Hays Medical Center (Acute Care) — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY | $260,998 – $456,747 · median $287,098 | 16 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,538 – $201,205 · median $116,091 | 16 plans |
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $160,304 – $345,938 · median $197,679 | 16 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $100,035 – $225,757 · median $129,004 | 16 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $96,026 – $168,045 · median $105,629 | 16 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,186 – $75,576 · median $47,505 | 16 plans |
| 007 | LUNG TRANSPLANT | $96,046 – $211,068 · median $120,611 | 16 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,198 – $91,346 · median $57,418 | 16 plans |
| 010 | PANCREAS TRANSPLANT | $47,830 – $116,953 · median $66,830 | 16 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $45,868 – $88,893 · median $50,796 | 16 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $34,207 – $68,714 · median $39,265 | 16 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $22,854 – $46,969 · median $26,839 | 16 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $111,928 – $195,873 · median $123,120 | 16 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,226 – $96,645 · median $60,748 | 16 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,593 – $88,538 · median $50,896 | 16 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $402,179 – $703,813 · median $438,128 | 16 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,447 – $116,283 · median $73,092 | 16 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $69,437 – $128,249 · median $73,285 | 16 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,303 – $86,281 · median $50,962 | 16 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,592 – $51,787 · median $32,552 | 16 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $47,590 – $93,395 · median $53,369 | 16 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $33,050 – $63,758 · median $36,433 | 16 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $37,735 – $74,104 · median $42,345 | 16 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $25,692 – $50,675 · median $28,957 | 16 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,096 – $41,119 · median $23,497 | 16 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $48,858 – $97,926 · median $55,958 | 16 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $27,662 – $55,604 · median $31,774 | 16 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $19,775 – $35,778 · median $20,445 | 16 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,513 – $73,025 · median $41,729 | 16 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $18,597 – $34,732 · median $19,847 | 16 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $14,450 – $27,103 · median $15,487 | 16 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,215 – $63,086 · median $36,049 | 16 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,259 – $38,961 · median $22,264 | 16 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,732 – $31,665 · median $18,094 | 16 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $27,501 – $53,656 · median $30,661 | 16 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $13,918 – $26,446 · median $15,112 | 16 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,574 – $19,159 · median $10,948 | 16 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $32,427 – $62,932 · median $35,961 | 16 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $19,715 – $35,835 · median $20,477 | 16 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,952 – $28,159 · median $16,091 | 16 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $15,552 – $29,521 · median $16,869 | 16 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,120 – $15,959 · median $9,327 | 16 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $11,481 – $24,886 · median $14,221 | 16 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,765 – $16,618 · median $9,496 | 16 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $18,420 – $37,863 · median $21,636 | 16 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $10,635 – $21,116 · median $12,066 | 16 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $14,581 – $27,862 · median $15,921 | 16 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $9,459 – $20,225 · median $11,557 | 16 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,987 – $14,991 · median $8,566 | 16 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $25,221 – $44,937 · median $25,678 | 16 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $16,366 – $28,640 · median $16,876 | 16 plans |
| 063 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY | $13,074 – $22,880 · median $13,801 | 16 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $16,409 – $32,776 · median $18,729 | 16 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $9,409 – $16,466 · median $10,235 | 16 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $6,374 – $11,155 · median $7,012 | 16 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,911 – $23,938 · median $13,679 | 16 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $8,020 – $14,088 · median $8,051 | 16 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,604 – $13,019 · median $7,440 | 16 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $14,093 – $27,134 · median $15,505 | 16 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $8,587 – $16,722 · median $9,556 | 16 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,758 – $12,325 · median $7,043 | 16 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,191 – $26,148 · median $14,942 | 16 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,550 – $16,800 · median $9,600 | 16 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $13,651 – $31,252 · median $17,858 | 16 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,685 – $13,450 · median $7,975 | 16 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | $10,059 – $29,500 · median $16,857 | 16 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $6,945 – $14,597 · median $8,341 | 16 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $19,458 – $37,252 · median $21,287 | 16 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,000 – $22,749 · median $13,400 | 16 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,902 – $15,578 · median $9,509 | 16 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,538 – $37,028 · median $21,159 | 16 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $10,694 – $21,232 · median $12,133 | 16 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,246 – $14,908 · median $8,519 | 16 plans |
| 088 | CONCUSSION WITH MCC | $11,551 – $22,032 · median $12,590 | 16 plans |
| 089 | CONCUSSION WITH CC | $8,631 – $17,906 · median $10,232 | 16 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,018 – $13,417 · median $7,667 | 16 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $12,395 – $28,623 · median $16,356 | 16 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $8,297 – $16,673 · median $9,528 | 16 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $6,563 – $12,978 · median $7,416 | 16 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $30,524 – $57,361 · median $32,778 | 16 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $21,037 – $42,037 · median $24,021 | 16 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,572 – $42,037 · median $24,021 | 16 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $31,551 – $58,867 · median $33,638 | 16 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,725 – $37,403 · median $21,373 | 16 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,763 – $22,205 · median $12,689 | 16 plans |
| 100 | SEIZURES WITH COMORBITY | $15,744 – $31,567 · median $18,038 | 16 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $7,454 – $14,711 · median $8,406 | 16 plans |
| 102 | HEADACHES WITH MCC | $9,675 – $18,269 · median $10,439 | 16 plans |
