Memorial Hospital and Health Care Center — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $840 – $100,126 · median $55,965 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $840 – $27,035 · median $14,480 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $840 – $26,549 · median $14,204 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $840 – $29,893 · median $16,102 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $840 – $52,351 · median $28,849 | 16 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $840 – $43,358 · median $23,745 | 16 plans |
| 885 | PSYCHOSES | $840 – $38,021 · median $20,715 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $840 – $55,094 · median $30,406 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $840 – $29,820 · median $16,061 | 16 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $840 – $18,396 · median $9,577 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $840 – $38,494 · median $20,984 | 16 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $840 – $46,785 · median $25,690 | 16 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $840 – $25,087 · median $13,374 | 16 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $200,613 – $708,044 · median $414,908 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $81,605 – $288,017 · median $167,773 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,141 – $536,967 · median $314,250 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $99,569 – $351,419 · median $205,077 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,323 – $262,318 · median $152,652 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $33,874 – $119,555 · median $68,653 | 15 plans |
| 007 | LUNG TRANSPLANT | $93,143 – $328,742 · median $191,734 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $40,772 – $143,903 · median $82,979 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $51,974 – $183,437 · median $106,240 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $39,699 – $140,116 · median $80,751 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $30,872 – $108,961 · median $62,420 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,360 – $75,388 · median $42,666 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $86,497 – $305,282 · median $177,931 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,090 – $152,083 · median $87,792 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $39,544 – $139,567 · median $80,428 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $308,689 – $1,089,491 · median $639,343 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $51,681 – $182,402 · median $105,631 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $56,915 – $200,877 · median $116,502 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $38,557 – $136,082 · median $78,377 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $23,467 – $82,826 · median $47,043 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,669 – $147,066 · median $84,840 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,704 – $101,309 · median $57,918 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,230 – $117,282 · median $67,316 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,981 – $81,110 · median $46,033 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,801 – $66,357 · median $37,353 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,651 – $154,061 · median $88,956 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,137 – $88,720 · median $50,510 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,465 – $58,111 · median $32,501 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $32,758 – $115,617 · median $66,336 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,007 – $56,496 · median $31,551 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,670 – $44,717 · median $24,620 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,410 – $100,272 · median $57,308 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,857 – $63,026 · median $35,393 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,665 – $51,760 · median $28,764 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,285 – $85,713 · median $48,741 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,382 – $43,703 · median $24,023 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,195 – $32,452 · median $17,555 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,343 – $100,033 · median $57,167 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,490 – $58,199 · median $32,553 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,132 – $46,347 · median $25,579 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $13,728 – $48,451 · median $26,817 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,795 – $27,513 · median $14,751 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,700 – $41,295 · median $22,607 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,083 – $28,529 · median $15,328 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,377 – $61,330 · median $34,395 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,051 – $35,474 · median $19,270 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,002 – $45,889 · median $25,310 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,661 – $34,098 · median $18,489 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,372 – $26,018 · median $13,903 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,471 – $72,250 · median $40,820 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,342 – $47,090 · median $26,016 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,822 – $38,197 · median $20,815 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,152 – $53,476 · median $29,774 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,017 – $28,295 · median $15,195 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,693 – $20,095 · median $10,541 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,285 – $39,830 · median $21,745 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,977 – $24,624 · median $13,112 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,509 – $22,973 · median $12,175 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $12,683 – $44,765 · median $24,648 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,129 – $28,690 · median $15,420 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,205 – $21,901 · median $11,566 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,252 – $43,242 · median $23,752 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,163 – $28,811 · median $15,488 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,485 – $51,123 · median $28,390 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,697 – $23,638 · median $12,552 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $13,719 – $48,418 · median $26,798 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,199 – $25,409 · median $13,557 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,109 – $60,386 · median $33,839 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,765 – $37,996 · median $20,701 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,628 – $26,924 · median $14,417 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,012 – $60,041 · median $33,637 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,102 – $35,653 · median $19,372 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,335 – $25,890 · median $13,830 | 15 plans |
| 088 | CONCUSSION WITH MCC | $10,452 – $36,889 · median $20,073 | 15 plans |
| 089 | CONCUSSION WITH CC | $8,647 – $30,517 · median $16,457 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,683 – $23,587 · median $12,523 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,335 – $47,065 · median $26,001 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,108 – $28,615 · median $15,377 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,491 – $22,910 · median $12,139 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $25,906 – $91,432 · median $52,106 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,203 – $67,774 · median $38,186 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,203 – $67,774 · median $38,186 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,565 – $93,757 · median $53,475 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,176 – $60,620 · median $33,977 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,527 – $37,155 · median $20,224 | 15 plans |
