Norton Clark Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,435 – $13,093 · median $9,300 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,922 – $21,627 · median $15,363 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,922 – $12,940 · median $9,192 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,922 – $10,543 · median $7,489 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,922 – $19,039 · median $13,524 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,922 – $12,698 · median $9,020 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,922 – $10,900 · median $7,743 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,435 – $15,156 · median $10,766 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,435 – $11,627 · median $8,259 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,435 – $11,627 · median $8,259 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,435 – $8,828 · median $6,271 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,764 – $25,875 · median $18,380 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,977 – $13,017 · median $9,247 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,945 – $11,968 · median $8,501 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,945 – $7,840 · median $5,569 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $4,435 – $29,558 · median $20,996 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $4,435 – $15,286 · median $10,859 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $4,435 – $9,891 · median $7,026 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,435 – $13,719 · median $9,745 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,435 – $9,100 · median $6,464 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,435 – $6,495 · median $4,614 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $222,688 – $322,897 · median $229,368 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $87,347 – $126,653 · median $89,967 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $169,520 – $245,804 · median $174,606 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $84,425 – $122,416 · median $86,957 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $38,648 – $56,040 · median $39,808 | 12 plans |
| 007 | LUNG TRANSPLANT | $103,519 – $150,102 · median $106,625 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $43,319 – $62,813 · median $44,619 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $63,302 – $91,788 · median $65,201 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $42,963 – $62,296 · median $44,252 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $32,764 – $47,508 · median $33,747 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $21,292 – $30,873 · median $21,930 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $103,779 – $150,480 · median $106,893 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $48,014 – $69,620 · median $49,454 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $48,014 – $69,620 · median $49,454 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $298,015 – $432,121 · median $306,955 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $62,941 – $91,265 · median $64,829 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $63,997 – $92,796 · median $65,917 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $44,000 – $63,800 · median $45,320 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,240 – $40,948 · median $29,087 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $45,403 – $65,834 · median $46,765 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $30,381 – $44,052 · median $31,292 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $35,674 – $51,727 · median $36,744 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,516 – $35,549 · median $25,252 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,854 – $28,788 · median $20,449 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,358 – $70,119 · median $49,809 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $26,869 – $38,960 · median $27,675 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,940 – $26,014 · median $18,479 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,450 – $48,503 · median $34,454 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $17,232 – $24,986 · median $17,749 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,969 – $18,805 · median $13,358 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $31,068 – $45,048 · median $32,000 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,330 – $26,579 · median $18,880 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $14,844 – $21,524 · median $15,290 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $26,586 – $38,550 · median $27,384 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,094 – $18,986 · median $13,487 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,360 – $13,572 · median $9,641 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $30,147 – $43,714 · median $31,052 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $18,199 – $26,389 · median $18,745 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,249 – $20,660 · median $14,676 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,260 – $23,577 · median $16,748 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,649 – $11,091 · median $7,878 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,208 – $17,702 · median $12,575 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,988 – $13,032 · median $9,257 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,140 – $29,203 · median $20,744 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,909 – $15,817 · median $11,236 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,945 – $21,671 · median $15,394 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,034 – $14,549 · median $10,335 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,420 – $10,759 · median $7,643 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,713 – $31,484 · median $22,364 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,432 – $20,927 · median $14,865 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,464 – $16,623 · median $11,808 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $16,076 – $23,311 · median $16,559 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,403 – $12,184 · median $8,655 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,809 – $8,424 · median $5,984 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,860 – $17,196 · median $12,215 | 12 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,334 – $10,634 · median $7,554 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,692 – $9,703 · median $6,892 | 12 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $14,100 – $20,445 · median $14,523 | 12 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,695 – $12,607 · median $8,956 | 12 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,298 – $9,132 · median $6,487 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,575 – $18,234 · median $12,953 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,604 – $12,476 · median $8,862 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,971 – $20,258 · median $14,390 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,614 – $11,040 · median $7,842 | 12 plans |
| 077 | Inpatient MS-DRG | $12,581 – $18,242 · median $12,958 | 12 plans |
| 078 | Inpatient MS-DRG | $8,253 – $11,967 · median $8,500 | 12 plans |
| 079 | Other Inpatient MS-DRG | $5,639 – $8,176 · median $5,808 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,065 – $23,295 · median $16,547 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,518 – $10,901 · median $7,744 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $18,689 – $27,099 · median $19,249 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,350 – $16,458 · median $11,691 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,923 – $11,488 · median $8,161 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $18,261 – $26,478 · median $18,809 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,729 – $15,556 · median $11,050 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,354 – $10,663 · median $7,574 | 12 plans |