| 103 | HEADACHES WITHOUT MCC | $5,085 – $13,630 · median $7,789 | 16 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,686 – $38,319 · median $21,897 | 16 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,507 – $22,052 · median $12,601 | 16 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,398 – $25,017 · median $14,295 | 16 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,858 – $29,469 · median $16,840 | 16 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,979 – $17,682 · median $10,104 | 16 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,821 – $18,960 · median $10,834 | 16 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,416 – $12,807 · median $7,318 | 16 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,434 – $13,016 · median $7,438 | 16 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH COMORBITY | $11,763 – $21,565 · median $12,323 | 16 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,023 – $12,514 · median $7,151 | 16 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $14,083 – $35,368 · median $20,210 | 16 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,728 – $16,548 · median $9,456 | 16 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,667 – $24,337 · median $13,907 | 16 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,117 – $14,444 · median $8,254 | 16 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,687 – $20,140 · median $11,509 | 16 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $34,188 – $69,518 · median $39,724 | 16 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,960 – $35,549 · median $20,313 | 16 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,868 – $26,019 · median $15,569 | 16 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,927 – $61,064 · median $34,894 | 16 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $14,780 – $28,244 · median $16,139 | 16 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,415 – $19,596 · median $11,198 | 16 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | $17,684 – $34,510 · median $19,720 | 16 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,353 – $20,724 · median $11,842 | 16 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,424 – $12,992 · median $7,891 | 16 plans |
| 149 | DYSEQUILIBRIUM | $6,184 – $12,250 · median $7,000 | 16 plans |
| 150 | EPISTAXIS WITH MCC | $9,518 – $21,701 · median $12,401 | 16 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,196 – $11,963 · median $6,836 | 16 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $9,066 – $19,268 · median $11,010 | 16 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $5,984 – $12,032 · median $6,875 | 16 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,418 – $25,483 · median $14,562 | 16 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,790 – $14,938 · median $8,536 | 16 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,371 – $11,264 · median $6,437 | 16 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,225 – $27,981 · median $15,989 | 16 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,553 – $14,828 · median $8,473 | 16 plans |
| 159 | DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY | $5,564 – $11,547 · median $6,599 | 16 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $41,741 – $73,046 · median $41,875 | 16 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $23,507 – $41,137 · median $24,235 | 16 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,828 – $31,199 · median $18,896 | 16 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $31,242 – $60,919 · median $34,811 | 16 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $16,796 – $29,393 · median $16,938 | 16 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $12,491 – $22,270 · median $12,726 | 16 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $12,793 – $22,388 · median $12,882 | 16 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $7,497 – $13,120 · median $8,024 | 16 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $14,554 – $25,470 · median $16,009 | 16 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $9,090 – $15,907 · median $9,999 | 16 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $7,032 – $12,305 · median $7,735 | 16 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $16,447 – $28,783 · median $17,353 | 16 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,975 – $17,456 · median $10,972 | 16 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,020 – $12,286 · median $7,722 | 16 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $13,234 – $24,935 · median $14,249 | 16 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $9,606 – $17,343 · median $9,910 | 16 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,185 – $12,819 · median $7,325 | 16 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $13,629 – $25,401 · median $14,515 | 16 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $9,212 – $16,121 · median $9,375 | 16 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,680 – $11,689 · median $7,099 | 16 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $11,506 – $20,135 · median $12,119 | 16 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $10,316 – $18,054 · median $10,643 | 16 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $7,851 – $13,740 · median $8,035 | 16 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $5,979 – $10,464 · median $6,577 | 16 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $11,650 – $21,423 · median $12,242 | 16 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $7,506 – $13,135 · median $8,207 | 16 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $5,853 – $10,244 · median $6,330 | 16 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $14,618 – $30,758 · median $17,576 | 16 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,839 – $15,469 · median $9,322 | 16 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,670 – $11,673 · median $7,001 | 16 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $15,019 – $28,752 · median $16,430 | 16 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $9,032 – $17,917 · median $10,238 | 16 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $5,954 – $11,655 · median $6,660 | 16 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $8,449 – $15,829 · median $9,045 | 16 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $6,240 – $10,920 · median $6,291 | 16 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,856 – $13,159 · median $7,520 | 16 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $14,136 – $29,842 · median $17,053 | 16 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $7,434 – $15,339 · median $8,765 | 16 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $58,664 – $104,876 · median $59,929 | 16 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,600 – $44,800 · median $28,160 | 16 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,734 – $162,284 · median $96,512 | 16 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $84,234 – $159,445 · median $91,111 | 16 plans |
| 217 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION | $54,400 – $107,167 · median $61,238 | 16 plans |
| 218 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY | $40,956 – $107,167 · median $61,238 | 16 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $67,607 – $125,145 · median $71,511 | 16 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $46,002 – $86,916 · median $49,667 | 16 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,932 – $82,148 · median $46,941 | 16 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $46,077 – $80,635 · median $50,685 | 16 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $29,333 – $51,332 · median $32,266 | 16 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH COMORBITY | $69,767 – $137,394 · median $78,511 | 16 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $49,296 – $98,811 · median $56,463 | 16 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $68,002 – $124,605 · median $71,203 | 16 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $50,876 – $89,034 · median $52,859 | 16 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $54,657 – $95,649 · median $55,142 | 16 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $39,012 – $68,271 · median $39,897 | 16 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $40,799 – $80,216 · median $45,838 | 16 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $26,548 – $46,459 · median $26,799 | 16 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,893 – $22,564 · median $14,183 | 16 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $29,736 – $52,038 · median $32,709 | 16 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $19,846 – $34,730 · median $21,831 | 16 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $16,834 – $29,459 · median $18,517 | 16 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,492 – $74,360 · median $45,551 | 16 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,327 – $35,571 · median $21,637 | 16 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $13,919 – $24,358 · median $14,718 | 16 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $29,534 – $56,854 · median $32,488 | 16 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $22,998 – $42,304 · median $24,174 | 16 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $16,011 – $29,039 · median $16,594 | 16 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $21,272 – $43,963 · median $25,122 | 16 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,491 – $27,673 · median $15,813 | 16 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,141 – $17,801 · median $10,172 | 16 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,893 – $51,211 · median $29,264 | 16 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $17,529 – $32,957 · median $18,833 | 16 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $29,931 – $53,016 · median $30,295 | 16 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $13,643 – $30,812 · median $17,607 | 16 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,316 – $26,565 · median $15,180 | 16 plans |