| 100 | SEIZURES WITH MCC | $14,623 – $51,609 · median $28,675 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $7,249 – $25,585 · median $13,657 | 15 plans |
| 102 | HEADACHES WITH MCC | $8,806 – $31,078 · median $16,775 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $6,776 – $23,917 · median $12,710 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $17,576 – $62,034 · median $34,809 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,460 – $36,919 · median $20,090 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,757 – $41,496 · median $22,725 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,705 – $48,370 · median $26,770 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,549 – $30,172 · median $16,261 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,108 – $32,145 · median $17,381 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,416 – $22,646 · median $11,989 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,508 – $22,968 · median $12,172 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,247 – $36,166 · median $19,663 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,288 – $22,193 · median $11,732 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,285 – $57,477 · median $32,128 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,053 – $28,421 · median $15,267 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,460 – $40,447 · median $22,108 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,132 – $25,173 · median $13,423 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,624 – $33,967 · median $18,415 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,224 – $110,202 · median $63,150 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,364 – $57,756 · median $32,292 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,196 – $43,043 · median $23,636 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $27,526 – $97,149 · median $55,470 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,169 – $46,478 · median $25,656 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,386 – $33,127 · median $17,938 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,910 – $56,153 · median $31,349 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,879 – $34,868 · median $18,926 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,497 – $22,930 · median $12,150 | 15 plans |
| 149 | DYSEQUILIBRIUM | $6,173 – $21,786 · median $11,501 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $10,307 – $36,378 · median $19,783 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,047 – $21,343 · median $11,249 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,243 – $32,621 · median $17,651 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,077 – $21,448 · median $11,309 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,961 – $42,216 · median $23,148 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,348 – $25,935 · median $13,856 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,741 – $20,263 · median $10,637 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,054 – $46,073 · median $25,418 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,300 – $25,766 · median $13,760 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,865 – $20,701 · median $10,885 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $32,767 – $115,649 · median $66,355 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,809 – $66,385 · median $37,369 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,461 – $51,040 · median $28,341 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,462 – $96,925 · median $55,339 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,671 – $48,252 · median $26,700 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,556 – $37,256 · median $20,281 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,034 – $77,769 · median $44,067 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,607 – $37,437 · median $20,384 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,553 – $23,129 · median $12,263 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,955 – $42,195 · median $23,137 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,772 – $27,432 · median $14,706 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,197 – $21,871 · median $11,549 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,405 – $47,311 · median $26,147 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,450 – $29,823 · median $16,062 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,188 – $21,841 · median $11,532 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,722 – $41,370 · median $22,651 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,401 – $29,649 · median $15,964 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,421 – $22,664 · median $11,999 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,925 – $42,090 · median $23,074 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,866 – $27,762 · median $14,893 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,927 – $20,920 · median $11,009 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,622 – $33,959 · median $18,410 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,711 – $30,746 · median $16,586 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,824 – $24,085 · median $12,806 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,391 – $19,028 · median $9,935 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,185 – $35,947 · median $19,539 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,560 – $23,152 · median $12,276 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,295 – $18,688 · median $9,742 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,269 – $50,361 · median $27,941 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,581 – $26,755 · median $14,321 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,920 – $20,895 · median $10,995 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,391 – $47,263 · median $26,118 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,652 – $30,535 · median $16,467 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,912 – $20,867 · median $10,979 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,738 – $27,311 · median $14,637 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,591 – $19,732 · median $10,335 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,570 – $23,190 · median $12,298 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,868 – $48,947 · median $27,109 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,524 – $26,554 · median $14,207 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,691 – $164,791 · median $95,269 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $20,411 – $72,039 · median $40,696 | 15 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $81,512 – $287,690 · median $167,580 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $78,342 – $276,500 · median $160,996 | 15 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $41,502 – $146,477 · median $84,494 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $71,803 – $253,423 · median $147,418 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $70,561 – $249,040 · median $144,839 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $47,693 – $168,329 · median $97,351 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,693 – $168,329 · median $97,351 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,557 – $196,084 · median $113,681 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,835 – $137,063 · median $78,955 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,748 – $129,701 · median $74,623 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,087 – $127,365 · median $73,249 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,269 – $82,124 · median $46,630 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,916 – $214,996 · median $124,809 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,038 – $155,427 · median $89,760 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,321 – $195,251 · median $113,191 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $39,761 – $140,332 · median $80,878 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,655 – $150,546 · median $86,888 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $30,678 – $108,277 · median $62,017 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $35,904 – $126,719 · median $72,868 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,137 – $74,601 · median $42,203 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,684 – $37,709 · median $20,538 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $23,577 – $83,214 · median $47,271 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,006 – $56,493 · median $31,549 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,701 – $48,355 · median $26,761 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,342 – $117,678 · median $67,549 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $16,374 – $57,792 · median $32,313 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,469 – $40,479 · median $22,127 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $25,684 – $90,650 · median $51,646 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,320 – $68,186 · median $38,429 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,517 – $47,706 · median $26,379 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,045 – $70,748 · median $39,936 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,919 – $45,597 · median $25,138 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,601 – $30,356 · median $16,365 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,216 – $81,938 · median $46,520 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,231 – $53,755 · median $29,938 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,005 – $84,724 · median $48,159 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,292 – $50,444 · median $27,990 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,434 – $43,886 · median $24,131 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $22,612 – $79,807 · median $45,266 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $24,631 – $86,933 · median $49,459 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $26,610 – $93,918 · median $53,569 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $44,507 – $157,083 · median $90,734 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $34,756 – $122,670 · median $70,486 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,851 – $175,943 · median $101,831 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,924 – $109,142 · median $62,527 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $38,432 – $135,642 · median $78,118 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,169 – $92,361 · median $52,653 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,016 – $67,115 · median $37,798 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $30,227 – $106,684 · median $61,080 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $24,282 – $85,703 · median $48,735 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,651 – $182,297 · median $105,569 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $43,638 – $154,018 · median $88,931 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,742 – $119,089 · median $68,379 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $40,499 – $142,936 · median $82,410 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $26,526 – $93,621 · median $53,395 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,251 – $43,237 · median $23,750 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,367 – $26,000 · median $13,893 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,969 – $21,068 · median $11,094 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,936 – $52,716 · median $29,327 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,749 – $20,291 · median $10,652 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,084 – $17,943 · median $9,320 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,590 – $58,554 · median $32,762 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,443 – $29,800 · median $16,049 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,108 – $70,970 · median $40,067 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,983 – $45,824 · median $25,272 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,442 – $26,267 · median $14,044 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,967 – $35,177 · median $19,102 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,867 – $24,236 · median $12,892 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,849 – $17,115 · median $8,850 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,950 – $42,175 · median $23,125 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,334 – $18,826 · median $9,821 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,059 – $14,325 · median $7,201 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,454 – $43,957 · median $24,173 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,425 – $29,735 · median $16,012 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,945 – $20,983 · median $11,045 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,345 – $32,983 · median $17,856 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,614 – $19,813 · median $10,381 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $9,298 – $32,817 · median $17,762 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,198 – $21,874 · median $11,551 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,049 – $42,525 · median $23,331 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,325 – $25,852 · median $13,809 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,398 – $33,169 · median $17,962 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,059 – $21,385 · median $11,274 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,850 – $17,118 · median $8,851 | 15 plans |
| 311 | ANGINA PECTORIS | $5,818 – $20,535 · median $10,791 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,028 – $24,805 · median $13,214 | 15 plans |
| 313 | CHEST PAIN | $5,947 – $20,990 · median $11,049 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,681 – $55,343 · median $30,872 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,682 – $27,113 · median $14,524 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,677 – $20,037 · median $10,508 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $48,486 – $171,127 · median $98,997 | 15 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,083 – $63,823 · median $35,862 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $32,633 – $115,174 · median $66,075 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,963 – $63,398 · median $35,612 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,212 – $71,337 · median $40,283 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,383 – $47,236 · median $26,102 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,667 – $111,764 · median $64,069 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,279 – $82,162 · median $46,652 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $23,703 – $83,657 · median $47,532 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,372 – $128,372 · median $73,841 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,240 – $64,377 · median $36,188 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,238 – $43,192 · median $23,723 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,585 – $118,536 · median $68,053 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,905 – $63,194 · median $35,492 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,812 – $45,220 · median $24,916 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,628 – $93,981 · median $53,606 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $17,513 – $61,810 · median $34,677 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,492 – $44,088 · median $24,250 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,273 – $92,728 · median $52,869 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,848 – $55,935 · median $31,220 