 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,393 – $24,442 · median $17,393 | 11 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $11,402 – $18,265 · median $11,402 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,708 – $45,965 · median $32,708 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,058 – $23,972 · median $17,058 | 11 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,975 – $18,540 · median $11,975 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,764 – $36,885 · median $25,764 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $16,667 – $32,506 · median $16,667 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,655 – $23,381 · median $11,655 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,410 – $35,709 · median $25,410 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,005 – $21,087 · median $15,005 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $10,923 – $15,350 · median $10,923 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,177 – $25,828 · median $18,379 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $10,707 – $15,047 · median $10,707 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $8,441 – $11,862 · median $8,441 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,335 – $25,167 · median $16,335 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,313 – $13,088 · median $9,313 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,195 – $8,706 · median $6,195 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,732 – $25,720 · median $17,732 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $10,848 – $15,998 · median $10,848 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,310 – $12,034 · median $8,310 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,650 – $30,178 · median $20,650 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $11,972 – $16,824 · median $11,972 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $9,571 – $13,670 · median $9,571 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,166 – $43,928 · median $31,258 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,548 – $23,255 · median $16,548 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,947 – $13,979 · median $9,947 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,469 – $120,838 · median $24,469 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $17,180 – $65,781 · median $17,180 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,786 – $15,919 · median $11,328 | 11 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,117 – $10,002 · median $7,117 | 11 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,987 – $7,008 · median $4,987 | 11 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $12,617 – $17,731 · median $12,617 | 11 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $7,265 – $10,210 · median $7,265 | 11 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,176 – $7,274 · median $5,176 | 11 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,219 – $21,387 · median $15,219 | 11 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $8,607 – $12,096 · median $8,607 | 11 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,577 – $9,243 · median $6,577 | 11 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,008 – $18,280 · median $13,008 | 11 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,979 – $9,807 · median $6,979 | 11 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $4,486 – $6,536 · median $4,486 | 11 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $13,963 – $19,622 · median $13,963 | 11 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $7,710 – $10,835 · median $7,710 | 11 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,680 – $8,006 · median $5,697 | 11 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,825 – $13,807 · median $9,825 | 11 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,083 – $8,548 · median $6,083 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,259 – $15,823 · median $11,259 | 11 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,947 – $9,763 · median $6,947 | 11 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,848 – $6,813 · median $4,848 | 11 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $10,509 – $14,768 · median $10,509 | 11 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $5,532 – $7,898 · median $5,620 | 11 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,871 – $5,440 · median $3,871 | 11 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,025 – $12,683 · median $9,025 | 11 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $5,548 – $7,796 · median $5,548 | 11 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $11,380 – $15,993 · median $11,380 | 11 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $6,658 – $9,357 · median $6,658 | 11 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,618 – $6,490 · median $4,618 | 11 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,042 – $27,863 · median $17,042 | 11 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $10,771 – $25,054 · median $10,771 | 11 plans |
| 399 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $8,145 – $16,115 · median $8,145 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $11,817 – $40,205 · median $28,609 | 11 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $38,927 – $54,705 · median $38,927 | 11 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $20,637 – $31,376 · median $20,637 | 11 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,794 – $22,835 · median $15,794 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,372 – $55,873 · median $25,372 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,493 – $25,954 · median $15,493 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,298 – $19,858 · median $11,298 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,506 – $33,033 · median $23,506 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $14,961 – $22,667 · median $14,961 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,816 – $17,678 · median $11,816 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,351 – $37,257 · median $25,351 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,706 – $21,508 · median $14,706 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $9,701 – $21,765 · median $9,701 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $16,981 – $23,864 · median $16,981 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,037 – $17,751 · median $12,037 