| 263 | VEIN LIGATION & STRIPPING | $13,725 – $49,831 · median $28,475 | 16 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $27,299 – $54,447 · median $31,112 | 16 plans |
| 265 | AICD LEAD PROCEDURES | $27,797 – $58,971 · median $33,698 | 16 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $57,076 – $99,884 · median $58,309 | 16 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $44,339 – $77,594 · median $47,904 | 16 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $58,425 – $112,099 · median $64,057 | 16 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $36,206 – $68,832 · median $39,332 | 16 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $43,521 – $85,996 · median $49,140 | 16 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $29,915 – $57,962 · median $33,121 | 16 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $22,556 – $41,610 · median $23,777 | 16 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $24,440 – $67,239 · median $38,422 | 16 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $27,576 – $53,650 · median $30,657 | 16 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $14,940 – $26,144 · median $15,136 | 16 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $8,560 – $14,980 · median $9,416 | 16 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $6,735 – $11,785 · median $7,408 | 16 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $15,646 – $32,284 · median $18,448 | 16 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $5,665 – $11,282 · median $6,447 | 16 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,151 – $9,761 · median $5,578 | 16 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $17,925 – $36,065 · median $20,609 | 16 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $9,772 – $17,441 · median $9,966 | 16 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,532 – $44,107 · median $25,204 | 16 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,791 – $27,820 · median $15,897 | 16 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,659 – $15,153 · median $9,051 | 16 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $11,957 – $20,924 · median $12,606 | 16 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $7,245 – $13,837 · median $7,907 | 16 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $5,271 – $9,225 · median $5,398 | 16 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $13,384 – $25,457 · median $14,547 | 16 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,905 – $10,333 · median $6,495 | 16 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,239 – $7,417 · median $4,662 | 16 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $12,859 – $26,611 · median $15,206 | 16 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $8,758 – $17,399 · median $9,942 | 16 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,235 – $11,730 · median $6,703 | 16 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,186 – $19,503 · median $11,144 | 16 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $5,685 – $10,972 · median $6,270 | 16 plans |
| 304 | HYPERTENSION WITH COMORBITY | $9,204 – $19,395 · median $11,083 | 16 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $6,374 – $12,307 · median $7,033 | 16 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,648 – $25,683 · median $14,676 | 16 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $7,303 – $14,884 · median $8,505 | 16 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $10,076 – $19,623 · median $11,213 | 16 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $6,852 – $11,991 · median $6,910 | 16 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,114 – $9,227 · median $5,272 | 16 plans |
| 311 | ANGINA PECTORIS | $5,861 – $11,440 · median $6,537 | 16 plans |
| 312 | SYNCOPE & COLLAPSE | $7,037 – $14,206 · median $8,118 | 16 plans |
| 313 | CHEST PAIN | $6,427 – $11,735 · median $6,706 | 16 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $17,492 – $33,986 · median $19,420 | 16 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $8,167 – $15,700 · median $8,972 | 16 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,070 – $11,117 · median $6,353 | 16 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY | $34,318 – $72,738 · median $41,565 | 16 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $19,647 – $39,203 · median $22,402 | 16 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $44,606 – $81,287 · median $46,450 | 16 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $22,764 – $39,837 · median $24,272 | 16 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $13,986 – $26,115 · median $14,923 | 16 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $40,997 – $74,916 · median $42,809 | 16 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $22,326 – $39,071 · median $23,417 | 16 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,674 – $27,429 · median $15,746 | 16 plans |
| 332 | RECTAL RESECTION WITH MCC | $33,721 – $59,012 · median $34,160 | 16 plans |
| 333 | RECTAL RESECTION WITH CC | $17,465 – $38,174 · median $21,814 | 16 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,045 – $26,695 · median $15,254 | 16 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $32,836 – $58,200 · median $33,257 | 16 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $19,225 – $34,369 · median $19,639 | 16 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $13,738 – $25,018 · median $14,296 | 16 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,648 – $42,096 · median $24,055 | 16 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $14,014 – $24,524 · median $14,170 | 16 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,048 – $19,333 · median $11,882 | 16 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $19,286 – $37,415 · median $21,380 | 16 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,311 – $21,331 · median $12,189 | 16 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,108 – $14,189 · median $8,163 | 16 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $18,286 – $40,614 · median $23,208 | 16 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $12,524 – $24,847 · median $14,198 | 16 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,266 – $19,033 · median $10,876 | 16 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $25,380 – $47,298 · median $27,028 | 16 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $14,975 – $27,421 · median $15,669 | 16 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,413 – $21,921 · median $12,527 | 16 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $36,144 – $71,596 · median $40,912 | 16 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $19,034 – $37,902 · median $21,658 | 16 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,494 – $22,784 · median $13,019 | 16 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $14,826 – $25,946 · median $15,590 | 16 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $9,038 – $16,302 · median $9,315 | 16 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,527 – $11,422 · median $6,540 | 16 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $14,526 – $28,899 · median $16,514 | 16 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $9,509 – $16,641 · median $9,527 | 16 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $6,248 – $11,856 · median $6,775 | 16 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $17,399 – $34,858 · median $19,919 | 16 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $10,204 – $19,715 · median $11,265 | 16 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,542 – $15,065 · median $8,608 | 16 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $15,113 – $29,794 · median $17,025 | 16 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $8,878 – $15,984 · median $9,134 | 16 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $5,346 – $10,275 · median $5,871 | 16 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $15,829 – $31,981 · median $18,275 | 16 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $8,888 – $17,659 · median $10,091 | 16 