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,758 – $41,498 · median $22,726 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,228 – $67,864 · median $38,240 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,542 – $40,736 · median $22,278 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,271 – $32,721 · median $17,708 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,181 – $60,638 · median $33,988 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,145 – $35,806 · median $19,459 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,021 – $24,780 · median $13,200 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,580 – $65,577 · median $36,894 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,683 – $41,234 · median $22,571 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,140 – $32,258 · median $17,445 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,504 – $75,896 · median $42,966 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,809 – $45,207 · median $24,909 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,403 – $36,717 · median $19,976 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,133 – $113,410 · median $65,038 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $17,394 – $61,390 · median $34,430 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,780 – $38,049 · median $20,731 | 15 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,330 – $89,399 · median $50,910 | 15 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,027 – $63,624 · median $35,745 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,164 – $42,930 · median $23,569 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,945 – $28,041 · median $15,051 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,810 – $20,507 · median $10,775 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,455 – $47,490 · median $26,252 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,093 – $28,565 · median $15,348 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,000 – $21,177 · median $11,155 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,062 – $56,689 · median $31,665 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,438 – $33,310 · median $18,042 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,404 – $26,131 · median $13,967 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,847 – $48,871 · median $27,064 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,806 – $27,550 · median $14,773 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,308 – $18,736 · median $9,770 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,804 – $52,248 · median $29,051 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,539 – $30,137 · median $16,241 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,522 – $23,019 · median $12,200 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,658 – $37,616 · median $20,486 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,908 – $24,382 · median $12,975 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,095 – $42,689 · median $23,427 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,775 – $27,440 · median $14,710 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,671 – $20,017 · median $10,497 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,343 – $40,034 · median $21,865 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,445 – $22,747 · median $12,046 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,692 – $16,562 · median $8,536 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,856 – $34,787 · median $18,880 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,372 – $22,490 · median $11,900 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,216 – $43,116 · median $23,678 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,485 – $26,418 · median $14,130 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,441 – $19,204 · median $10,035 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,889 – $63,136 · median $35,458 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,605 – $40,960 · median $22,410 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,975 – $31,677 · median $17,115 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $29,478 – $104,042 · median $59,526 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $39,816 – $140,528 · median $80,993 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $21,491 – $75,851 · median $42,939 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,639 – $58,725 · median $32,862 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,235 – $92,595 · median $52,790 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,337 – $57,661 · median $32,236 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,134 – $42,825 · median $23,507 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $24,365 – $85,994 · median $48,907 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,804 – $55,779 · median $31,129 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,653 – $44,656 · median $24,585 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,214 – $92,519 · median $52,746 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,549 – $54,878 · median $30,599 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,534 – $37,178 · median $20,237 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,828 – $62,922 · median $35,332 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,874 – $45,439 · median $25,045 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,552 – $37,241 · median $20,273 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,105 – $88,606 · median $50,444 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,202 – $46,594 · median $25,725 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,792 – $38,089 · median $20,754 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,423 – $107,376 · median $61,487 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,413 – $57,927 · median $32,393 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,510 – $40,625 · median $22,213 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $79,390 – $280,202 · median $163,174 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $52,280 – $184,516 · median $106,875 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,896 – $144,341 · median $83,237 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $65,049 – $229,583 · median $133,392 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $41,931 – $147,992 · median $85,385 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,846 – $52,399 · median $29,140 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,344 – $29,450 · median $15,851 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,894 – $20,802 · median $10,942 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,909 – $49,090 · median $27,193 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,878 – $31,335 · median $16,921 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,898 – $24,345 · median $12,953 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,437 – $43,894 · median $24,136 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,811 – $24,040 · median $12,780 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,244 – $18,509 · median $9,641 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,609 – $48,033 · median $26,571 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,696 – $27,163 · median $14,553 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,803 – $20,480 · median $10,759 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,727 – $44,918 · median $24,739 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,617 – $30,411 · median $16,397 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,712 – $23,690 · median $12,582 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,451 – $171,003 · median $98,924 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,049 – $109,585 · median $62,787 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $38,812 – $136,983 · median $78,907 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $23,845 – $84,160 · median $47,828 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,727 – $214,329 · median $124,417 