| 088 | CONCUSSION WITH MCC | $11,511 – $16,691 · median $11,856 | 12 plans |
| 089 | CONCUSSION WITH CC | $8,838 – $12,816 · median $9,104 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,143 – $10,358 · median $7,357 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,764 – $21,408 · median $15,207 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,733 – $12,662 · median $8,995 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,606 – $9,579 · median $6,805 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $29,173 – $42,302 · median $30,049 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,296 – $27,980 · median $19,875 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,296 – $27,980 · median $19,875 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,668 – $41,568 · median $29,528 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,498 – $25,372 · median $18,023 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,373 – $16,491 · median $11,715 | 12 plans |
| 100 | SEIZURES WITH MCC | $16,046 – $23,266 · median $16,527 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $7,651 – $11,095 · median $7,881 | 12 plans |
| 102 | HEADACHES WITH MCC | $9,528 – $13,816 · median $9,814 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $7,087 – $10,276 · median $7,300 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,187 – $26,371 · median $18,732 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,707 – $14,074 · median $9,998 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,460 – $18,067 · median $12,834 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,546 – $19,642 · median $13,952 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,890 – $12,890 · median $9,156 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,557 – $13,858 · median $9,844 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,730 – $8,309 · median $5,902 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,716 – $9,738 · median $6,918 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,668 – $15,468 · median $10,988 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,894 – $9,996 · median $7,101 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,406 – $28,139 · median $19,988 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,097 – $11,741 · median $8,340 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,415 – $16,552 · median $11,758 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,797 – $9,856 · median $7,001 | 12 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,213 – $16,259 · median $11,550 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $33,755 – $48,945 · median $34,768 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,334 – $25,134 · median $17,854 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,787 – $18,541 · median $13,170 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,436 – $38,333 · median $27,230 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,241 – $20,650 · median $14,669 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,728 – $14,105 · median $10,020 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $18,483 – $26,800 · median $19,037 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $10,201 – $14,792 · median $10,507 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,696 – $9,710 · median $6,897 | 12 plans |
| 149 | DYSEQUILIBRIUM | $6,277 – $9,101 · median $6,465 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $11,286 – $16,364 · median $11,624 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,359 – $9,221 · median $6,550 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,333 – $13,533 · median $9,613 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,994 – $8,691 · median $6,174 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $13,212 – $19,158 · median $13,609 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,745 – $11,231 · median $7,978 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,684 – $8,242 · median $5,854 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,301 – $19,286 · median $13,700 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,801 – $11,311 · median $8,035 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,583 – $8,095 · median $5,750 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $36,754 – $53,293 · median $37,857 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,242 – $29,351 · median $20,849 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,088 – $21,878 · median $15,541 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $30,765 – $44,609 · median $31,687 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,798 – $21,457 · median $15,242 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,062 – $16,041 · median $11,394 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,595 – $35,663 · median $25,333 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,498 – $16,672 · median $11,843 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,805 – $9,868 · median $7,010 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $13,135 – $19,046 · median $13,529 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,207 – $11,900 · median $8,453 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,452 – $9,355 · median $6,645 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,171 – $20,548 · median $14,596 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,140 – $13,253 · median $9,414 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,987 – $10,131 · median $7,196 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,904 – $18,711 · median $13,292 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,807 – $12,770 · median $9,071 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,515 – $9,447 · median $6,710 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,847 – $18,628 · median $13,232 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,301 – $12,036 · median $8,550 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,172 – $8,949 · median $6,357 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,143 – $14,707 · median $10,447 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,240 – $13,398 · median $9,517 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,157 – $10,378 · median $7,372 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,485 – $7,953 · median $5,650 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,777 – $15,626 · median $11,100 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,849 – $9,931 · median $7,054 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,292 – $7,673 · median $5,450 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $15,247 – $22,108 · median $15,704 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,190 – $11,876 · median $8,436 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,905 – $8,562 · median $6,082 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,309 – $20,748 · median $14,739 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,118 – $13,221 · median $9,391 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,721 – $8,295 · median $5,893 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,007 – $11,610 · median $8,247 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,875 – $8,519 · median $6,051 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,778 – $9,828 · median $6,981 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $15,276 – $22,150 · median $15,734 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,526 – $10,913 · median $7,752 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $51,418 – $74,556 · median $52,960 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,558 – $31,259 · median $22,205 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $86,354 – $125,214 · median $88,945 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $83,994 – $121,791 · median $86,513 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $76,546 – $110,991 · median $78,842 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $51,344 – $74,449 · median $52,885 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $47,330 – $68,629 · median $48,750 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,443 – $89,093 · median $63,286 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $42,180 – $61,161 · median $43,445 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $36,623 – $53,103 · median $37,722 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $39,706 – $57,574 · median $40,898 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $24,893 – $36,094 · median $25,640 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $67,255 – $97,520 · median $69,273 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $48,588 – $70,453 · median $50,046 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $62,066 – $89,996 · median $63,928 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $42,365 – $61,430 · median $43,636 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,817 – $67,884 · median $48,221 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $32,831 – $47,605 · median $33,816 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $40,129 – $58,188 · median $41,333 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,361 – $33,873 · median $24,062 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,294 – $17,826 · median $12,662 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $27,148 – $39,364 · median $27,962 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $18,157 – $26,327 · median $18,701 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,620 – $21,199 · median $15,059 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $38,945 – $56,470 · median $40,113 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $18,629 – $27,012 · median $19,188 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,710 – $18,429 · median $13,091 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $27,451 – $39,803 · median $28,274 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $20,526 – $29,763 · median $21,142 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,184 – $20,567 · median $14,609 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $21,027 – $30,489 · median $21,658 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,744 – $19,929 · median $14,157 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,416 – $10,753 · median $7,639 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,519 – $32,652 · median $23,194 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $14,249 – $20,661 · median $14,677 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $27,260 – $39,526 · median $28,077 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $15,353 – $22,262 · median $15,814 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,356 – $17,916 · median $12,727 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $21,545 – $31,240 · median $22,191 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,961 – $40,544 · median $28,800 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $28,530 – $41,369 · median $29,386 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,658 – $69,104 · median $49,088 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $37,508 – $54,386 · median $38,633 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $52,999 – $76,849 · median $54,589 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $33,214 – $48,161 · median $34,211 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $40,888 – $59,287 · median $42,115 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $27,561 – $39,964 · median $28,388 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $20,125 – $29,181 · median $20,729 | 12 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $31,238 – $45,295 · median $32,175 | 12 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $25,009 – $36,263 · median $25,759 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $56,151 – $81,420 · median $57,836 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $49,265 – $71,434 · median $50,743 | 12 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $37,091 – $53,782 · median $38,204 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,864 – $57,803 · median $41,060 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,667 – $37,217 · median $26,437 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $13,331 – $19,331 · median $13,731 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,652 – $11,096 · median $7,882 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,100 – $8,845 · median $6,283 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,810 – $22,924 · median $16,284 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,225 – $9,027 · median $6,412 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,808 – $6,971 · median $4,952 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,935 – $31,805 · median $22,593 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $12,821 – $18,590 · median $13,205 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,104 – $11,750 · median $8,347 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,675 – $15,479 · median $10,995 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,174 – $10,402 · median $7,389 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,708 – $6,826 · median $4,849 | 12 plans |
| 294 | Medical MS-DRG | $10,069 – $14,600 · median $10,371 | 12 plans |
| 295 | Inpatient MS-DRG | $6,610 – $9,585 · median $6,809 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $13,308 – $19,296 · median $13,707 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,936 – $8,608 · median $6,115 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,863 – $5,602 · median $3,979 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,144 – $19,058 · median $13,538 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,827 – $12,799 · median $9,091 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,007 – $8,711 · median $6,188 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,558 – $13,859 · median $9,845 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,684 – $8,242 · median $5,854 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $9,649 – $13,991 · median $9,938 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,302 – $9,138 · median $6,491 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,195 – $17,683 · median $12,561 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,688 – $11,148 · median $7,919 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,894 – $14,347 · median $10,191 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,212 – $9,007 · median $6,398 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,793 – $6,950 · median $4,937 | 12 plans |
| 311 | ANGINA PECTORIS | $5,888 – $8,538 · median $6,065 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,254 – $10,518 · median $7,471 | 12 plans |
| 313 | CHEST PAIN | $6,007 – $8,711 · median $6,188 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $17,373 – $25,191 · median $17,894 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,972 – $11,559 · median $8,211 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,765 – $8,359 · median $5,938 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $49,202 – $71,342 · median $50,678 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $35,046 – $50,817 · median $36,097 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,646 – $27,037 · median $19,205 | 12 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,845 – $33,125 · median $23,530 | 12 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,656 – $21,251 · median $15,095 | 12 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $33,993 – $49,290 · median $35,013 | 12 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $25,594 – $37,111 · median $26,361 | 12 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,965 – $33,300 · median $23,654 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $40,462 – $58,669 · median $41,676 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $19,540 – $28,333 · median $20,126 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,953 – $18,782 · median $13,342 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $36,617 – $53,095 · median $37,716 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $19,032 – $27,596 · median $19,603 