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $6,280 – $13,049 · median $7,456 | 16 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $9,718 – $22,503 · median $12,859 | 16 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,491 – $13,932 · median $7,961 | 16 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $13,612 – $25,789 · median $14,737 | 16 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,349 – $15,912 · median $9,093 | 16 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $5,997 – $11,104 · median $6,345 | 16 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $12,708 – $24,070 · median $13,754 | 16 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $7,356 – $12,873 · median $7,540 | 16 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $5,066 – $8,866 · median $5,234 | 16 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $10,481 – $20,671 · median $11,812 | 16 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $6,962 – $12,706 · median $7,261 | 16 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $13,938 – $26,066 · median $14,895 | 16 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $7,895 – $15,250 · median $8,715 | 16 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,466 – $10,578 · median $6,044 | 16 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $48,141 – $89,161 · median $50,949 | 16 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $25,777 – $47,269 · median $27,011 | 16 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,771 – $36,176 · median $20,672 | 16 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $31,489 – $58,114 · median $33,208 | 16 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,848 – $35,487 · median $20,278 | 16 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,787 – $25,877 · median $15,261 | 16 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,666 – $53,839 · median $30,765 | 16 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,109 – $34,268 · median $19,581 | 16 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,523 – $27,064 · median $15,465 | 16 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,139 – $58,065 · median $33,180 | 16 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $17,047 – $33,684 · median $19,248 | 16 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,934 – $22,220 · median $12,697 | 16 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $20,341 – $38,895 · median $22,226 | 16 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $14,171 – $27,570 · median $15,755 | 16 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $11,164 – $22,260 · median $12,720 | 16 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $29,505 – $55,531 · median $31,732 | 16 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,172 – $28,319 · median $16,182 | 16 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,319 – $22,810 · median $13,034 | 16 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $30,857 – $67,688 · median $38,679 | 16 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,136 – $35,659 · median $20,377 | 16 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,261 – $24,453 · median $13,973 | 16 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $15,781 – $32,079 · median $18,331 | 16 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,778 – $17,214 · median $9,837 | 16 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,354 – $11,613 · median $6,636 | 16 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $14,712 – $29,935 · median $17,106 | 16 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $9,410 – $18,435 · median $10,534 | 16 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,517 – $13,908 · median $7,947 | 16 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $13,406 – $26,570 · median $15,183 | 16 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $7,092 – $13,710 · median $7,834 | 16 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $5,660 – $10,128 · median $5,787 | 16 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $15,770 – $29,251 · median $16,715 | 16 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $8,390 – $15,733 · median $8,990 | 16 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $5,565 – $11,404 · median $6,517 | 16 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $14,025 – $27,233 · median $15,562 | 16 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $9,041 – $17,837 · median $10,193 | 16 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $6,852 – $13,484 · median $7,705 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $72,158 – $136,963 · median $78,264 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $50,796 – $97,189 · median $55,537 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,708 – $68,007 · median $38,861 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,028 – $90,016 · median $51,438 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,774 – $43,354 · median $27,251 | 16 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $45,059 – $92,893 · median $53,082 | 16 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $27,058 – $50,765 · median $29,008 | 16 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $16,985 – $29,724 · median $18,449 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $44,853 – $84,840 · median $48,480 | 16 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $31,322 – $57,478 · median $32,845 | 16 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $24,654 – $44,788 · median $25,593 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $28,249 – $49,437 · median $28,443 | 16 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $17,965 – $31,438 · median $19,761 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $42,118 – $78,700 · median $44,972 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $25,622 – $48,017 · median $27,438 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $21,303 – $39,789 · median $22,737 | 16 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,200 – $69,968 · median $39,982 | 16 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $18,428 – $37,090 · median $21,195 | 16 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,992 – $19,235 · median $11,561 | 16 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $23,266 – $56,305 · median $32,174 | 16 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $19,788 – $40,081 · median $22,904 | 16 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,183 – $30,297 · median $17,313 | 16 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $27,123 – $47,466 · median $27,149 | 16 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $19,507 – $34,137 · median $19,884 | 16 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $13,888 – $26,583 · median $15,190 | 16 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $20,198 – $45,178 · median $25,816 | 16 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $28,608 – $52,597 · median $30,055 | 16 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $18,034 – $34,082 · median $19,475 | 16 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $13,762 – $25,527 · median $14,587 | 16 plans |
| 488 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY | $16,474 – $28,830 · median $16,526 | 16 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,401 – $18,202 · median $10,730 | 16 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $29,115 – $59,841 · median $34,195 | 16 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $19,515 – $41,335 · median $23,620 | 16 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $15,537 – $32,703 · median $18,687 | 16 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $30,557 – $59,093 · median $33,768 | 16 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $13,350 – $29,401 · median $16,800 | 16 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,994 – $19,693 · median $11,253 | 16 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $15,782 – $49,169 · median $28,097 | 16 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,908 – $32,838 · median $18,765 | 16 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $26,761 – $51,581 · median $29,475 | 16 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $14,718 – $28,491 · median $16,281 | 16 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,183 – $21,936 · median $12,535 | 16 plans |
| 503 | FOOT PROCEDURES WITH COMORBITY | $17,162 – $45,491 · median $25,995 | 16 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $14,893 – $30,465 · median $17,409 | 16 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,893 – $29,220 · median $16,697 | 16 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $9,472 – $21,990 · median $12,566 | 16 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY | $16,824 – $29,442 · median $17,058 | 16 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,388 – $24,682 · median $14,104 | 16 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,809 – $49,230 · median $28,131 | 16 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $16,507 – $33,891 · median $19,366 | 16 plans |