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,328 – $152,924 · median $88,287 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $30,563 – $107,869 · median $61,777 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $40,191 – $141,849 · median $81,771 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $19,779 – $69,807 · median $39,383 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $41,449 – $146,291 · median $84,384 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,020 – $81,249 · median $46,115 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,816 – $48,763 · median $27,001 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,926 – $133,857 · median $77,069 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,957 – $91,613 · median $52,213 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $20,406 – $72,021 · median $40,686 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $22,439 – $79,198 · median $44,908 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,566 – $51,410 · median $28,558 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,241 – $124,378 · median $71,491 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,818 – $77,006 · median $43,618 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,219 – $64,304 · median $36,145 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,421 – $110,896 · median $63,559 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,039 – $60,137 · median $33,693 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,228 – $32,571 · median $17,622 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $25,444 – $89,802 · median $51,147 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,347 – $64,754 · median $36,410 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,067 – $49,649 · median $27,522 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,577 – $76,156 · median $43,118 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,747 – $55,577 · median $31,010 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,442 – $43,914 · median $24,148 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,576 – $72,623 · median $41,039 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,822 – $84,077 · median $47,779 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,723 – $55,492 · median $30,960 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,980 – $42,283 · median $23,188 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $13,425 – $47,384 · median $26,189 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $8,776 – $30,975 · median $16,716 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,991 – $95,262 · median $54,360 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $18,895 – $66,689 · median $37,548 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,119 – $53,363 · median $29,707 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,664 – $94,107 · median $53,680 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,675 – $48,265 · median $26,708 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $9,429 – $33,278 · median $18,023 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,322 – $78,785 · median $44,665 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,179 – $53,572 · median $29,830 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,378 – $82,509 · median $46,856 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,277 – $46,861 · median $25,881 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,410 – $36,740 · median $19,989 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $20,713 – $73,106 · median $41,324 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,141 – $49,908 · median $27,674 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,596 – $47,985 · median $26,543 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,433 – $36,823 · median $20,036 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,693 – $48,328 · median $26,745 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,611 – $40,980 · median $22,421 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,349 – $78,878 · median $44,720 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,639 – $55,197 · median $30,787 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,616 – $44,528 · median $24,509 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,038 – $42,487 · median $23,308 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,103 – $28,597 · median $15,367 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,535 – $83,066 · median $47,184 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,630 – $55,165 · median $30,767 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,770 – $41,541 · median $22,752 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $27,459 – $96,915 · median $55,333 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,075 – $53,204 · median $29,614 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,465 – $40,464 · median $22,118 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,277 – $75,096 · median $42,495 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,912 – $56,161 · median $31,354 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,991 – $42,321 · median $23,211 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,561 – $23,157 · median $12,279 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,954 – $35,132 · median $19,076 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,572 – $23,195 · median $12,300 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,618 – $26,886 · median $14,396 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,949 – $20,998 · median $11,054 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,857 – $52,437 · median $29,162 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,056 – $35,492 · median $19,280 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,428 – $22,686 · median $12,012 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,408 – $47,324 · median $26,154 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,143 – $28,741 · median $15,448 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,194 – $21,861 · median $11,543 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,507 – $65,320 · median $36,743 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,037 – $31,896 · median $17,239 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,776 – $23,914 · median $12,709 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,580 – $51,461 · median $28,588 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,421 – $33,250 · median $18,008 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,046 – $24,868 · median $13,250 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,764 – $45,049 · median $24,816 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,668 – $27,062 · median $14,496 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,056 – $35,492 · median $19,280 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,732 – $23,761 · median $12,622 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,238 – $36,134 · median $19,644 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,736 – $23,773 · median $12,629 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,415 – $40,288 · median $22,014 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,182 – $25,349 · median $13,523 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,110 – $49,800 · median $27,611 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,843 – $31,209 · median $16,849 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,545 – $23,102 · median $12,248 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $10,972 – $38,725 · median $21,115 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,199 – $25,407 · median $13,556 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,819 – $41,715 · median $22,854 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,761 – $27,392 · median $14,683 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,156 – $21,728 · median $11,468 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,783 – $76,880 · median $43,544 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,859 – $45,386 · median $25,014 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,987 – $31,717 · median $17,138 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $47,523 – $167,727 · median $96,997 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,564 – $90,224 · median $51,396 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,626 – $48,091 · median $26,605 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $35,757 – $126,203 · median $72,565 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,712 – $69,573 · median $39,245 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,267 – $43,295 · median $23,784 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,903 – $84,364 · median $47,948 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,134 – $46,355 · median $25,584 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,103 – $39,186 · median $21,377 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,550 – $51,352 · median $28,524 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,108 – $46,264 · median $25,531 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,076 – $56,740 · median $31,694 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,568 – $51,415 · median $28,561 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $14,612 – $51,571 · median $28,653 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $9,272 – $32,724 · median $17,709 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,994 – $24,684 · median $13,146 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,934 – $56,237 · median $31,398 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,532 – $30,112 · median $16,227 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,700 – $44,822 · median $24,682 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,880 – $31,340 · median $16,924 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,299 – $22,233 · median $11,755 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,240 – $29,083 · median $15,642 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,127 – $18,097 · median $9,407 | 15 plans |
| 602 | CELLULITIS WITH MCC | $10,947 – $38,637 · median $21,065 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,023 – $24,788 · median $13,204 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,309 – $39,916 · median $21,795 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,345 – $25,922 · median $13,849 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,602 – $40,950 · median $22,404 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,276 – $25,681 · median $13,711 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,441 – $58,026 · median $32,451 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,790 – $38,084 · median $20,751 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,678 – $90,627 · median $51,633 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,148 – $49,936 · median $27,691 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,926 – $38,562 · median $21,023 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,400 – $75,529 · median $42,749 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,223 – $43,142 · median $23,693 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,568 – $40,829 · median $22,333 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,190 – $92,434 · median $52,696 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,604 – $48,013 · median $26,560 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,740 – $34,375 · median $18,646 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $22,346 – $78,868 · median $44,714 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,504 – $40,603 · median $22,199 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,284 – $36,297 · median $19,737 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $27,384 – $96,651 · median $55,177 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,348 – $57,698 · median $32,258 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,220 – $39,599 · median $21,611 | 15 plans |
| 637 | DIABETES WITH MCC | $11,057 – $39,025 · median $21,285 | 15 plans |
| 638 | DIABETES WITH CC | $7,204 – $25,424 · median $13,566 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,243 – $18,504 · median $9,638 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,336 – $36,481 · median $19,841 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,362 – $22,455 · median $11,881 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,953 – $38,657 · median $21,077 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,550 – $44,294 · median $24,371 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,122 – $28,665 · median $15,405 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,292 – $22,206 · median $11,739 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,333 – $121,175 · median $69,607 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,235 – $96,123 · median $54,866 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $23,839 – $84,137 · median $47,814 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $37,862 – $133,631 · median $76,935 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,772 – $73,312 · median $41,445 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,904 – $56,133 · median $31,337 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,513 – $82,988 · median $47,138 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,861 – $48,922 · median $27,094 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,878 – $41,921 · median $22,975 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,930 – $66,810 · median $37,619 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,237 – $36,131 · median $19,643 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,196 – $28,927 · median $15,554 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,641 – $79,910 · median $45,327 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,652 – $41,126 · median $22,507 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,278 – $29,216 · median $15,718 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,067 – $81,412 · median $46,211 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $13,286 – $46,891 · median $25,899 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,701 – $30,708 · median $16,565 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,632 – $76,349 · median $43,232 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,879 – $41,926 · median $22,978 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,782 – $27,465 · median $14,724 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,612 – $48,041 · median $26,576 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,510 – $30,037 · median $16,184 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,770 – $108,599 · median $62,207 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,487 – $61,720 · median $34,624 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,516 – $44,176 · median $24,302 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $11,373 – $40,140 · median $21,927 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $7,058 – $24,911 · median $13,274 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,094 – $17,978 · median $9,340 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,674 – $48,260 · median $26,705 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,284 – $29,239 · median $15,731 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,448 – $22,759 · median $12,053 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,086 – $32,070 · median $17,338 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,585 – $23,243 · median $12,328 | 15 plans |
| 693 | URINARY STONES WITH MCC | $10,400 – $36,705 · median $19,969 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,387 – $22,543 · median $11,930 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,969 – $31,655 · median $17,102 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,726 – $20,210 · median $10,607 | 15 plans |