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $9,719 – $14,987 · median $9,719 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,244 – $54,856 · median $24,244 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,364 – $17,375 · median $12,364 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,959 – $15,625 · median $9,959 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,552 – $58,534 · median $29,552 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,569 – $26,271 · median $15,569 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,676 – $16,437 · median $10,676 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $19,454 – $110,212 · median $78,425 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $14,583 – $72,186 · median $51,366 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $11,081 – $56,220 · median $40,005 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $64,111 – $90,096 · median $64,111 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,038 – $57,671 · median $41,038 | 11 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,005 – $19,682 · median $14,005 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $7,516 – $10,562 · median $7,516 | 11 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,070 – $7,125 · median $5,070 | 11 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,070 – $18,367 · median $13,070 | 11 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,049 – $11,311 · median $8,049 | 11 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,072 – $8,533 · median $6,072 | 11 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $11,600 – $16,302 · median $11,600 | 11 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,986 – $8,412 · median $5,986 | 11 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $4,422 – $6,214 · median $4,422 | 11 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,771 – $17,947 · median $12,771 | 11 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,869 – $9,653 · median $6,869 | 11 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,979 – $6,997 · median $4,979 | 11 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $11,890 – $16,709 · median $11,890 | 11 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $7,788 – $10,944 · median $7,788 | 11 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,887 – $8,273 · median $5,887 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,545 – $102,650 · median $47,545 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,177 – $42,408 · median $30,177 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,925 – $58,394 · median $37,925 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,987 – $32,512 · median $22,987 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,797 – $84,034 · median $59,797 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,432 – $60,825 · median $42,432 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,692 – $46,822 · median $29,692 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $39,301 – $65,254 · median $39,301 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $18,928 – $26,600 · median $18,928 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,557 – $56,995 · median $40,557 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,164 – $31,147 · median $22,164 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,977 – $18,237 · median $12,977 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,041 – $52,054 · median $37,041 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,095 – $35,266 · median $25,095 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,554 – $27,480 · median $19,554 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $21,584 – $32,586 · median $21,584 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $13,726 – $20,781 · median $13,726 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,360 – $48,287 · median $34,360 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $20,964 – $29,461 · median $20,964 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,372 – $24,413 · median $17,372 | 11 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,548 – $55,260 · median $30,548 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $16,194 – $22,757 · median $16,194 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,242 – $11,802 · median $8,398 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,582 – $42,793 · median $24,582 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,499 – $24,592 · median $17,499 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,228 – $18,589 · median $13,228 | 11 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $20,723 – $40,550 · median $20,723 | 11 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $14,904 – $26,820 · median $14,904 | 11 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,606 – $18,532 · median $11,606 | 11 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $19,724 – $27,719 · median $19,724 | 11 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,964 – $34,232 · median $22,964 | 11 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,880 – $20,911 · median $14,880 | 11 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,145 – $16,058 · median $11,145 | 11 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $12,587 – $21,934 · median $12,587 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $7,947 – $13,436 · median $7,947 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $26,126 – $36,716 · median $26,126 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $18,046 – $27,288 · median $18,046 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $14,278 – $20,065 · median $14,278 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,428 – $36,257 · median $25,800 | 11 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,836 – $22,670 · median $12,836 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,598 – $14,232 · median $8,598 | 11 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $21,467 – $30,168 · median $21,467 | 11 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $14,283 – $20,148 · median $14,337 | 11 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,520 – $33,071 · median $22,520 | 11 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $12,439 – $17,481 · median $12,439 | 11 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $9,577 – $13,459 · median $9,577 | 11 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,861 – $28,142 · median $19,861 | 11 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,301 – $18,692 · median $13,301 | 11 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,757 – $17,928 · median $12,757 | 11 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,601 – $15,941 · median $9,601 | 11 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,854 – $20,610 · median $12,854 | 11 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,776 – $15,144 · median $10,776 | 11 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $21,493 – $31,500 · median $21,493 | 11 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $14,797 – $21,822 · median $14,797 | 11 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $11,780 – $16,554 · median $11,780 | 11 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,202 – $15,743 · median $11,202 | 11 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,275 – $10,223 · median $7,275 | 11 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,677 – $39,310 · median $22,677 | 11 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,787 – $23,573 · median $14,787 | 11 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,935 – $17,010 · median $10,935 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,594 – $37,373 · median $26,594 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,233 – $21,348 · median $14,233 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,630 – $16,725 · median $10,630 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $20,424 – $30,993 · median $20,424 | 11 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,069 – $22,202 · median $15,069 | 11 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,155 – $16,215 · median $11,155 | 11 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $4,974 – $8,061 · median $5,736 | 11 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,123 – $14,142 · median $9,123 | 11 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,747 – $8,076 · median $5,747 | 11 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $6,791 – $9,772 · median $6,791 | 11 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $5,126 – $7,203 · median $5,126 | 11 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,016 – $25,705 · median $14,016 | 11 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,669 – $12,963 · median $9,224 | 11 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $5,278 – $7,874 · median $5,603 | 11 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $12,570 – $26,874 · median $12,570 | 11 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $7,315 – $11,294 · median $7,315 | 11 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,370 – $8,624 · median $5,370 | 11 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $17,659 – $24,817 · median $17,659 | 11 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,207 – $12,040 · median $8,207 | 11 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,950 – $8,362 · median $5,950 | 11 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $13,740 – $21,422 · median $13,740 | 11 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,590 – $12,072 · median $8,590 | 11 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,220 – $8,741 · median $6,220 | 11 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,988 – $16,761 · median $11,927 | 11 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,840 – $9,613 · median $6,840 | 11 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $9,224 – $13,888 · median $9,224 | 11 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,328 – $8,301 · median $5,907 | 11 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,406 – $14,319 · median $9,406 | 11 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,910 – $8,306 · median $5,910 | 11 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $9,974 – $14,869 · median $10,581 | 11 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $4,819 – $8,932 · median $6,356 | 11 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,270 – $19,739 · median $13,270 | 11 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,013 – $14,941 · median $8,013 | 11 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,720 – $9,571 · median $5,720 | 11 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $10,139 – $14,248 · median $10,139 | 11 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $6,372 – $8,955 · median $6,372 | 11 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,984 – $17,278 · median $10,984 | 11 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,934 – $9,744 · median $6,934 | 11 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $5,332 – $10,762 · median $5,332 | 11 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $20,928 – $32,009 · median $20,928 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,022 – $17,109 · median $12,022 | 11 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,157 – $11,463 · median $8,157 | 11 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,619 – $65,514 · median $46,619 | 11 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,711 – $34,714 · median $24,702 | 11 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,787 – $21,232 · median $12,787 | 11 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,876 – $57,371 · median $34,876 | 11 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $18,862 – $47,533 · median $18,862 | 11 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,431 – $24,420 · median $11,431 | 11 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,045 – $32,566 · median $23,045 | 11 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $12,296 – $21,250 · median $12,296 | 11 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,269 – $20,741 · median $10,269 | 11 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,709 – $27,887 · median $13,709 | 11 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,271 – $26,641 · median $12,271 | 11 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,233 – $30,634 · median $15,233 | 11 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $13,727 – $28,977 · median $13,727 | 11 plans |
| 592 | SKIN ULCERS WITH MCC | $13,771 – $21,866 · median $13,771 | 11 plans |