| 512 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY | $13,043 – $26,981 · median $15,417 | 16 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $13,190 – $25,659 · median $14,662 | 16 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,615 – $16,662 · median $9,521 | 16 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $27,047 – $51,942 · median $29,681 | 16 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $19,354 – $33,870 · median $20,486 | 16 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $14,046 – $25,046 · median $14,312 | 16 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $30,096 – $60,912 · median $34,807 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $16,445 – $32,600 · median $18,629 | 16 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $11,998 – $24,348 · median $13,913 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,731 – $46,780 · median $27,473 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,723 – $34,515 · median $19,942 | 16 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,601 – $25,551 · median $14,961 | 16 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $7,508 – $13,138 · median $8,136 | 16 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $10,344 – $20,895 · median $11,940 | 16 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $6,663 – $13,163 · median $7,522 | 16 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,348 – $15,554 · median $8,888 | 16 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,087 – $11,740 · median $6,708 | 16 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $16,342 – $32,103 · median $18,345 | 16 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,921 – $21,128 · median $12,073 | 16 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,075 – $12,833 · median $7,333 | 16 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $14,828 – $28,791 · median $16,452 | 16 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $8,770 – $16,755 · median $9,574 | 16 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,525 – $12,299 · median $7,028 | 16 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $18,635 – $40,448 · median $23,113 | 16 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $10,136 – $18,799 · median $10,742 | 16 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,994 – $13,629 · median $7,788 | 16 plans |
| 548 | SEPTIC ARTHRITIS WITH COMORBITY | $14,063 – $31,471 · median $17,983 | 16 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $10,487 – $19,676 · median $11,243 | 16 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,170 – $14,247 · median $8,141 | 16 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $13,655 – $27,318 · median $15,610 | 16 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $7,916 – $15,668 · median $8,953 | 16 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $10,465 – $21,128 · median $12,073 | 16 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $7,042 – $13,529 · median $7,731 | 16 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,482 – $21,543 · median $12,310 | 16 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $5,176 – $13,537 · median $7,736 | 16 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $10,493 – $24,234 · median $13,848 | 16 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $7,228 – $14,558 · median $8,319 | 16 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $15,651 – $30,395 · median $17,369 | 16 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $9,028 – $18,354 · median $10,488 | 16 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $6,649 – $13,102 · median $7,487 | 16 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $11,846 – $23,222 · median $13,270 | 16 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $7,318 – $14,595 · median $8,340 | 16 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $11,057 – $25,158 · median $14,376 | 16 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $8,468 – $15,881 · median $9,075 | 16 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $5,269 – $12,212 · median $6,979 | 16 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $23,843 – $47,935 · median $27,392 | 16 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $13,722 – $27,536 · median $15,735 | 16 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $9,266 – $18,683 · median $10,676 | 16 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY | $27,264 – $106,778 · median $61,016 | 16 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION | $19,339 – $56,578 · median $32,331 | 16 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,976 – $29,288 · median $16,736 | 16 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,462 – $79,882 · median $45,647 | 16 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,569 – $43,202 · median $24,687 | 16 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,679 – $26,182 · median $14,961 | 16 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $26,387 – $52,783 · median $30,161 | 16 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $14,505 – $28,164 · median $16,094 | 16 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $11,552 – $23,520 · median $13,440 | 16 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,637 – $31,401 · median $17,943 | 16 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,259 – $28,105 · median $16,060 | 16 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,411 – $34,890 · median $19,937 | 16 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,596 – $31,441 · median $17,967 | 16 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $10,478 – $31,542 · median $18,024 | 16 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $9,570 – $19,335 · median $11,049 | 16 plans |
| 594 | SKIN ULCERS WITHOUT COMPLICATION/COMORBITY | $5,372 – $14,128 · median $8,073 | 16 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $14,435 – $34,564 · median $19,751 | 16 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,346 – $17,643 · median $10,082 | 16 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $13,794 – $27,171 · median $15,526 | 16 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,338 – $18,438 · median $10,536 | 16 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,859 – $12,540 · median $7,166 | 16 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,364 – $16,976 · median $9,701 | 16 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,635 – $9,861 · median $5,688 | 16 plans |
| 602 | CELLULITIS WITH COMORBITY | $12,166 – $23,165 · median $13,237 | 16 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $7,784 – $14,194 · median $8,111 | 16 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $12,400 – $23,993 · median $13,710 | 16 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $7,584 – $14,929 · median $8,531 | 16 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $10,048 – $24,663 · median $14,093 | 16 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,949 – $14,773 · median $8,442 | 16 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,413 – $35,723 · median $22,454 | 16 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,032 – $22,806 · median $14,335 | 16 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $32,480 – $56,839 · median $32,879 | 16 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $17,031 – $30,483 · median $17,419 | 16 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,544 – $23,116 · median $13,209 | 16 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $24,187 – $47,060 · median $26,892 | 16 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH COMPLICATION | $14,904 – $26,082 · median $15,390 | 16 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY | $13,910 – $24,585 · median $14,048 | 16 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $30,331 – $58,010 · median $33,148 | 16 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $15,703 – $29,238 · median $16,707 | 16 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,784 – $20,404 · median $11,659 | 16 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,308 – $49,223 · median $28,127 | 16 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,869 – $24,438 · median $13,965 | 16 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,924 – $21,649 · median $12,371 | 16 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $30,872 – $60,741 · median $34,709 | 16 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $19,678 – $35,511 · median $20,292 | 16 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,825 – $23,788 · median $13,593 | 16 plans |