| 697 | URETHRAL STRICTURE | $8,498 – $29,994 · median $16,159 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,609 – $44,503 · median $24,494 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,051 – $28,414 · median $15,263 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,733 – $20,233 · median $10,619 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,075 – $53,207 · median $29,615 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,752 – $41,478 · median $22,715 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $17,405 – $61,430 · median $34,454 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,804 – $38,132 · median $20,778 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,671 – $55,308 · median $30,852 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,654 – $30,545 · median $16,472 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,533 – $40,703 · median $22,259 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,353 – $29,480 · median $15,868 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,765 – $59,171 · median $33,124 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,302 – $39,888 · median $21,779 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,292 – $50,444 · median $27,990 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,390 – $36,670 · median $19,949 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $13,716 – $48,411 · median $26,794 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,961 – $31,627 · median $17,086 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,489 – $19,372 · median $10,131 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,157 – $32,319 · median $17,479 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,962 – $21,041 · median $11,078 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,386 – $40,187 · median $21,955 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,597 – $23,285 · median $12,352 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,362 – $29,513 · median $15,887 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,605 – $19,783 · median $10,364 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,000 – $56,471 · median $31,536 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $10,407 – $36,730 · median $19,983 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,299 – $92,819 · median $52,922 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,505 – $54,724 · median $30,508 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,284 – $39,825 · median $21,742 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,358 – $93,028 · median $53,045 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,716 – $48,408 · median $26,792 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,981 – $38,758 · median $21,134 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,895 – $49,042 · median $27,165 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,660 – $34,093 · median $18,486 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,423 – $54,435 · median $30,338 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,924 – $31,496 · median $17,012 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,199 – $46,584 · median $25,719 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,943 – $24,506 · median $13,044 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,705 – $37,782 · median $20,580 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,120 – $67,482 · median $38,015 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,336 – $40,009 · median $21,850 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,945 – $49,216 · median $27,267 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,570 – $30,245 · median $16,302 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,662 – $27,042 · median $14,484 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,023 – $38,904 · median $21,217 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,794 – $27,508 · median $14,748 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,545 – $19,571 · median $10,244 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,997 – $28,225 · median $15,155 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,881 – $17,228 · median $8,914 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,240 – $29,838 · median $15,913 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,862 – $45,394 · median $25,018 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $7,963 – $28,104 · median $15,087 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,482 – $19,347 · median $10,117 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $6,812 – $24,043 · median $12,782 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,839 – $64,651 · median $34,481 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,839 – $29,548 · median $15,759 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,839 – $26,974 · median $14,386 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,839 – $44,380 · median $23,669 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,839 – $30,975 · median $16,520 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,839 – $26,999 · median $14,400 | 15 plans |
| 795 | NORMAL NEWBORN | $2,238 – $7,900 · median $3,360 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,240 – $32,238 · median $17,194 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,240 – $28,046 · median $14,958 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,240 – $26,957 · median $14,377 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,103 – $116,835 · median $67,053 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,844 – $73,566 · median $41,595 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $14,424 – $50,907 · median $28,262 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,219 – $103,126 · median $58,987 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,067 – $49,649 · median $27,522 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,482 – $36,994 · median $20,133 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,240 – $30,029 · median $16,015 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,240 – $21,846 · median $11,419 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,240 – $19,838 · median $10,210 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,555 – $58,431 · median $32,689 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,839 – $34,727 · median $18,846 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,276 – $29,209 · median $15,714 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,826 – $38,210 · median $20,823 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,360 – $25,978 · median $13,880 | 15 plans |
| 813 | COAGULATION DISORDERS | $11,689 – $41,254 · median $22,583 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,976 – $56,387 · median $31,487 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,043 – $28,388 · median $15,248 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,320 – $18,776 · median $9,792 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,081 – $60,285 · median $33,780 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,079 – $32,042 · median $17,322 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,945 – $24,511 · median $13,047 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $42,628 – $150,450 · median $86,831 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,774 – $59,203 · median $33,144 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,398 – $33,169 · median $17,962 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,502 – $118,241 · median $67,880 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,967 – $59,883 · median $33,543 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,435 – $36,828 · median $20,038 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,165 – $120,581 · median $69,257 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,292 – $61,030 · median $34,218 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,961 – $45,746 · median $25,226 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,343 – $82,389 · median $46,785 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,544 – $40,744 · median $22,282 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $9,387 – $33,132 · median $17,940 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,959 – $21,031 · median $11,072 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,542 – $16,031 · median $8,234 