| 593 | SKIN ULCERS WITH CC | $6,322 – $11,863 · median $8,442 | 11 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,168 – $9,025 · median $6,168 | 11 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,091 – $22,491 · median $15,091 | 11 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $5,277 – $10,825 · median $7,703 | 11 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,863 – $20,354 · median $11,863 | 11 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,050 – $11,313 · median $8,050 | 11 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,475 – $9,090 · median $5,475 | 11 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $4,344 – $10,416 · median $7,412 | 11 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,305 – $6,050 · median $4,305 | 11 plans |
| 602 | CELLULITIS WITH MCC | $10,114 – $14,213 · median $10,114 | 11 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,472 – $8,709 · median $6,197 | 11 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,475 – $15,798 · median $10,475 | 11 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $6,235 – $9,160 · median $6,518 | 11 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $7,047 – $15,132 · median $10,768 | 11 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $4,145 – $9,064 · median $6,450 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,596 – $26,044 · median $15,596 | 11 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,957 – $15,794 · median $9,957 | 11 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $23,521 – $34,874 · median $24,816 | 11 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,309 – $18,703 · median $13,309 | 11 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,092 – $14,183 · median $10,092 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $20,546 – $35,671 · median $20,546 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,387 – $16,321 · median $11,387 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,734 – $16,715 · median $10,734 | 11 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,327 – $39,790 · median $25,327 | 11 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,765 – $17,939 · median $12,765 | 11 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,908 – $12,519 · median $8,908 | 11 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,491 – $30,487 · median $21,491 | 11 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $10,669 – $19,173 · median $10,669 | 11 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,452 – $14,073 · median $9,452 | 11 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,519 – $50,409 · median $26,519 | 11 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $15,353 – $21,788 · median $15,504 | 11 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,386 – $16,053 · median $10,386 | 11 plans |
| 637 | DIABETES WITH MCC | $10,223 – $14,367 · median $10,223 | 11 plans |
| 638 | DIABETES WITH CC | $6,067 – $8,962 · median $6,377 | 11 plans |
| 639 | DIABETES WITHOUT CC/MCC | $4,393 – $6,212 · median $4,420 | 11 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $9,504 – $13,356 · median $9,504 | 11 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $5,538 – $7,782 · median $5,538 | 11 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,119 – $14,221 · median $10,119 | 11 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $11,713 – $16,461 · median $11,713 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $7,294 – $10,250 · median $7,294 | 11 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,934 – $7,683 · median $5,467 | 11 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $25,349 – $47,014 · median $33,454 | 11 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,370 – $129,644 · median $26,370 | 11 plans |
| 652 | KIDNEY TRANSPLANT | $22,981 – $36,263 · median $22,981 | 11 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $34,997 – $51,964 · median $36,977 | 11 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $19,919 – $27,993 · median $19,919 | 11 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,061 – $23,653 · median $15,061 | 11 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,655 – $31,838 · median $22,655 | 11 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,022 – $20,896 · median $13,022 | 11 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,042 – $19,703 · median $11,042 | 11 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,081 – $25,409 · median $18,081 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $9,405 – $13,217 · median $9,405 | 11 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $7,368 – $11,417 · median $7,368 | 11 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,785 – $33,173 · median $21,785 | 11 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,817 – $15,202 · median $10,817 | 11 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,450 – $11,482 · median $7,450 | 11 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,210 – $36,511 · median $22,210 | 11 plans |
| 666 | PROSTATECTOMY WITH CC | $12,448 – $17,517 · median $12,448 | 11 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,872 – $11,062 · median $7,872 | 11 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,778 – $31,011 · median $20,778 | 11 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,044 – $15,520 · median $11,044 | 11 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,954 – $10,162 · median $6,954 | 11 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,773 – $18,329 · median $12,773 | 11 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,682 – $11,637 · median $7,682 | 11 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $28,451 – $42,016 · median $29,898 | 11 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $16,641 – $23,386 · median $16,641 | 11 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,680 – $21,084 · median $11,680 | 11 plans |
| 682 | RENAL FAILURE WITH MCC | $10,539 – $14,810 · median $10,539 | 11 plans |
| 683 | RENAL FAILURE WITH CC | $6,232 – $8,758 · median $6,232 | 11 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $4,272 – $6,003 · median $4,272 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,835 – $20,051 · median $12,835 | 11 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $7,456 – $10,992 · median $7,456 | 11 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,624 – $7,903 · median $5,624 | 11 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $8,257 – $11,603 · median $8,257 | 11 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,760 – $8,095 · median $5,760 | 11 plans |
| 693 | URINARY STONES WITH MCC | $9,567 – $13,445 · median $9,567 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $5,562 – $7,817 · median $5,562 | 11 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,139 – $11,993 · median $8,139 | 11 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,386 – $6,890 · median $4,903 | 11 plans |