| 637 | DIABETES WITH COMORBITY | $11,550 – $23,416 · median $13,381 | 16 plans |
| 638 | DIABETES WITH COMPLICATION | $7,765 – $14,607 · median $8,347 | 16 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $5,628 – $10,125 · median $5,785 | 16 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $10,327 – $21,768 · median $12,439 | 16 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $6,854 – $12,683 · median $7,248 | 16 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,405 – $23,178 · median $13,245 | 16 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $13,993 – $26,829 · median $15,331 | 16 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $8,557 – $16,706 · median $9,546 | 16 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,449 – $12,522 · median $7,155 | 16 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,786 – $76,626 · median $48,165 | 16 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,514 – $60,399 · median $37,965 | 16 plans |
| 652 | KIDNEY TRANSPLANT | $30,078 – $52,636 · median $33,085 | 16 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $45,805 – $84,693 · median $48,396 | 16 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $24,356 – $45,624 · median $26,071 | 16 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,455 – $34,497 · median $19,713 | 16 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $27,612 – $51,891 · median $29,652 | 16 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $17,044 – $29,826 · median $17,297 | 16 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $14,453 – $25,292 · median $14,583 | 16 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $22,390 – $41,413 · median $23,664 | 16 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $12,310 – $21,542 · median $13,221 | 16 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $9,643 – $16,875 · median $10,607 | 16 plans |
| 662 | MINOR BLADDER PROCEDURES WITH COMORBITY | $22,092 – $49,898 · median $28,513 | 16 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $11,235 – $24,777 · median $14,158 | 16 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,225 – $17,063 · median $9,750 | 16 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,227 – $50,871 · median $29,069 | 16 plans |
| 666 | PROSTATECTOMY WITH CC | $12,878 – $28,511 · median $16,292 | 16 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,091 – $18,029 · median $10,302 | 16 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $18,376 – $47,592 · median $27,195 | 16 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $13,118 – $25,295 · median $14,454 | 16 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,510 – $15,929 · median $9,102 | 16 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,891 – $29,256 · median $16,718 | 16 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,809 – $17,594 · median $10,054 | 16 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $29,101 – $68,480 · median $39,131 | 16 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $19,996 – $38,116 · median $21,780 | 16 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,723 – $26,752 · median $15,287 | 16 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $13,632 – $24,138 · median $13,793 | 16 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $8,157 – $14,274 · median $8,959 | 16 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $5,591 – $9,784 · median $6,150 | 16 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $15,735 – $29,398 · median $16,799 | 16 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,368 – $17,078 · median $9,759 | 16 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,681 – $12,881 · median $7,360 | 16 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $9,349 – $18,911 · median $10,806 | 16 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $7,281 – $13,194 · median $7,539 | 16 plans |
| 693 | URINARY STONES WITH MCC | $11,205 – $21,913 · median $12,522 | 16 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $7,280 – $12,741 · median $7,354 | 16 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,155 – $18,642 · median $10,653 | 16 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $5,805 – $11,230 · median $6,417 | 16 plans |
| 697 | URETHRAL STRICTURE | $7,639 – $17,566 · median $10,038 | 16 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $13,514 – $26,964 · median $15,408 | 16 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $8,617 – $16,543 · median $9,453 | 16 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,425 – $11,244 · median $6,505 | 16 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $18,630 – $32,602 · median $18,924 | 16 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,289 – $25,005 · median $14,296 | 16 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $19,431 – $37,928 · median $21,673 | 16 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,050 – $22,837 · median $13,244 | 16 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $17,885 – $33,963 · median $19,407 | 16 plans |
| 712 | TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY | $8,894 – $17,923 · median $10,242 | 16 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY | $12,530 – $24,503 · median $14,002 | 16 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,879 – $17,234 · median $9,848 | 16 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,962 – $36,465 · median $20,837 | 16 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,705 – $23,975 · median $13,700 | 16 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $15,108 – $30,812 · median $17,607 | 16 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $10,359 – $21,890 · median $12,509 | 16 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $14,369 – $29,495 · median $16,854 | 16 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $9,854 – $18,624 · median $10,642 | 16 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,107 – $10,687 · median $6,450 | 16 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY | $10,786 – $19,072 · median $10,899 | 16 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,248 – $11,768 · median $6,724 | 16 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $11,923 – $24,169 · median $13,811 | 16 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,760 – $13,221 · median $7,555 | 16 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,453 – $17,255 · median $9,860 | 16 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,773 – $10,953 · median $6,259 | 16 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $18,663 – $34,716 · median $19,838 | 16 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,861 – $21,930 · median $12,531 | 16 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,291 – $58,259 · median $34,520 | 16 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $17,268 – $33,585 · median $19,191 | 16 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,383 – $23,934 · median $13,677 | 16 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $32,085 – $58,394 · median $33,368 | 16 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,116 – $29,494 · median $16,854 | 16 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,739 – $23,243 · median $13,282 | 16 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,416 – $29,904 · median $17,088 | 16 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,919 – $20,222 · median $11,555 | 16 plans |
| 744 | D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY | $15,064 – $33,397 · median $19,084 | 16 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,817 – $18,540 · median $10,594 | 16 plans |
| 746 | VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY | $13,521 – $28,312 · median $16,178 | 16 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,007 – $14,012 · median $8,259 | 16 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,307 – $22,611 · median $12,920 | 16 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $22,770 – $41,848 · median $23,913 | 16 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,282 – $24,053 · median $13,745 | 16 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $15,323 – $30,017 · median $17,153 | 16 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $9,356 – $17,729 · median $10,131 | 16 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,025 – $15,655 · median $8,946 | 16 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $11,323 – $23,338 · median $13,336 | 16 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,735 – $15,956 · median $9,118 | 16 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $5,352 – $10,816 · median $6,180 | 16 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $6,176 – $16,421 · median $9,383 | 16 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,668 – $9,298 · median $5,313 | 16 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $9,072 – $17,465 · median $9,980 | 16 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,453 – $27,541 · median $15,738 | 16 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,904 – $16,342 · median $9,339 | 16 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $5,698 – $10,671 · median $6,098 | 16 plans |
