Berkshire Medical Center (Acute Care) — Pricing
766 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 766 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 766 procedures
Procedures with negotiated rates only
These 766 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 | $10,791 – $23,365 · median $12,106 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $29,005 – $149,036 · median $33,382 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $10,675 – $25,862 · median $11,976 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $1,750 – $12,766 · median $10,820 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $16,610 – $98,108 · median $18,634 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $11,246 – $21,525 · median $12,616 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $1,750 – $12,779 · median $10,831 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,751 – $30,504 · median $13,183 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,074 – $21,286 · median $11,301 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,750 – $12,757 · median $10,812 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,867 – $32,811 · median $12,191 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,750 – $10,059 · median $8,518 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,750 – $8,998 · median $7,616 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $215,437 – $284,023 · median $241,481 | 13 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $163,640 – $384,302 · median $326,752 | 13 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $54,921 – $72,499 · median $61,613 | 13 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $42,454 – $63,285 · median $47,627 | 13 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $29,019 – $38,326 · median $32,555 | 13 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $510,162 – $1,252,313 · median $1,064,856 | 13 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $71,843 – $94,824 · median $80,598 | 13 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $92,962 – $137,618 · median $116,986 | 13 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $62,541 – $122,331 · median $103,988 | 13 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,538 – $111,673 · median $94,924 | 13 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $67,698 – $130,526 · median $76,766 | 13 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $39,392 – $52,011 · median $44,192 | 13 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $45,784 – $60,444 · median $51,363 | 13 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $31,309 – $41,347 · median $35,124 | 13 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,405 – $33,558 · median $28,500 | 13 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $60,502 – $79,862 · median $67,874 | 13 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $34,354 – $45,365 · median $38,540 | 13 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $22,105 – $29,205 · median $24,799 | 13 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $45,117 – $59,565 · median $50,615 | 13 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $21,459 – $28,352 · median $24,073 | 13 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,745 – $22,133 · median $18,785 | 13 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $38,977 – $51,464 · median $43,726 | 13 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $24,072 – $31,799 · median $27,005 | 13 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,563 – $25,852 · median $21,947 | 13 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $33,150 – $43,777 · median $37,190 | 13 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,339 – $21,598 · median $18,330 | 13 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $11,837 – $15,658 · median $13,279 | 13 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $40,198 – $52,886 · median $44,936 | 13 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $22,140 – $29,251 · median $24,838 | 13 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $17,397 – $22,994 · median $19,517 | 13 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $18,239 – $24,105 · median $20,462 | 13 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,860 – $13,050 · median $11,062 | 13 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,375 – $20,326 · median $17,249 | 13 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,267 – $13,587 · median $11,518 | 13 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $2,461 – $27,445 · median $2,582 | 13 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,782 – $15,306 · median $9,219 | 13 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,214 – $22,752 · median $19,312 | 13 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,495 – $16,527 · median $14,018 | 13 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,262 – $12,261 · median $10,391 | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $27,763 – $36,670 · median $31,146 | 13 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $17,694 – $23,386 · median $19,851 | 13 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,136 – $18,691 · median $15,858 | 13 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,250 – $26,758 · median $22,718 | 13 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,173 – $13,463 · median $11,413 | 13 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,892 – $9,134 · median $7,731 | 13 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $14,789 – $19,553 · median $16,592 | 13 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,704 – $11,525 · median $9,765 | 13 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,044 – $10,654 · median $9,024 | 13 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $19,668 – $31,559 · median $26,801 | 13 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $10,332 – $13,672 · median $11,590 | 13 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,615 – $10,088 · median $8,543 | 13 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,155 – $21,355 · median $18,123 | 13 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $10,380 – $13,736 · median $11,645 | 13 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $19,309 – $25,516 · median $21,661 | 13 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,310 – $11,004 · median $9,322 | 13 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $1,853 – $21,383 · median $1,944 | 13 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $1,626 – $10,581 · median $1,707 | 13 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $23,015 – $30,406 · median $25,820 | 13 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,055 – $18,585 · median $15,768 | 13 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,625 – $12,739 · median $10,797 | 13 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $22,877 – $30,224 · median $25,665 | 13 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,118 – $17,348 · median $14,716 | 13 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,211 – $12,193 · median $10,333 | 13 plans |