| 697 | URETHRAL STRICTURE | $7,669 – $10,778 · median $7,669 | 11 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $11,772 – $16,544 · median $11,772 | 11 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,223 – $10,150 · median $7,223 | 11 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,909 – $8,300 · median $4,909 | 11 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,234 – $23,601 · median $14,234 | 11 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $10,917 – $21,366 · median $10,917 | 11 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,559 – $23,895 · median $16,559 | 11 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,971 – $15,322 · median $9,971 | 11 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,828 – $20,838 · median $14,828 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,825 – $10,997 · median $7,825 | 11 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,698 – $15,034 · median $10,698 | 11 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,524 – $10,574 · median $7,524 | 11 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,920 – $24,013 · median $15,920 | 11 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,467 – $15,092 · median $10,467 | 11 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,452 – $18,905 · median $13,452 | 11 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,557 – $13,431 · median $9,557 | 11 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $12,878 – $18,384 · median $12,878 | 11 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,131 – $11,940 · median $8,131 | 11 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,666 – $7,747 · median $4,666 | 11 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,327 – $13,426 · median $8,327 | 11 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $3,732 – $7,220 · median $5,138 | 11 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $10,552 – $15,625 · median $10,552 | 11 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,772 – $8,112 · median $5,772 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,534 – $11,706 · median $7,534 | 11 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $3,376 – $6,720 · median $4,782 | 11 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,157 – $25,227 · median $15,157 | 11 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,574 – $13,455 · median $9,574 | 11 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,436 – $35,745 · median $25,436 | 11 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,663 – $20,606 · median $14,663 | 11 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,450 – $14,808 · median $10,450 | 11 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $25,495 – $42,331 · median $25,495 | 11 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $12,877 – $21,885 · median $12,877 | 11 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $10,148 – $15,951 · median $10,148 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,056 – $18,348 · median $13,056 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,829 – $12,642 · median $8,829 | 11 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,581 – $20,491 · median $14,581 | 11 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $4,167 – $11,375 · median $8,094 | 11 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,361 – $17,371 · median $12,361 | 11 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,117 – $9,380 · median $6,117 | 11 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,872 – $18,473 · median $9,872 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,875 – $25,676 · median $18,271 | 11 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,502 – $18,380 · median $10,502 | 11 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,105 – $18,417 · median $13,105 | 11 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,553 – $10,878 · median $7,741 | 11 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,835 – $10,155 · median $6,835 | 11 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,383 – $14,319 · median $10,189 | 11 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,910 – $9,790 · median $6,966 | 11 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,091 – $6,636 · median $4,722 | 11 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,893 – $10,075 · median $7,169 | 11 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,005 – $5,705 · median $4,060 | 11 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,506 – $10,716 · median $7,625 | 11 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,024 – $16,898 · median $12,024 | 11 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,135 – $10,027 · median $7,135 | 11 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $3,825 – $6,547 · median $4,659 | 11 plans |
| 779 | ABORTION WITHOUT D&C | $4,394 – $8,413 · median $5,987 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,944 – $24,551 · median $17,470 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,543 – $10,601 · median $7,543 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,816 – $9,578 · median $6,816 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,947 – $13,023 · median $7,947 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,823 – $9,588 · median $6,823 | 11 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,824 – $23,653 · median $12,824 | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $7,036 – $59,435 · median $42,293 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $2,778 – $40,590 · median $28,883 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $2,171 – $24,492 · median $17,428 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,670 – $44,347 · median $29,670 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,502 – $25,385 · median $10,502 | 11 plans |