| 779 | ABORTION WITHOUT D&C | $4,698 – $13,712 · median $7,835 | 16 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH COMORBITY | $16,442 – $40,014 · median $22,865 | 16 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $9,702 – $17,278 · median $9,873 | 16 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $7,479 – $15,611 · median $8,920 | 16 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $14,575 – $26,884 · median $15,362 | 16 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $9,471 – $18,202 · median $10,401 | 16 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $7,929 – $15,627 · median $8,930 | 16 plans |
| 789 | NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $15,149 – $29,373 · median $16,785 | 16 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE | $47,592 – $96,870 · median $55,354 | 16 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $32,503 – $66,155 · median $37,803 | 16 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,612 – $39,918 · median $22,810 | 16 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $35,046 – $67,958 · median $38,833 | 16 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,318 – $24,055 · median $13,746 | 16 plans |
| 795 | NORMAL NEWBORN | $1,600 – $3,256 · median $1,861 | 16 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,869 – $19,020 · median $11,956 | 16 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,714 – $16,305 · median $9,317 | 16 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,420 – $15,599 · median $8,914 | 16 plans |
| 799 | SPLENECTOMY WITH COMORBITY | $42,179 – $73,814 · median $42,684 | 16 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $23,191 – $45,789 · median $26,165 | 16 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $16,378 – $31,112 · median $17,778 | 16 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,793 – $64,935 · median $37,106 | 16 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,510 – $30,297 · median $17,313 | 16 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,265 – $22,101 · median $12,629 | 16 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY | $10,051 – $17,589 · median $10,519 | 16 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $7,022 – $12,289 · median $7,328 | 16 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $5,431 – $10,988 · median $6,279 | 16 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $18,340 – $35,985 · median $20,563 | 16 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $10,265 – $20,632 · median $11,790 | 16 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,069 – $17,058 · median $9,747 | 16 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $11,573 – $22,888 · median $13,079 | 16 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $7,386 – $14,965 · median $8,552 | 16 plans |
| 813 | COAGULATION DISORDERS | $12,964 – $24,860 · median $14,206 | 16 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | $15,872 – $34,662 · median $19,807 | 16 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $8,869 – $16,527 · median $9,444 | 16 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,886 – $10,301 · median $6,475 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $21,249 – $37,187 · median $21,607 | 16 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,796 – $18,893 · median $11,349 | 16 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,009 – $14,015 · median $8,146 | 16 plans |
| 820 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY | $54,621 – $95,587 · median $56,708 | 16 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,849 – $36,486 · median $20,957 | 16 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,182 – $19,623 · median $11,213 | 16 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $40,632 – $74,725 · median $42,700 | 16 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION | $20,794 – $36,926 · median $21,100 | 16 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,497 – $21,993 · median $12,568 | 16 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,566 – $76,241 · median $44,217 | 16 plans |
| 827 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION | $14,923 – $37,669 · median $21,525 | 16 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,534 – $27,769 · median $15,868 | 16 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,430 – $51,503 · median $29,951 | 16 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,665 – $24,529 · median $14,017 | 16 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY | $9,684 – $19,599 · median $11,199 | 16 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,530 – $11,761 · median $6,721 | 16 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,546 – $8,522 · median $4,870 | 16 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY | $51,130 – $89,477 · median $51,514 | 16 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION | $19,426 – $33,995 · median $19,938 | 16 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,358 – $19,876 · median $11,527 | 16 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $44,744 – $78,303 · median $46,282 | 16 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $18,490 – $34,021 · median $19,441 | 16 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,211 – $23,533 · median $13,448 | 16 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $27,021 – $52,724 · median $30,128 | 16 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $13,606 – $26,589 · median $15,194 | 16 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,204 – $16,468 · median $9,410 | 16 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $13,165 – $32,512 · median $18,578 | 16 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,867 – $19,842 · median $11,338 | 16 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,288 – $13,880 · median $7,931 | 16 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $22,427 – $42,254 · median $24,145 | 16 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $11,656 – $21,322 · median $12,184 | 16 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,911 – $13,844 · median $8,286 | 16 plans |
| 849 | RADIOTHERAPY | $11,669 – $44,161 · median $25,235 | 16 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $41,682 – $80,492 · median $45,995 | 16 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $17,806 – $32,566 · median $18,609 | 16 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,752 – $24,402 · median $13,944 | 16 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $39,132 – $74,137 · median $42,364 | 16 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $17,640 – $34,903 · median $19,945 | 16 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $11,408 – $22,702 · median $12,973 | 16 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $15,914 – $29,724 · median $16,985 | 16 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $8,486 – $16,264 · median $9,294 | 16 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,354 – $14,468 · median $8,268 | 16 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,015 – $24,420 · median $13,954 | 16 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $7,040 – $14,173 · median $8,099 | 16 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $18,770 – $34,116 · median $19,495 | 16 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,010 – $16,805 · median $9,603 | 16 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,714 – $11,893 · median $6,796 | 16 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $54,026 – $112,652 · median $64,372 | 16 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $16,692 – $31,660 · median $18,091 | 16 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $9,469 – $16,678 · median $9,530 | 16 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,660 – $62,992 · median $35,995 | 16 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $8,803 – $15,650 · median $8,943 | 16 plans |
| 881 | DEPRESSIVE NEUROSES | $8,166 – $15,335 · median $8,763 | 16 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,386 – $17,501 · median $10,001 | 16 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $16,107 – $32,048 · median $18,313 | 16 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $14,737 – $26,223 · median $14,984 | 16 plans |