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,955 – $141,016 · median $81,281 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,685 – $55,358 · median $30,881 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,509 – $33,559 · median $18,183 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,067 – $123,764 · median $71,130 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,696 – $55,399 · median $30,905 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,108 – $39,206 · median $21,388 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,877 – $84,273 · median $47,894 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,445 – $43,924 · median $24,154 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,018 – $28,298 · median $15,197 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,036 – $53,068 · median $29,534 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,494 – $33,507 · median $18,153 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,886 – $24,302 · median $12,929 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,297 – $68,108 · median $38,383 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,141 – $35,791 · median $19,450 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,870 – $24,246 · median $12,897 | 15 plans |
| 849 | RADIOTHERAPY | $20,132 – $71,053 · median $40,116 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $62,553 – $220,774 · median $128,208 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,024 – $127,144 · median $73,118 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,060 – $53,151 · median $29,583 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,488 – $40,547 · median $22,167 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,244 – $117,333 · median $67,346 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,082 – $56,760 · median $31,706 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,745 – $37,923 · median $20,660 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,816 – $48,763 · median $27,001 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,929 – $27,983 · median $15,018 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,143 – $25,210 · median $13,444 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,496 – $40,575 · median $22,183 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,014 – $24,755 · median $13,186 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,738 – $55,544 · median $30,991 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,165 – $28,819 · median $15,492 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,016 – $21,234 · median $11,188 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,092 – $176,796 · median $102,333 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,663 – $51,752 · median $28,760 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,110 – $28,622 · median $15,381 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $30,734 – $108,473 · median $62,133 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,464 – $51,048 · median $28,345 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,153 – $32,304 · median $17,471 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,002 – $95,300 · median $54,382 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,390 – $40,200 · median $21,962 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,819 – $52,301 · median $29,082 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,187 – $99,482 · median $56,843 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,039 – $53,079 · median $29,540 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,173 – $35,905 · median $19,514 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,468 – $44,005 · median $24,201 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,127 – $25,155 · median $13,413 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $12,803 – $45,187 · median $24,897 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,564 – $19,639 · median $10,282 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $11,996 – $42,339 · median $23,221 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,925 – $24,440 · median $13,007 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,867 – $48,942 · median $27,106 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,960 – $28,094 · median $15,081 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,722 – $20,195 · median $10,598 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,286 – $46,893 · median $25,901 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,070 – $28,481 · median $15,301 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,034 – $540,120 · median $316,105 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,952 – $183,361 · median $106,195 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,777 – $83,919 · median $47,686 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $28,578 – $100,863 · median $57,656 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,575 – $58,499 · median $32,729 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $15,501 – $54,709 · median $30,499 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $26,684 – $94,178 · median $53,722 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,475 – $61,677 · median $34,599 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,271 – $53,896 · median $30,021 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,855 – $41,841 · median $22,928 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,990 – $31,730 · median $17,145 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,864 – $34,815 · median $18,896 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,521 – $23,016 · median $12,199 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,296 – $32,810 · median $17,758 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,289 – $18,668 · median $9,731 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,778 – $16,864 · median $8,707 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,804 – $172,249 · median $99,657 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,643 – $97,562 · median $55,713 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,141 – $194,614 · median $112,816 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $30,857 – $108,908 · median $62,389 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,804 – $76,956 · median $43,589 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,305 – $71,664 · median $40,475 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,741 – $41,438 · median $22,691 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,519 – $26,539 · median $14,198 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $44,456 – $156,904 · median $90,629 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,618 – $69,238 · median $39,048 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,390 – $75,494 · median $42,729 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,047 – $35,459 · median $19,262 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,250 – $25,588 · median $13,659 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,066 – $35,527 · median $19,300 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,265 – $120,934 · median $69,464 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,342 – $64,737 · median $36,399 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,034 – $46,003 · median $25,377 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,257 – $89,142 · median $50,759 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,532 – $44,231 · median $24,334 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,364 – $33,049 · median $17,893 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,663 – $48,222 · median $26,072 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $43,189 – $152,430 · median $85,985 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,753 – $105,010 · median $58,722 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,276 – $64,503 · median $35,433 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,541 – $107,793 · median $60,322 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,337 – $40,011 · median $21,352 | 14 plans |
No procedures match that keyword.