| 795 | NORMAL NEWBORN | $1,237 – $1,998 · median $1,422 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,304 – $13,574 · median $8,304 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,119 – $10,295 · median $7,119 | 11 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,227 – $50,560 · median $32,227 | 11 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,991 – $41,227 · median $19,991 | 11 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,583 – $19,089 · median $13,583 | 11 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,350 – $39,841 · median $28,350 | 11 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,228 – $18,589 · median $13,228 | 11 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,649 – $13,560 · median $9,649 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,535 – $10,792 · median $7,679 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,599 – $7,540 · median $5,365 | 11 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,023 – $6,742 · median $4,797 | 11 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $15,711 – $22,079 · median $15,711 | 11 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,008 – $12,659 · median $9,008 | 11 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,447 – $10,466 · median $7,447 | 11 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $9,993 – $14,043 · median $9,993 | 11 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $6,534 – $9,182 · median $6,534 | 11 plans |
| 813 | COAGULATION DISORDERS | $10,854 – $15,253 · median $10,854 | 11 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,133 – $21,267 · median $15,133 | 11 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,215 – $10,140 · median $7,215 | 11 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $4,497 – $6,320 · median $4,497 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $13,521 – $22,816 · median $16,235 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $8,249 – $11,592 · median $8,249 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,119 – $8,599 · median $6,119 | 11 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,733 – $58,648 · median $41,733 | 11 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,930 – $29,414 · median $15,930 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,567 – $19,897 · median $8,567 | 11 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,625 – $50,937 · median $32,625 | 11 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,122 – $25,260 · median $16,122 | 11 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,602 – $13,657 · median $9,602 | 11 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,286 – $50,103 · median $33,286 | 11 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $16,446 – $24,784 · median $16,446 | 11 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,124 – $22,254 · median $12,124 | 11 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,486 – $31,600 · median $22,486 | 11 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,709 – $15,050 · median $10,709 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $5,253 – $12,025 · median $8,557 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,270 – $7,216 · median $5,135 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $2,813 – $5,229 · median $3,721 | 11 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $39,065 – $87,239 · median $39,065 | 11 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $14,842 – $20,858 · median $14,842 | 11 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,678 – $13,512 · median $8,678 | 11 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,187 – $48,741 · median $34,187 | 11 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,854 – $20,874 · median $14,854 | 11 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,853 – $14,439 · median $10,275 | 11 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,019 – $37,314 · median $23,019 | 11 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,609 – $16,314 · median $11,609 | 11 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,190 – $10,104 · median $7,190 | 11 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,867 – $19,948 · median $14,195 | 11 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,663 – $12,174 · median $8,663 | 11 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,060 – $8,898 · median $6,060 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $14,939 – $25,925 · median $18,448 | 11 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,657 – $13,082 · median $9,309 | 11 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,044 – $8,494 · median $6,044 | 11 plans |
| 849 | RADIOTHERAPY | $19,280 – $28,403 · median $19,280 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,620 – $91,888 · median $61,620 | 11 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,142 – $49,386 · median $35,142 | 11 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,218 – $19,981 · median $14,218 | 11 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,654 – $23,434 · median $10,654 | 11 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,368 – $45,487 · median $32,368 | 11 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,239 – $21,415 · median $15,239 | 11 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,912 – $13,929 · median $9,912 | 11 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,658 – $18,237 · median $12,977 | 11 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,679 – $9,979 · median $7,101 | 11 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,051 – $8,877 · median $6,317 | 11 plans |
| 865 | VIRAL ILLNESS WITH MCC | $10,536 – $14,983 · median $10,662 | 11 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,620 – $8,696 · median $6,188 | 11 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $14,895 – $20,932 · median $14,895 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,337 – $10,311 · median $7,337 | 11 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,192 – $7,297 · median $5,192 | 11 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,183 – $72,965 · median $49,183 | 11 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $13,823 – $19,425 · median $13,823 | 11 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $7,208 – $10,233 · median $7,282 | 11 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,502 – $38,649 · median $27,502 | 11 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,293 – $9,602 · median $6,833 | 11 plans |
| 881 | DEPRESSIVE NEUROSES | $4,395 – $9,409 · median $6,695 | 11 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $4,468 – $10,738 · median $7,641 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,744 – $19,663 · median $13,992 | 11 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,449 – $16,089 · median $11,449 | 11 plans |