| 885 | PSYCHOSES | $12,620 – $22,766 · median $13,009 | 16 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,460 – $33,824 · median $19,328 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,974 – $17,454 · median $10,484 | 16 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $5,590 – $10,055 · median $5,745 | 16 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,184 – $23,072 · median $14,502 | 16 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $16,253 – $28,442 · median $17,190 | 16 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $8,222 – $14,388 · median $8,321 | 16 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $35,816 – $68,398 · median $39,085 | 16 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $16,481 – $31,203 · median $17,831 | 16 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,295 – $19,063 · median $10,893 | 16 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $31,271 – $59,866 · median $34,209 | 16 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $10,214 – $24,177 · median $13,816 | 16 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $10,014 – $32,015 · median $18,294 | 16 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $33,127 – $62,575 · median $35,757 | 16 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $17,204 – $32,519 · median $18,582 | 16 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $11,503 – $21,395 · median $12,226 | 16 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,749 – $26,641 · median $15,224 | 16 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $7,528 – $14,432 · median $8,247 | 16 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $14,260 – $27,408 · median $15,661 | 16 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $5,524 – $10,860 · median $6,206 | 16 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $12,405 – $25,563 · median $14,607 | 16 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $6,972 – $13,969 · median $7,983 | 16 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $15,473 – $29,839 · median $17,051 | 16 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $8,597 – $16,336 · median $9,335 | 16 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $5,856 – $11,220 · median $6,411 | 16 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,326 – $28,513 · median $16,293 | 16 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $7,885 – $16,587 · median $9,478 | 16 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $114,351 – $347,980 · median $198,846 | 16 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $39,578 – $116,904 · median $66,802 | 16 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $17,167 – $52,494 · median $29,997 | 16 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $18,740 – $63,469 · median $36,268 | 16 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $16,285 – $36,029 · median $20,588 | 16 plans |
| 935 | NON-EXTENSIVE BURNS | $16,218 – $33,575 · median $19,186 | 16 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $28,314 – $59,139 · median $33,794 | 16 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,634 – $38,088 · median $21,765 | 16 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,136 – $33,048 · median $18,885 | 16 plans |
| 945 | REHABILITATION WITH COMPLICATION/COMORBITY | $14,423 – $25,240 · median $15,865 | 16 plans |
| 946 | REHABILITATION WITHOUT COMPLICATION/COMORBITY | $10,681 – $20,164 · median $11,749 | 16 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $10,018 – $20,689 · median $11,822 | 16 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $6,604 – $13,047 · median $7,455 | 16 plans |
| 949 | AFTERCARE WITH COMPLICATION/COMORBITY | $9,313 – $19,390 · median $11,080 | 16 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,846 – $10,231 · median $6,028 | 16 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,178 – $9,062 · median $5,502 | 16 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $54,077 – $109,707 · median $62,689 | 16 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $35,046 – $61,331 · median $37,840 | 16 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $58,682 – $124,193 · median $70,967 | 16 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $35,288 – $68,680 · median $39,246 | 16 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY | $25,077 – $47,984 · median $27,420 | 16 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $23,425 – $44,557 · median $25,461 | 16 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $14,274 – $24,979 · median $14,910 | 16 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,759 – $15,329 · median $9,635 | 16 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $53,893 – $99,768 · median $57,010 | 16 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,950 – $42,986 · median $24,563 | 16 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $24,461 – $47,037 · median $26,879 | 16 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $11,675 – $21,107 · median $12,061 | 16 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,095 – $14,713 · median $8,407 | 16 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,432 – $21,151 · median $12,086 | 16 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $38,718 – $76,469 · median $43,697 | 16 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $21,283 – $40,070 · median $22,897 | 16 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,438 – $27,936 · median $15,963 | 16 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $27,486 – $55,878 · median $31,930 | 16 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $15,308 – $26,788 · median $15,386 | 16 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $9,940 – $19,545 · median $11,169 | 16 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,720 – $48,511 · median $27,720 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $101,275 – $177,231 · median $101,275 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,408 – $116,215 · median $66,408 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,942 – $97,898 · median $55,942 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $43,014 – $75,274 · median $43,014 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $51,840 – $90,721 · median $51,840 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,588 – $58,779 · median $33,588 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,274 – $108,980 · median $62,274 | 15 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $25,340 – $44,345 · median $25,340 | 15 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $16,420 – $28,734 · median $16,420 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $40,303 – $70,530 · median $40,303 | 15 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $29,347 – $51,356 · median $29,347 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,900 – $52,325 · median $29,900 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,305 – $39,033 · median $22,305 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,097 – $24,669 · median $14,097 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,661 – $18,657 · median $10,661 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,445 – $65,528 · median $37,445 | 15 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $102,645 – $179,629 · median $102,645 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,230 – $117,652 · median $67,230 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $52,360 – $91,630 · median $52,360 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $83,910 – $146,843 · median $83,910 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $53,711 – $93,995 · median $53,711 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,228 – $108,900 · median $62,228 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,496 – $69,119 · median $39,496 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,637 – $86,864 · median $49,637 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,086 – $52,651 · median $30,086 | 15 plans |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $80,649 – $141,137 · median $80,649 | 15 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,946 – $11,946 · median $11,946 | 1 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,970 – $7,970 · median $7,970 | 1 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,134 – $5,134 · median $5,134 | 1 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $9,933 – $9,933 · median $9,933 | 1 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,375 – $7,375 · median $7,375 | 1 plans |
| 509 | ARTHROSCOPY | $11,394 – $11,394 · median $11,394 | 1 plans |
No procedures match that keyword.