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,407 – $19,440 · median $13,809 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,753 – $40,242 · median $28,585 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $17,150 – $24,868 · median $17,665 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,467 – $19,527 · median $13,871 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $28,974 – $42,012 · median $29,843 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,048 – $24,719 · median $17,559 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,492 – $18,114 · median $12,867 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,643 – $31,382 · median $22,292 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,126 – $17,583 · median $12,490 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,205 – $14,798 · median $10,511 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $19,056 – $27,632 · median $19,628 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,313 – $14,953 · median $10,622 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,329 – $10,628 · median $7,549 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,466 – $28,226 · median $20,050 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,251 – $17,764 · median $12,619 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,079 – $13,165 · median $9,351 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,525 – $34,111 · median $24,231 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,803 – $20,014 · median $14,217 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,899 – $15,804 · median $11,226 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $34,043 – $49,362 · median $35,064 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,150 – $26,318 · median $18,695 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,072 – $16,054 · median $11,404 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $13,557 – $19,658 · median $13,964 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,408 – $12,192 · median $8,661 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,886 – $8,535 · median $6,062 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,173 – $20,550 · median $14,598 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,501 – $12,326 · median $8,756 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,102 – $8,848 · median $6,285 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $17,041 – $24,709 · median $17,552 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,074 – $14,608 · median $10,377 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,346 – $10,652 · median $7,566 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,727 – $21,354 · median $15,169 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,158 – $11,829 · median $8,403 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,402 – $7,833 · median $5,564 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,564 – $22,568 · median $16,031 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,973 – $13,010 · median $9,242 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,291 – $9,122 · median $6,479 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,354 – $15,014 · median $10,665 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,240 – $10,498 · median $7,457 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,200 – $19,141 · median $13,596 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,210 – $11,905 · median $8,456 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,667 – $8,218 · median $5,837 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,978 – $17,368 · median $12,337 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,704 – $9,720 · median $6,905 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,696 – $6,809 · median $4,837 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,515 – $15,246 · median $10,830 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,535 – $9,476 · median $6,732 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,447 – $19,498 · median $13,850 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,806 – $11,319 · median $8,040 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,400 – $7,830 · median $5,562 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $19,932 – $28,902 · median $20,530 | 12 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $12,320 – $17,863 · median $12,689 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $9,246 – $13,407 · median $9,524 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $31,253 – $45,317 · median $32,191 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $43,222 – $62,671 · median $44,518 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $22,542 – $32,685 · median $23,218 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,233 – $24,988 · median $17,750 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $28,010 – $40,615 · median $28,850 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $16,923 – $24,539 · median $17,431 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,619 – $18,297 · median $12,997 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $21,973 – $31,861 · median $22,633 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $17,200 – $24,940 · median $17,716 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,498 – $19,572 · median $13,903 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $28,030 – $40,643 · median $28,871 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $15,989 – $23,184 · median $16,468 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,191 – $16,227 · median $11,527 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $19,133 – $27,743 · median $19,707 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,466 – $19,525 · median $13,870 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,776 – $15,625 · median $11,099 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $28,233 – $40,937 · median $29,080 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,301 – $19,287 · median $13,700 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,974 – $17,362 · median $12,333 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $32,478 – $47,093 · median $33,452 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $18,397 – $26,676 · median $18,949 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,577 – $18,237 · median $12,954 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $83,051 – $120,424 · median $85,543 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $56,433 – $81,828 · median $58,126 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $43,817 – $63,534 · median $45,131 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $66,203 – $95,994 · median $68,189 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $43,552 – $63,150 · median $44,858 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,839 – $22,966 · median $16,314 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,820 – $12,789 · median $9,085 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,874 – $8,517 · median $6,050 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,777 – $21,427 · median $15,221 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,277 – $13,452 · median $9,556 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,574 – $9,532 · median $6,771 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,507 – $19,586 · median $13,913 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,166 – $10,391 · median $7,381 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,232 – $7,586 · median $5,389 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $15,297 – $22,180 · median $15,755 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,003 – $11,604 · median $8,243 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,923 – $8,588 · median $6,101 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,671 – $19,823 · median $14,081 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,936 – $12,958 · median $9,204 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,670 – $9,671 · median $6,870 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,292 – $77,274 · median $54,891 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,605 – $47,277 · median $33,583 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,023 – $59,483 · median $42,254 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,733 – $35,862 · median $25,474 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $67,218 – $97,466 · median $69,234 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,674 – $66,227 · median $47,044 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $34,456 – $49,961 · median $35,489 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $48,809 – $70,773 · median $50,274 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,979 – $33,319 · median $23,668 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,003 – $62,354 · median $44,293 | 12 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,648 – $34,290 · median $24,358 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,079 – $20,414 · median $14,501 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,585 – $58,848 · median $41,802 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $27,410 – $39,744 · median $28,232 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,081 – $30,567 · median $21,713 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $26,174 – $37,953 · median $26,960 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,258 – $22,124 · median $15,716 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $38,712 – $56,132 · median $39,873 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,242 – $33,702 · median $23,940 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $19,061 – $27,639 · median $19,633 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,771 – $51,869 · median $36,845 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,403 – $25,234 · median $17,925 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,557 – $13,857 · median $9,843 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,518 – $39,902 · median $28,344 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,834 – $27,309 · median $19,399 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,392 – $20,869 · median $14,824 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,588 – $34,203 · median $24,296 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,753 – $24,291 · median $17,255 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $12,897 – $18,701 · median $13,284 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $20,488 – $29,708 · median $21,103 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $25,785 – $37,388 · median $26,558 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $17,116 – $24,818 · median $17,629 | 12 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,848 – $18,630 · median $13,234 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,889 – $23,038 · median $16,365 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,151 – $14,719 · median $10,455 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $28,404 – $41,186 · median $29,256 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $19,326 – $28,023 · median $19,906 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $15,257 – $22,123 · median $15,715 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $28,162 – $40,836 · median $29,007 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $15,948 – $23,125 · median $16,427 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,973 – $15,911 · median $11,302 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $20,304 – $29,441 · median $20,913 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,538 – $13,831 · median $9,825 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $25,385 – $36,809 · median $26,147 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $14,462 – $20,970 · median $14,896 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,404 – $16,536 · median $11,746 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,265 – $30,834 · median $21,903 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,228 – $20,631 · median $14,655 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,228 – $20,631 · median $14,655 | 12 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,208 – $17,702 · median $12,575 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,674 – $22,727 · median $16,144 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,563 – $15,316 · median $10,880 | 12 plans |
| 509 | Inpatient MS-DRG | $14,241 – $20,650 · median $14,669 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $22,934 – $33,254 · median $23,622 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $15,855 – $22,990 · median $16,331 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $13,066 – $18,946 · median $13,458 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,260 – $17,777 · median $12,627 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,424 – $12,215 · median $8,677 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,783 – $35,935 · median $25,527 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,254 – $23,568 · median $16,742 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,158 – $17,629 · median $12,523 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,663 – $41,561 · median $29,523 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,940 – $23,113 · median $16,418 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $11,688 – $16,948 · median $12,039 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,381 – $33,902 · median $24,082 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $17,015 – $24,671 · median $17,525 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,412 – $17,997 · median $12,784 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,801 – $9,862 · median $7,005 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,873 – $15,766 · median $11,199 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,777 – $9,827 · median $6,980 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,630 – $11,064 · median $7,859 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,677 – $8,231 · median $5,847 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $16,338 – $23,691 · median $16,829 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,590 – $15,356 · median $10,908 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,282 – $10,559 · median $7,501 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $15,097 – $21,891 · median $15,550 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,750 – $12,687 · median $9,012 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,341 – $9,195 · median $6,532 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $20,320 – $29,464 · median $20,930 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,514 – $13,795 · median $9,799 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,266 – $9,086 · median $6,454 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $16,277 – $23,601 · median $16,765 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,888 – $14,338 · median $10,185 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,181 – $10,412 · median $7,396 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,844 – $20,074 · median $14,260 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,984 – $11,576 · median $8,223 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,684 – $15,492 · median $11,005 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,964 – $10,098 · median $7,173 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,005 – $15,957 · median $11,335 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,821 – $9,891 · median $7,026 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $12,608 – $18,281 · median $12,986 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,194 – $10,432 · median $7,410 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,027 – $21,790 · median $15,478 | 12 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,364 – $13,578 · median $9,645 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,830 – $9,903 · median $7,035 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,927 – $17,295 · median $12,285 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,431 – $10,775 · median $7,654 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,762 – $18,504 · median $13,144 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,425 – $12,216 · median $8,678 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,281 – $9,108 · median $6,470 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $24,134 – $34,995 · median $24,858 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,591 – $19,707 · median $13,999 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,393 – $13,620 · median $9,675 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,979 – $71,020 · median $50,448 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,723 – $40,198 · median $28,555 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,136 – $23,397 · median $16,620 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $42,958 – $62,289 · median $44,247 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,393 – $31,019 · median $22,034 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,718 – $19,891 · median $14,130 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $26,101 – $37,846 · median $26,884 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $14,370 – $20,837 · median $14,801 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,736 – $17,017 · median $12,088 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $14,198 – $20,587 · median $14,624 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,342 – $19,345 · median $13,742 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,536 – $23,977 · median $17,032 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $16,044 – $23,264 · median $16,525 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $16,606 – $24,079 · median $17,104 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $10,027 – $14,539 · median $10,328 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,075 – $10,259 · median $7,288 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $17,070 – $24,751 · median $17,582 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,909 – $12,919 · median $9,177 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $14,241 – $20,650 · median $14,669 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,892 – $12,893 · median $9,159 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,124 – $10,330 · median $7,338 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,927 – $11,494 · median $8,165 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,109 – $7,407 · median $5,262 | 12 plans |
| 602 | CELLULITIS WITH MCC | $11,972 – $17,360 · median $12,332 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,329 – $10,627 · median $7,548 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,103 – $17,549 · median $12,466 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,667 – $11,117 · median $7,897 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,086 – $18,975 · median $13,479 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,198 – $10,436 · median $7,414 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $18,364 – $26,627 · median $18,914 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,687 – $16,946 · median $12,037 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,881 – $44,777 · median $31,807 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,622 – $22,652 · median $16,090 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,204 – $14,795 · median $10,510 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $21,895 – $31,748 · median $22,552 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,981 – $18,822 · median $13,370 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,914 – $17,275 · median $12,271 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $29,910 – $43,369 · median $30,807 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $15,473 – $22,436 · median $15,938 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,294 – $12,026 · median $8,543 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,005 – $33,357 · median $23,695 | 12 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,289 – $17,819 · median $12,658 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,376 – $15,045 · median $10,687 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $31,517 – $45,700 · median $32,463 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $18,128 – $26,285 · median $18,671 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,437 – $16,583 · median $11,780 | 12 plans |
| 637 | DIABETES WITH MCC | $11,871 – $17,212 · median $12,227 | 12 plans |
| 638 | DIABETES WITH CC | $7,616 – $11,043 · median $7,844 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,322 – $7,717 · median $5,482 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,858 – $15,744 · median $11,184 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,544 – $9,489 · median $6,740 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $10,172 – $14,750 · median $10,477 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,457 – $19,513 · median $13,861 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,533 – $12,373 · median $8,789 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,523 – $9,458 · median $6,718 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $36,739 – $53,271 · median $37,841 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,783 – $40,285 · median $28,616 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $24,617 – $35,695 · median $25,356 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $44,373 – $64,341 · median $45,704 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,650 – $32,842 · median $23,329 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,772 – $24,319 · median $17,275 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $26,090 – $37,830 · median $26,873 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,805 – $21,467 · median $15,249 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,247 – $17,758 · median $12,614 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $20,773 – $30,121 · median $21,396 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,953 – $15,881 · median $11,281 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,479 – $12,295 · median $8,734 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,998 – $36,247 · median $25,748 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,432 – $18,026 · median $12,805 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,899 – $12,904 · median $9,166 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $27,476 – $39,840 · median $28,300 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $13,378 – $19,398 · median $13,779 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,489 – $12,309 · median $8,743 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,393 – $33,920 · median $24,095 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,590 – $18,256 · median $12,968 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,920 – $11,484 · median $8,157 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $13,981 – $20,272 · median $14,400 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,014 – $13,071 · median $9,285 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $33,442 – $48,491 · median $34,446 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,596 – $26,964 · median $19,153 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $12,731 – $18,460 · median $13,113 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $12,230 – $17,734 · median $12,597 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $7,393 – $10,719 · median $7,614 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,171 – $7,498 · median $5,326 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $15,260 – $22,126 · median $15,717 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,685 – $12,594 · median $8,946 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,093 – $8,834 · median $6,275 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,613 – $13,939 · median $9,902 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,711 – $9,732 · median $6,913 | 12 plans |
| 693 | URINARY STONES WITH MCC | $11,982 – $17,374 · median $12,341 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,544 – $9,489 · median $6,740 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,278 – $13,453 · median $9,556 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,837 – $8,464 · median $6,012 | 12 plans |