| 088 | CONCUSSION WITH MCC | $13,612 – $18,000 · median $15,271 | 13 plans |
| 089 | CONCUSSION WITH CC | $11,063 – $14,637 · median $12,411 | 13 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,289 – $10,978 · median $9,299 | 13 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,684 – $23,373 · median $19,839 | 13 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,301 – $13,632 · median $11,557 | 13 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,018 – $10,620 · median $8,996 | 13 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $35,439 – $46,797 · median $39,758 | 13 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,972 – $34,306 · median $29,136 | 13 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,972 – $34,306 · median $29,136 | 13 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $36,370 – $48,024 · median $40,801 | 13 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $23,109 – $30,529 · median $25,925 | 13 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,719 – $18,141 · median $15,391 | 13 plans |
| 100 | SEIZURES WITH MCC | $19,503 – $25,772 · median $21,879 | 13 plans |
| 101 | SEIZURES WITHOUT MCC | $9,089 – $12,033 · median $10,196 | 13 plans |
| 102 | HEADACHES WITH MCC | $11,287 – $14,933 · median $12,663 | 13 plans |
| 103 | HEADACHES WITHOUT MCC | $8,421 – $11,152 · median $9,447 | 13 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,675 – $31,276 · median $26,560 | 13 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $13,624 – $18,016 · median $15,284 | 13 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $15,456 – $20,433 · median $17,339 | 13 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $18,207 – $24,062 · median $20,426 | 13 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,925 – $14,455 · median $12,256 | 13 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,714 – $15,496 · median $13,141 | 13 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,913 – $10,481 · median $8,877 | 13 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,042 – $10,651 · median $9,022 | 13 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | $13,323 – $17,619 · median $14,947 | 13 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,732 – $10,242 · median $8,674 | 13 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $21,851 – $28,870 · median $24,514 | 13 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,224 – $13,530 · median $11,470 | 13 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $15,036 – $19,879 · median $16,868 | 13 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,924 – $11,815 · median $10,011 | 13 plans |
| 139 | SALIVARY GLAND PROCEDURES | $12,443 – $16,458 · median $13,959 | 13 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $42,950 – $56,706 · median $48,184 | 13 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $21,963 – $29,017 · median $24,639 | 13 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,075 – $21,250 · median $18,034 | 13 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $37,727 – $49,815 · median $42,324 | 13 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $17,450 – $23,063 · median $19,576 | 13 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,107 – $16,014 · median $13,582 | 13 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,322 – $28,171 · median $23,920 | 13 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $12,804 – $16,933 · median $14,364 | 13 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,027 – $10,631 · median $9,005 | 13 plans |
| 149 | DYSEQUILIBRIUM | $7,568 – $10,027 · median $8,491 | 13 plans |
| 150 | EPISTAXIS WITH MCC | $13,408 – $17,731 · median $15,042 | 13 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,391 – $9,793 · median $8,292 | 13 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,904 – $15,747 · median $13,355 | 13 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,433 – $9,849 · median $8,339 | 13 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,744 – $20,813 · median $17,662 | 13 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,229 – $12,217 · median $10,353 | 13 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,959 – $9,223 · median $7,807 | 13 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,288 – $22,849 · median $19,394 | 13 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,161 – $12,128 · median $10,278 | 13 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,134 – $9,454 · median $8,004 | 13 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $52,948 – $157,536 · median $133,923 | 13 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $25,416 – $33,573 · median $28,513 | 13 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,275 – $25,472 · median $21,624 | 13 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $37,637 – $49,697 · median $42,224 | 13 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $18,160 – $24,000 · median $20,373 | 13 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,759 – $18,194 · median $15,436 | 13 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $29,971 – $39,583 · median $33,624 | 13 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,832 – $18,290 · median $15,517 | 13 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,106 – $10,736 · median $9,094 | 13 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,736 – $20,802 · median $17,653 | 13 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,828 – $13,008 · median $11,026 | 13 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,603 – $10,072 · median $8,529 | 13 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $17,783 – $23,503 · median $19,950 | 13 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,785 – $14,270 · median $12,099 | 13 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,591 – $10,056 · median $8,515 | 13 