| 885 | PSYCHOSES | $5,096 – $13,968 · median $9,939 | 11 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $11,761 – $20,753 · median $14,767 | 11 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,620 – $11,843 · median $7,620 | 11 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $3,696 – $6,169 · median $4,390 | 11 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $7,051 – $14,156 · median $10,073 | 11 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $11,230 – $17,451 · median $12,418 | 11 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,862 – $41,966 · median $29,862 | 11 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,623 – $19,145 · median $13,623 | 11 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,323 – $11,955 · median $8,323 | 11 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,137 – $63,487 · median $26,137 | 11 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,556 – $14,834 · median $10,556 | 11 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $13,978 – $19,643 · median $13,978 | 11 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,320 – $38,393 · median $27,320 | 11 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,198 – $19,952 · median $14,198 | 11 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,341 – $13,127 · median $9,341 | 11 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,632 – $17,208 · median $11,632 | 11 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,301 – $8,855 · median $6,301 | 11 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $11,966 – $16,816 · median $11,966 | 11 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,231 – $6,663 · median $4,741 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,160 – $15,684 · median $11,160 | 11 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,309 – $8,571 · median $6,099 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,028 – $18,308 · median $13,028 | 11 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,132 – $10,023 · median $7,132 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,899 – $6,884 · median $4,899 | 11 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,448 – $17,494 · median $12,448 | 11 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,971 – $10,177 · median $7,242 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $151,927 – $252,256 · median $151,927 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $32,958 – $71,727 · median $51,040 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $16,691 – $32,208 · median $22,919 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,710 – $46,010 · median $27,710 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $3,487 – $22,106 · median $15,730 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $10,398 – $20,600 · median $14,659 | 11 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,820 – $36,285 · median $25,820 | 11 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,629 – $24,059 · median $16,629 | 11 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,181 – $20,277 · median $14,429 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,020 – $16,232 · median $11,020 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,160 – $11,872 · median $8,160 | 11 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,033 – $12,694 · median $9,033 | 11 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,696 – $8,005 · median $5,696 | 11 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,466 – $23,631 · median $8,466 | 11 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,467 – $18,866 · median $4,467 | 11 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,837 – $5,560 · median $3,956 | 11 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,897 – $95,892 · median $47,897 | 11 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,777 – $68,073 · median $26,777 | 11 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,222 – $76,199 · median $54,222 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,985 – $49,529 · median $29,985 | 11 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,618 – $29,441 · median $20,950 | 11 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,453 – $28,189 · median $19,453 | 11 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,906 – $15,326 · median $10,906 | 11 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,692 – $9,405 · median $6,692 | 11 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,558 – $67,250 · median $43,558 | 11 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,767 – $28,214 · median $18,767 | 11 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $20,536 – $44,337 · median $20,536 | 11 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,215 – $15,115 · median $9,215 | 11 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,423 – $10,665 · median $6,423 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $9,234 – $15,332 · median $9,234 | 11 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,386 – $53,625 · median $33,386 | 11 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $17,494 – $24,585 · median $17,494 | 11 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,166 – $17,140 · median $12,197 | 11 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,396 – $34,284 · median $24,396 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $11,696 – $25,189 · median $11,696 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,533 – $11,992 · median $8,533 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $11,738 – $16,495 · median $11,738 | 10 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,811 – $9,571 · median $6,811 | 10 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $6,282 – $8,828 · median $6,282 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,443 – $16,443 · median $16,443 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,611 – $10,611 · median $10,611 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,089 – $7,089 · median $7,089 | 1 plans |
| 104 | CRANIOTOMY- VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17 | $28,239 – $28,239 · median $28,239 | 1 plans |
| 105 | TRAUMATIC STUPOR AND COMA <1 HOUR AGE 0-17 | $4,095 – $4,095 · median $4,095 | 1 plans |
| 106 | CONCUSSION AGE 0-17 | $3,744 – $3,744 · median $3,744 | 1 plans |
| 107 | SEIZURES AND HEADACHES AGE 0-17 | $5,229 – $5,229 · median $5,229 | 1 plans |
| 108 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 | $10,150 – $10,150 · median $10,150 | 1 plans |
| 109 | OTHER DISORDERS OF THE EYE AGE 0-17 | $7,860 – $7,860 · median $7,860 | 1 plans |
| 111 | SINUS AND MASTOID PROCEDURES AGE 0-17 | $22,523 – $22,523 · median $22,523 | 1 plans |
| 112 | OTITIS MEDIA AND URI AGE 0-17 | $3,012 – $3,012 · median $3,012 | 1 plans |
| 118 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES AGE 0-17 | $5,436 – $5,436 · median $5,436 | 1 plans |