| 697 | URETHRAL STRICTURE | $8,284 – $12,011 · median $8,532 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,643 – $19,783 · median $14,052 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,426 – $12,218 · median $8,679 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,856 – $8,491 · median $6,032 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,693 – $22,755 · median $16,164 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,077 – $17,512 · median $12,440 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,112 – $26,262 · median $18,655 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $12,227 – $17,728 · median $12,593 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,456 – $22,411 · median $15,920 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,819 – $12,787 · median $9,083 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,789 – $17,094 · median $12,143 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,793 – $11,301 · median $8,027 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $18,200 – $26,390 · median $18,746 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,579 – $16,789 · median $11,926 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $15,021 – $21,781 · median $15,472 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,100 – $14,644 · median $10,403 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,022 – $20,332 · median $14,443 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,239 – $13,397 · median $9,517 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,127 – $8,885 · median $6,311 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,342 – $14,996 · median $10,652 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,252 – $9,066 · median $6,440 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,974 – $17,362 · median $12,333 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,826 – $9,898 · median $7,031 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,066 – $13,145 · median $9,338 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,167 – $7,492 · median $5,322 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,973 – $24,611 · median $17,482 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,957 – $14,438 · median $10,256 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $31,454 – $45,608 · median $32,397 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,149 – $23,416 · median $16,633 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,349 – $17,906 · median $12,719 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $31,795 – $46,103 · median $32,749 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $14,728 – $21,355 · median $15,169 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,218 – $16,266 · median $11,554 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,794 – $21,451 · median $15,238 | 12 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,838 – $14,264 · median $10,133 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,799 – $22,908 · median $16,273 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,465 – $12,274 · median $8,719 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,593 – $19,710 · median $14,001 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,916 – $11,478 · median $8,153 | 12 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,129 – $16,137 · median $11,463 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $20,807 – $30,170 · median $21,431 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,554 – $15,304 · median $10,871 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,657 – $21,252 · median $15,096 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,138 – $13,251 · median $9,412 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,914 – $11,476 · median $8,152 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,547 – $16,743 · median $11,893 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,422 – $12,211 · median $8,674 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,428 – $7,871 · median $5,591 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,156 – $11,826 · median $8,400 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,380 – $7,801 · median $5,541 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,343 – $16,448 · median $11,684 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,869 – $12,860 · median $9,135 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,008 – $8,712 · median $6,188 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $7,755 – $11,244 · median $7,987 | 12 plans |
| 795 | NORMAL NEWBORN | $1,812 – $2,833 · median $1,983 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $37,903 – $54,959 · median $39,040 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,373 – $33,892 · median $24,075 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,334 – $19,334 · median $13,734 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,669 – $41,570 · median $29,529 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,425 – $20,917 · median $14,858 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,103 – $13,199 · median $9,376 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $18,453 – $26,756 · median $19,006 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,152 – $14,720 · median $10,456 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,889 – $11,439 · median $8,126 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,481 – $16,647 · median $11,825 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,661 – $11,108 · median $7,891 | 12 plans |
| 813 | COAGULATION DISORDERS | $12,594 – $18,262 · median $12,972 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,876 – $24,470 · median $17,382 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,396 – $12,175 · median $8,648 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,581 – $8,093 · median $5,749 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $46,328 – $67,176 · median $47,718 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,996 – $26,094 · median $18,536 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,403 – $13,635 · median $9,686 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $37,309 – $54,098 · median $38,428 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,735 – $25,716 · median $18,267 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,091 – $14,632 · median $10,394 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $38,066 – $55,196 · median $39,208 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $19,002 – $27,553 · median $19,572 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,028 – $18,890 · median $13,418 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,715 – $35,837 · median $25,457 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,920 – $17,283 · median $12,277 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $44,000 – $63,800 · median $45,320 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $17,234 – $24,990 · median $17,751 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,406 – $15,088 · median $10,718 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $39,895 – $57,848 · median $41,092 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,384 – $23,757 · median $16,876 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,193 – $16,229 · median $11,528 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $25,545 – $37,041 · median $26,312 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $12,752 – $18,491 · median $13,135 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,679 – $12,584 · median $8,939 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,319 – $22,213 · median $15,779 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,810 – $14,224 · median $10,104 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,981 – $10,123 · median $7,191 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $20,532 – $29,772 · median $21,148 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,406 – $15,088 · median $10,718 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,840 – $9,918 · median $7,045 | 12 plans |