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,406 – $20,366 · median $17,283 | 13 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,715 – $14,178 · median $12,021 | 13 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,920 – $10,490 · median $8,885 | 13 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,694 – $20,746 · median $17,606 | 13 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,960 – $13,182 · median $11,174 | 13 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,222 – $9,570 · median $8,102 | 13 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $12,440 – $16,454 · median $13,956 | 13 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,154 – $14,757 · median $12,513 | 13 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,489 – $11,241 · median $9,523 | 13 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,465 – $8,571 · median $7,252 | 13 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,236 – $17,503 · median $14,848 | 13 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,115 – $10,748 · median $9,104 | 13 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,329 – $8,391 · median $7,100 | 13 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,004 – $25,113 · median $21,319 | 13 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,213 – $80,627 · median $68,525 | 13 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,461 – $18,682 · median $15,851 | 13 plans |
| 199 | PNEUMOTHORAX WITH MCC | $17,764 – $23,478 · median $19,929 | 13 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,070 – $14,646 · median $12,418 | 13 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,201 – $9,542 · median $8,078 | 13 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,780 – $12,944 · median $10,971 | 13 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,747 – $8,943 · median $7,569 | 13 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,130 – $10,768 · median $9,121 | 13 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,438 – $24,366 · median $20,684 | 13 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,477 – $12,544 · median $10,631 | 13 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $76,020 – $203,138 · median $172,701 | 13 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $27,679 – $36,558 · median $31,051 | 13 plans |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 | $109,499 – $144,503 · median $122,842 | 13 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $100,264 – $132,320 · median $112,481 | 13 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $98,510 – $130,006 · median $110,514 | 13 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $66,211 – $87,394 · median $74,279 | 13 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $66,211 – $87,394 · median $74,279 | 13 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $77,900 – $102,732 · median $87,322 | 13 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $53,700 – $70,888 · median $60,243 | 13 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $50,753 – $67,000 · median $56,938 | 13 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $49,819 – $65,768 · median $55,889 | 13 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $31,714 – $41,883 · median $35,579 | 13 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $84,886 – $112,032 · median $95,230 | 13 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $61,048 – $80,583 · median $68,487 | 13 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $76,985 – $101,608 · median $86,366 | 13 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,008 – $72,613 · median $61,711 | 13 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $59,095 – $78,006 · median $66,296 | 13 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $42,180 – $55,690 · median $47,320 | 13 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $49,560 – $65,426 · median $55,599 | 13 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,704 – $37,910 · median $32,201 | 13 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $13,940 – $18,433 · median $15,639 | 13 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $32,151 – $42,458 · median $36,068 | 13 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,458 – $28,351 · median $24,072 | 13 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,201 – $24,054 · median $20,419 | 13 plans |
| 245 | AICD GENERATOR PROCEDURES | $45,942 – $60,653 · median $51,540 | 13 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC | $21,977 – $29,036 · median $24,655 | 13 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC | $15,049 – $19,896 · median $16,883 | 13 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $35,126 – $46,384 · median $39,406 | 13 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,137 – $34,524 · median $29,322 | 13 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $17,941 – $23,711 · median $20,127 | 13 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $27,162 – $35,876 · median $30,472 | 13 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,097 – $22,598 · median $19,181 | 13 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,998 – $14,551 · median $12,338 | 13 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $31,640 – $41,784 · median $35,495 | 13 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $20,362 – $26,905 · median $22,843 | 13 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $32,755 – $43,255 · median $36,746 | 13 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,037 – $25,157 · median $21,356 | 13 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $16,413 – $21,695 · median $18,413 | 13 plans |
| 263 | VEIN LIGATION AND STRIPPING | $30,787 – $40,659 · median $34,539 | 13 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $33,639 – $44,421 · median $37,738 | 13 plans |
| 265 | AICD LEAD PROCEDURES | $36,434 – $48,109 · median $40,874 | 13 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $61,711 – $81,457 · median $69,231 | 13 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $47,940 – $63,289 · median $53,781 | 13 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $81,256 – $197,040 · median $167,516 | 13 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $42,526 – $56,147 · median $47,708 | 13 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,131 – $70,137 · median $59,605 | 13 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $35,811 – $47,287 · median $40,175 | 13 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $25,708 – $33,958 · median $28,841 | 13 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $41,542 – $54,849 · median $46,605 | 13 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $33,146 – $43,772 · median $37,185 | 13 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $71,801 – $94,769 · median $80,550 | 13 plans |