| 119 | DENTAL AND ORAL DISEASES AGE 0-17 | $6,893 – $6,893 · median $6,893 | 1 plans |
| 120 | RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17 | $8,495 – $8,495 · median $8,495 | 1 plans |
| 160 | OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 | $8,598 – $8,598 · median $8,598 | 1 plans |
| 161 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $18,567 – $18,567 · median $18,567 | 1 plans |
| 162 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR AGE 0-17 | $11,485 – $11,485 · median $11,485 | 1 plans |
| 169 | FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH AGE 0-17 | $4,384 – $4,384 · median $4,384 | 1 plans |
| 170 | CELLULITIS AGE 0-17 | $3,379 – $3,379 · median $3,379 | 1 plans |
| 171 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST AGE 0-17 | $5,239 – $5,239 · median $5,239 | 1 plans |
| 172 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES AGE 0-17 | $5,605 – $5,605 · median $5,605 | 1 plans |
| 174 | KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17 | $4,034 – $4,034 · median $4,034 | 1 plans |
| 210 | URETHRAL STRICTURE AGE 0-17 | $15,215 – $15,215 · median $15,215 | 1 plans |
| 211 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17 | $5,971 – $5,971 · median $5,971 | 1 plans |
| 214 | RED BLOOD CELL DISORDERS AGE 0-17 | $5,814 – $5,814 · median $5,814 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $13,058 – $13,058 · median $13,058 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,399 – $8,399 · median $8,399 | 1 plans |
| 361 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,593 – $44,593 · median $44,593 | 1 plans |
| 362 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $41,591 – $41,591 · median $41,591 | 1 plans |
| 363 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $30,926 – $30,926 · median $30,926 | 1 plans |
| 364 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,815 – $33,815 · median $33,815 | 1 plans |
| 365 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $92,613 – $92,613 · median $92,613 | 1 plans |
| 366 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $70,486 – $70,486 · median $70,486 | 1 plans |
| 367 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $54,011 – $54,011 · median $54,011 | 1 plans |
| 396 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $41,347 – $41,347 · median $41,347 | 1 plans |
| 400 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE 0-17 | $9,534 – $9,534 · median $9,534 | 1 plans |
| 401 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC | $16,639 – $16,639 · median $16,639 | 1 plans |
| 403 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $51,665 – $51,665 · median $51,665 | 1 plans |
| 404 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,471 – $37,471 · median $37,471 | 1 plans |
| 509 | ARTHROSCOPY | $18,680 – $18,680 · median $18,680 | 1 plans |
| 608 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $35,440 – $35,440 · median $35,440 | 1 plans |
| 609 | OTHER RESPIRATORY PROBLEMS AFTER BIRTH | $27,572 – $27,572 · median $27,572 | 1 plans |
| 610 | NEONATE- DIED WITHIN ONE DAY OF BIRTH | $3,483 – $3,483 · median $3,483 | 1 plans |
| 611 | NEONATE- TRANSFERRED <5 DAYS OLD | $2,252 – $2,252 · median $2,252 | 1 plans |
| 612 | NEONATE- BIRTH WEIGHT <750 GRAMS- DISCHARGED ALIVE | $298,731 – $298,731 · median $298,731 | 1 plans |
| 613 | NEONATE- BIRTH WEIGHT <750 GRAMS- DIED | $41,883 – $41,883 · median $41,883 | 1 plans |
| 631 | NEONATE- BIRTH WEIGHT 750-999 GRAMS- DISCHARGED ALIVE | $216,613 – $216,613 · median $216,613 | 1 plans |
| 632 | NEONATE- BIRTH WEIGHT 750-999 GRAMS- DIED | $106,309 – $106,309 · median $106,309 | 1 plans |
| 633 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE | $325,997 – $325,997 · median $325,997 | 1 plans |
| 634 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- DISCHARGED ALIVE | $116,848 – $116,848 · median $116,848 | 1 plans |
| 635 | NEONATE- BIRTH WEIGHT 1000-1499 GRAMS- DIED | $65,034 – $65,034 · median $65,034 | 1 plans |
| 636 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $191,550 – $191,550 · median $191,550 | 1 plans |
| 646 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS | $60,683 – $60,683 · median $60,683 | 1 plans |
| 647 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $65,170 – $65,170 · median $65,170 | 1 plans |
| 648 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM | $45,429 – $45,429 · median $45,429 | 1 plans |
| 649 | NEONATE- BIRTH WEIGHT 1500-1999 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM | $32,014 – $32,014 · median $32,014 | 1 plans |
| 676 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITHOUT MULTIPLE MAJOR PROBLEMS | $30,936 – $30,936 · median $30,936 | 1 plans |
| 677 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $43,032 – $43,032 · median $43,032 | 1 plans |
| 678 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MAJOR PROBLEM | $25,792 – $25,792 · median $25,792 | 1 plans |
| 679 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH MINOR PROBLEM | $11,939 – $11,939 · median $11,939 | 1 plans |
| 680 | NEONATE- BIRTH WEIGHT 2000-2499 GRAMS- WITHOUT SIGNIFICANT O.R. PROCEDURES- WITH OTHER PROBLEM | $8,048 – $8,048 · median $8,048 | 1 plans |
| 681 | NEONATE- BIRTH WEIGHT >2499 GRAMS- WITH SIGNIFICANT O.R. PROCEDURES- WITH MULTIPLE MAJOR PROBLEMS | $130,470 – $130,470 · median $130,470 | 1 plans |
| 691 | URINARY STONES W ESW LITHOTRIPSY W CC/MCC | $50,340 – $50,340 · median $50,340 | 1 plans |
| 692 | URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC | $30,949 – $30,949 · median $30,949 | 1 plans |
| 762 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,223 – $10,223 · median $10,223 | 1 plans |
| 763 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,797 – $7,797 · median $7,797 | 1 plans |
| 764 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,828 – $6,828 · median $6,828 | 1 plans |
| 771 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $10,463 – $10,463 · median $10,463 | 1 plans |
| 772 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,491 – $8,491 · median $8,491 | 1 plans |
| 773 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,232 – $7,232 · median $7,232 | 1 plans |
| 898 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC | $8,235 – $8,235 · median $8,235 | 1 plans |
| 899 | ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <=21 WITHOUT MCC | $8,397 – $8,397 · median $8,397 | 1 plans |
No procedures match that keyword.