| 849 | RADIOTHERAPY | $21,458 – $31,114 · median $22,102 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $73,079 – $105,965 · median $75,272 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,848 – $57,780 · median $41,044 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $16,147 – $23,413 · median $16,631 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,207 – $19,150 · median $13,603 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $35,984 – $52,176 · median $37,063 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $17,573 – $25,482 · median $18,101 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,545 – $15,291 · median $10,862 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,889 – $21,588 · median $15,335 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,269 – $11,989 · median $8,517 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,464 – $10,823 · median $7,688 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,025 – $17,437 · median $12,386 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,360 – $10,672 · median $7,581 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $17,300 – $25,086 · median $17,819 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,665 – $12,564 · median $8,925 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,056 – $8,782 · median $6,238 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $55,279 – $80,155 · median $56,938 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,862 – $23,001 · median $16,338 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,514 – $12,345 · median $8,769 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,009 – $21,762 · median $15,459 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,556 – $21,105 · median $14,992 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,764 – $14,158 · median $10,057 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,804 – $17,116 · median $12,158 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,344 – $51,248 · median $36,404 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,353 – $22,262 · median $15,814 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,999 – $14,498 · median $10,299 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $30,850 – $44,732 · median $31,775 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,385 – $19,408 · median $13,787 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $17,602 – $25,523 · median $18,130 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $31,817 – $46,135 · median $32,772 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $16,297 – $23,630 · median $16,785 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,387 – $15,061 · median $10,698 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,149 – $19,066 · median $13,544 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,610 – $11,034 · median $7,838 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,093 – $20,435 · median $14,516 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,618 – $8,147 · median $5,787 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $13,318 – $19,311 · median $13,718 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,359 – $10,670 · median $7,579 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,769 – $21,416 · median $15,212 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,395 – $12,173 · median $8,647 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,805 – $8,417 · median $5,979 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,710 – $19,880 · median $14,122 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,426 – $12,218 · median $8,679 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $187,603 – $272,024 · median $193,231 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $53,088 – $76,978 · median $54,681 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $25,478 – $36,942 · median $26,242 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $34,526 – $50,063 · median $35,562 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $17,712 – $25,682 · median $18,243 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,427 – $36,869 · median $26,190 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $17,041 – $24,709 · median $17,552 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,801 – $22,911 · median $16,275 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,425 – $18,016 · median $12,797 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,189 – $13,324 · median $9,464 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,528 – $15,266 · median $10,844 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,648 – $9,639 · median $6,847 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,893 – $12,895 · median $9,160 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,003 – $7,254 · median $5,153 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,852 – $7,035 · median $4,998 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $54,268 – $78,688 · median $55,896 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $30,544 – $44,289 · median $31,461 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $59,286 – $85,965 · median $61,065 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,813 – $47,578 · median $33,797 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $21,243 – $30,803 · median $21,881 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $21,818 – $31,636 · median $22,472 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,216 – $17,714 · median $12,583 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,580 – $10,990 · median $7,807 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $50,290 – $72,920 · median $51,799 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,318 – $30,910 · median $21,957 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,945 – $34,720 · median $24,663 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,595 – $16,813 · median $11,943 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,293 – $12,025 · median $8,542 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,757 – $17,048 · median $12,110 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $37,896 – $54,949 · median $39,033 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,700 – $28,565 · median $20,291 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,543 – $19,637 · median $13,949 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $28,021 – $40,631 · median $28,862 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,920 – $20,184 · median $14,338 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,497 – $13,770 · median $9,782 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $111,894 – $162,247 · median $115,251 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,604 – $21,175 · median $15,042 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $47,295 – $68,577 · median $48,714 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,419 – $47,007 · median $33,391 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,711 – $28,581 · median $20,302 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,292 – $48,273 · median $34,290 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,028 – $17,440 · median $12,388 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $31,390 – $45,516 · median $32,332 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,943 – $11,517 · median $8,181 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $7,591 – $11,008 · median $7,819 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,969 – $11,556 · median $8,209 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,559 – $19,660 · median $13,965 | 10 plans |
| 885 | PSYCHOSES | $11,502 – $16,678 · median $11,847 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,303 – $7,689 · median $5,462 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,432 – $20,926 · median $14,865 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,340 – $10,643 · median $7,560 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,312 – $25,103 · median $17,832 | 10 plans |
No procedures match that keyword.