| 276 | NON-MALIGANT BREAST DISORDERS | $60,485 – $79,839 · median $67,855 | 13 plans |
| 277 | CELLULITIS AGE >17 W CC | $49,545 – $64,971 · median $55,212 | 13 plans |
| 278 | CELLULITIS AGE >17 W/O CC | $56,050 – $73,988 · median $62,880 | 13 plans |
| 279 | CELLULITIS AGE 0-17 | $36,315 – $47,952 · median $40,740 | 13 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $16,153 – $21,352 · median $18,121 | 13 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,255 – $12,252 · median $10,383 | 13 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,281 – $9,648 · median $8,169 | 13 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $19,946 – $26,356 · median $22,377 | 13 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,970 – $9,238 · median $7,820 | 13 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $6,031 – $7,998 · median $6,766 | 13 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $22,282 – $29,439 · median $24,997 | 13 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,776 – $14,258 · median $12,089 | 13 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $31,225 – $40,667 · median $34,545 | 13 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $17,188 – $22,718 · median $19,282 | 13 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,362 – $12,393 · median $10,503 | 13 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,927 – $17,097 · median $14,503 | 13 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,549 – $11,321 · median $9,591 | 13 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,699 – $7,561 · median $6,394 | 13 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,728 – $20,791 · median $17,644 | 13 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,384 – $8,464 · median $7,162 | 13 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,583 – $6,088 · median $5,141 | 13 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $16,441 – $21,732 · median $18,444 | 13 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,749 – $14,223 · median $12,059 | 13 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,247 – $9,603 · median $8,130 | 13 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,049 – $15,938 · median $13,518 | 13 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,779 – $8,985 · median $7,605 | 13 plans |
| 304 | HYPERTENSION WITH MCC | $11,983 – $15,851 · median $13,443 | 13 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,604 – $10,073 · median $8,530 | 13 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,868 – $20,976 · median $17,801 | 13 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,196 – $12,173 · median $10,316 | 13 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,124 – $16,037 · median $13,601 | 13 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,408 – $9,815 · median $8,311 | 13 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,700 – $7,562 · median $6,395 | 13 plans |
| 311 | ANGINA PECTORIS | $7,068 – $9,366 · median $7,929 | 13 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,777 – $11,621 · median $9,846 | 13 plans |
| 313 | CHEST PAIN | $7,250 – $9,607 · median $8,134 | 13 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $24,635 – $41,863 · median $35,562 | 13 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,700 – $12,839 · median $10,882 | 13 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,869 – $9,103 · median $7,705 | 13 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $44,940 – $59,331 · median $50,416 | 13 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,221 – $31,996 · median $27,172 | 13 plans |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC | $27,398 – $36,187 · median $30,736 | 13 plans |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 | $17,753 – $23,463 · median $19,916 | 13 plans |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY | $43,576 – $57,531 · median $48,885 | 13 plans |
| 324 | URINARY STONES W/O CC | $31,730 – $41,902 · median $35,596 | 13 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $32,328 – $42,692 · median $36,267 | 13 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $58,921 – $126,074 · median $107,170 | 13 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $28,876 – $51,040 · median $43,366 | 13 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,135 – $21,328 · median $18,101 | 13 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $46,285 – $61,106 · median $51,925 | 13 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,139 – $31,888 · median $27,080 | 13 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,946 – $22,399 · median $19,011 | 13 plans |
| 332 | RECTAL RESECTION WITH MCC | $36,459 – $48,142 · median $40,902 | 13 plans |
| 333 | RECTAL RESECTION WITH CC | $27,671 – $51,217 · median $43,516 | 13 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $16,493 – $21,801 · median $18,503 | 13 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $35,958 – $47,481 · median $40,339 | 13 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $21,234 – $28,056 · median $23,821 | 13 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $15,457 – $20,434 · median $17,340 | 13 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $26,008 – $34,354 · median $29,177 | 13 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,152 – $20,032 · median $16,998 | 13 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,945 – $15,800 · median $13,400 | 13 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $27,120 – $83,425 · median $70,904 | 13 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,179 – $17,429 · median $14,785 | 13 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,767 – $11,608 · median $9,835 | 13 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $25,093 – $33,146 · median $28,150 | 13 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,351 – $20,295 · median $17,222 | 13 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,759 – $15,556 · median $13,192 | 13 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $29,222 – $38,595 · median $32,783 | 13 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,941 – $22,392 · median $19,006 | 13 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $13,544 – $17,910 · median $15,194 | 13 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $51,897 – $103,674 · median $88,122 | 13 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,417 – $30,936 · median $26,271 | 13 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,076 – $18,613 · median $15,792 | 13 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,030 – $21,190 · median $17,983 | 13 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,072 – $13,329 · median $11,299 | 13 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,057 – $9,352 · median $7,917 | 13 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,855 – $23,597 · median $20,030 | 13 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,281 – $13,606 · median $11,534 | 13 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,325 – $9,705 · median $8,217 | 13 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $21,536 – $28,454 · median $24,160 | 13 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,180 – $16,111 · median $13,665 | 13 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,307 – $12,321 · median $10,442 | 13 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $18,407 – $24,327 · median $20,650 | 13 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,875 – $13,070 · median $11,079 | 13 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,348 – $8,416 · median $7,121 | 13 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,759 – $26,109 · median $22,166 | 13 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,911 – $14,436 · median $12,240 | 13 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $8,062 – $10,678 · median $9,044 | 13 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,903 – $18,384 · median $15,597 | 13 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,608 – $11,398 · median $9,656 | 13 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,933 – $21,062 · median $17,875 | 13 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,831 – $13,012 · median $11,029 | 13 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,860 – $9,093 · median $7,696 | 13 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $14,871 – $19,661 · median $16,683 | 13 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,953 – $10,534 · median $8,922 | 13 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,478 – $7,269 · median $6,145 | 13 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,771 – $16,891 · median $14,328 | 13 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,850 – $10,399 · median $8,807 | 13 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $16,104 – $21,288 · median $18,067 | 13 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,422 – $12,472 · median $10,570 | 13 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,535 – $8,664 · median $7,332 | 13 plans |
| 397 | COAGULATION DISORDERS | $24,116 – $31,858 · median $27,055 | 13 plans |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $15,241 – $20,150 · median $17,099 | 13 plans |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC | $13,523 – $32,848 · median $27,897 | 13 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $55,086 – $72,717 · median $61,799 | 13 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,204 – $38,571 · median $32,763 | 13 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,351 – $29,529 · median $25,074 | 13 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $35,904 – $47,410 · median $40,280 | 13 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $21,925 – $28,967 · median $24,596 | 13 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $15,988 – $21,134 · median $17,936 | 13 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $33,263 – $43,926 · median $37,316 | 13 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $21,172 – $27,973 · median $23,751 | 13 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $16,721 – $22,101 · median $18,758 | 13 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $35,874 – $47,371 · median $40,246 | 13 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,811 – $27,498 · median $23,347 | 13 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,728 – $18,153 · median $15,401 | 13 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $24,030 – $31,745 · median $26,958 | 13 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,034 – $22,514 · median $19,110 | 13 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,753 – $18,186 · median $15,429 | 13 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $34,308 – $45,305 · median $38,489 | 13 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,496 – $23,124 · median $19,628 | 13 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $14,093 – $18,634 · median $15,810 | 13 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $41,819 – $55,214 · median $46,915 | 13 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $22,031 – $40,892 · median $24,716 | 13 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $1,610 – $19,973 · median $16,948 | 13 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,252 – $103,298 · median $50,643 | 13 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $1,608 – $14,073 · median $11,932 | 13 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,175 – $9,507 · median $8,049 | 13 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $18,495 – $24,442 · median $20,749 | 13 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,390 – $15,068 · median $12,778 | 13 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,592 – $11,378 · median $9,639 | 13 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $16,416 – $21,699 · median $18,416 | 13 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,471 – $11,217 · median $9,503 | 13 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,257 – $8,297 · median $7,020 | 13 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $18,072 – $23,884 · median $20,274 | 13 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,720 – $12,866 · median $10,905 | 13 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,046 – $9,337 · median $7,904 | 13 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,825 – $22,239 · median $18,876 | 13 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,020 – $14,581 · median $12,363 | 13 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,331 – $11,032 · median $9,346 | 13 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $86,889 – $114,349 · median $97,200 | 13 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,047 – $79,261 · median $67,363 | 13 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $42,017 – $55,474 · median $47,137 | 13 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $65,249 – $124,888 · median $106,162 | 13 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $26,785 – $35,380 · median $30,049 | 13 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $57,392 – $75,759 · median $64,386 | 13 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $31,364 – $41,420 · median $35,186 | 13 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,364 – $24,269 · median $20,602 | 13 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $52,417 – $69,195 · median $58,804 | 13 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $35,512 – $46,892 · median $39,839 | 13 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,671 – $36,549 · median $31,043 | 13 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $30,543 – $40,338 · median $34,265 | 13 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,423 – $25,667 · median $21,790 | 13 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $57,046 – $128,930 · median $109,599 | 13 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $29,666 – $39,180 · median $33,281 | 13 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,583 – $32,474 · median $27,579 | 13 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $43,228 – $57,073 · median $48,496 | 13 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,916 – $30,274 · median $25,708 | 13 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,884 – $15,721 · median $13,332 | 13 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $34,787 – $45,936 · median $39,026 | 13 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,763 – $32,712 · median $27,781 | 13 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,719 – $24,737 · median $20,999 | 13 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $29,326 – $38,731 · median $32,899 | 13 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,091 – $27,867 · median $23,661 | 13 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,424 – $21,709 · median $18,425 | 13 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $27,912 – $36,866 · median $31,313 | 13 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $38,125 – $60,984 · median $51,822 | 13 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $21,057 – $27,822 · median $23,623 | 13 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,771 – $20,849 · median $17,693 | 13 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $17,812 – $23,541 · median $19,983 | 13 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,246 – $14,878 · median $12,616 | 13 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $36,972 – $48,819 · median $41,477 | 13 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,538 – $33,734 · median $28,650 | 13 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,205 – $26,698 · median $22,667 | 13 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $36,510 – $48,209 · median $40,959 | 13 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,165 – $24,006 · median $20,378 | 13 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,167 – $16,094 · median $13,650 | 13 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $30,378 – $40,120 · median $34,080 | 13 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $20,288 – $26,808 · median $22,761 | 13 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $31,869 – $42,086 · median $35,752 | 13 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $17,603 – $23,265 · median $19,748 | 13 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,553 – $17,922 · median $15,204 | 13 plans |
| 503 | FOOT PROCEDURES WITH MCC | $32,974 – $47,595 · median $40,436 | 13 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,822 – $24,874 · median $21,116 | 13 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,053 – $23,859 · median $20,253 | 13 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $13,586 – $17,966 · median $15,242 | 13 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,190 – $24,040 · median $20,406 | 13 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $15,250 – $20,160 · median $17,108 | 13 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $30,415 – $40,169 · median $34,122 | 13 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,939 – $27,666 · median $23,490 | 13 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,669 – $22,034 · median $18,701 | 13 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,853 – $20,956 · median $17,784 | 13 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,294 – $13,623 · median $11,549 | 13 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,091 – $42,379 · median $36,002 | 13 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,926 – $27,649 · median $23,476 | 13 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,474 – $20,457 · median $17,360 | 13 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $37,633 – $49,691 · median $42,219 | 13 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,141 – $26,614 · median $22,596 | 13 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,043 – $19,888 · median $16,876 | 13 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | — | 13 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $10,477 – $28,175 · median $23,923 | 13 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $15,786 – $20,868 · median $17,710 | 13 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,117 – $10,751 · median $9,106 | 13 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,909 – $17,073 · median $14,482 | 13 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,132 – $10,771 · median $9,123 | 13 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,610 – $12,719 · median $10,780 | 13 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,253 – $9,611 · median $8,137 | 13 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,834 – $26,209 · median $22,251 | 13 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,053 – $17,263 · median $14,644 | 13 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,929 – $10,502 · median $8,895 | 13 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,788 – $23,510 · median $19,956 | 13 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,352 – $13,699 · median $11,613 | 13 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,599 – $10,066 · median $8,525 | 13 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,990 – $33,011 · median $28,035 | 13 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,614 – $15,365 · median $13,030 | 13 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,420 – $11,151 · median $9,446 | 13 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,444 – $25,694 · median $21,813 | 13 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,156 – $16,079 · median $13,637 | 13 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,802 – $11,654 · median $9,874 | 13 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,878 – $22,309 · median $18,934 | 13 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,680 – $12,812 · median $10,860 | 13 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,053 – $17,263 · median $14,644 | 13 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,359 – $11,070 · median $9,377 | 13 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,310 – $17,602 · median $14,932 | 13 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,364 – $11,076 · median $9,383 | 13 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,973 – $19,795 · median $16,797 | 13 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,994 – $11,908 · median $10,090 | 13 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $18,779 – $24,817 · median $21,067 | 13 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $11,339 – $15,002 · median $12,721 | 13 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,095 – $10,721 · median $9,081 | 13 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $14,347 – $18,970 · median $16,096 | 13 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,017 – $11,938 · median $10,116 | 13 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $15,544 – $20,548 · median $17,438 | 13 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,812 – $12,987 · median $11,008 | 13 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,545 – $9,996 · median $8,465 | 13 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $34,746 – $196,187 · median $166,790 | 13 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,013 – $22,487 · median $19,086 | 13 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $11,543 – $15,270 · median $12,949 | 13 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $65,971 – $87,077 · median $74,009 | 13 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $34,956 – $46,159 · median $39,215 | 13 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,095 – $23,915 · median $20,300 | 13 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,354 – $65,154 · median $55,367 | 13 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,692 – $35,256 · median $29,944 | 13 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,176 – $21,383 · median $18,147 | 13 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $32,611 – $43,065 · median $36,584 | 13 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $17,400 – $22,998 · median $19,521 | 13 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,532 – $19,213 · median $16,302 | 13 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $19,400 – $25,636 · median $21,764 | 13 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,364 – $22,950 · median $19,480 | 13 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,556 – $28,481 · median $24,183 | 13 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,425 – $25,670 · median $21,793 | 13 plans |
| 592 | SKIN ULCERS WITH MCC | $19,488 – $25,752 · median $21,863 | 13 plans |
| 593 | SKIN ULCERS WITH CC | $11,946 – $15,802 · median $13,401 | 13 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,728 – $11,557 · median $9,792 | 13 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $21,355 – $28,215 · median $23,957 | 13 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,900 – $14,423 · median $12,229 | 13 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,787 – $22,189 · median $18,833 | 13 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,365 – $33,113 · median $28,122 | 13 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,748 – $10,263 · median $8,692 | 13 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,489 – $13,879 · median $11,767 | 13 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,092 – $8,079 · median $6,835 | 13 plans |
| 602 | CELLULITIS WITH MCC | $14,312 – $18,924 · median $16,056 | 13 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,770 – $11,612 · median $9,838 | 13 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,824 – $19,598 · median $16,630 | 13 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,224 – $12,211 · median $10,348 | 13 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,237 – $20,144 · median $17,094 | 13 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,127 – $12,083 · median $10,239 | 13 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $22,071 – $29,160 · median $24,760 | 13 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $14,091 – $18,631 · median $15,808 | 13 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,117 – $46,372 · median $39,396 | 13 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,833 – $24,888 · median $21,128 | 13 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $14,282 – $18,884 · median $16,022 | 13 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $29,075 – $38,401 · median $32,618 | 13 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,115 – $21,302 · median $18,078 | 13 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,189 – $20,081 · median $17,040 | 13 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,840 – $47,325 · median $40,207 | 13 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,064 – $23,874 · median $20,265 | 13 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $12,606 – $16,673 · median $14,142 | 13 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,411 – $40,164 · median $34,117 | 13 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,098 – $19,961 · median $16,938 | 13 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,376 – $17,688 · median $15,005 | 13 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $37,528 – $49,552 · median $42,101 | 13 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,940 – $28,987 · median $24,613 | 13 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $15,786 – $20,712 · median $17,576 | 13 plans |
| 637 | DIABETES WITH MCC | $14,467 – $19,128 · median $16,230 | 13 plans |
| 638 | DIABETES WITH CC | $9,024 – $11,948 · median $10,124 | 13 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,255 – $8,294 · median $7,018 | 13 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,449 – $17,785 · median $15,088 | 13 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,836 – $10,380 · median $8,791 | 13 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $14,320 – $18,934 · median $16,065 | 13 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $16,576 – $21,910 · median $18,596 | 13 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,321 – $13,659 · median $11,579 | 13 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,737 – $10,248 · median $8,679 | 13 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $50,950 – $66,743 · median $56,719 | 13 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $43,485 – $56,528 · median $48,032 | 13 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $61,390 – $147,870 · median $125,705 | 13 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $28,188 – $37,230 · median $31,623 | 13 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,313 – $28,161 · median $23,911 | 13 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $32,060 – $42,338 · median $35,966 | 13 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $18,428 – $24,353 · median $20,673 | 13 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,626 – $20,657 · median $17,530 | 13 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $25,586 – $33,797 · median $28,704 | 13 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $13,309 – $17,600 · median $14,931 | 13 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,426 – $13,797 · median $11,697 | 13 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $30,828 – $40,713 · median $34,585 | 13 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,308 – $20,237 · median $17,173 | 13 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,542 – $13,950 · median $11,827 | 13 plans |
| 665 | PROSTATECTOMY WITH MCC | $31,430 – $41,507 · median $35,259 | 13 plans |
| 666 | PROSTATECTOMY WITH CC | $17,615 – $23,281 · median $19,761 | 13 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $11,139 – $14,737 · median $12,496 | 13 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $29,403 – $38,834 · median $32,986 | 13 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $15,628 – $20,660 · median $17,533 | 13 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,841 – $13,025 · median $11,040 | 13 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,075 – $23,888 · median $20,278 | 13 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,870 – $14,383 · median $12,195 | 13 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $42,309 – $55,860 · median $47,464 | 13 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $23,549 – $31,110 · median $26,418 | 13 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,528 – $21,848 · median $18,542 | 13 plans |
| 682 | RENAL FAILURE WITH MCC | $14,913 – $19,717 · median $16,730 | 13 plans |
| 683 | RENAL FAILURE WITH CC | $8,819 – $11,677 · median $9,894 | 13 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,045 – $8,017 · median $6,781 | 13 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $18,163 – $24,004 · median $20,376 | 13 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,551 – $13,962 · median $11,837 | 13 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,958 – $10,541 · median $8,928 | 13 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,684 – $15,456 · median $13,108 | 13 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,151 – $10,796 · median $9,145 | 13 plans |
| 693 | URINARY STONES WITH MCC | $13,539 – $17,903 · median $15,188 | 13 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,871 – $10,427 · median $8,831 | 13 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,518 – $15,237 · median $12,921 | 13 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,938 – $9,195 · median $7,783 | 13 plans |
| 697 | URETHRAL STRICTURE | $10,853 – $14,360 · median $12,176 | 13 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,659 – $22,020 · median $18,689 | 13 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,221 – $13,526 · median $11,466 | 13 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,947 – $9,207 · median $7,794 | 13 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,142 – $26,616 · median $22,597 | 13 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,449 – $20,423 · median $17,331 | 13 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,433 – $30,957 · median $26,289 | 13 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,110 – $18,657 · median $15,829 | 13 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,983 – $27,725 · median $23,540 | 13 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,074 – $14,651 · median $12,423 | 13 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,139 – $20,014 · median $16,983 | 13 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $10,648 – $14,089 · median $11,945 | 13 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $22,529 – $29,764 · median $25,274 | 13 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,813 – $19,584 · median $16,617 | 13 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,037 – $25,157 · median $21,356 | 13 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $13,525 – $17,885 · median $15,173 | 13 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,223 – $24,083 · median $20,444 | 13 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,507 – $15,222 · median $12,909 | 13 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,603 – $8,753 · median $7,407 | 13 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $11,784 – $15,588 · median $13,219 | 13 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,270 – $9,633 · median $8,156 | 13 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $14,932 – $19,742 · median $16,752 | 13 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,169 – $10,818 · median $9,164 | 13 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,661 – $14,106 · median $11,960 | 13 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,767 – $8,969 · median $7,591 | 13 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $21,448 – $28,339 · median $24,062 | 13 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $13,549 – $17,917 · median $15,200 | 13 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $35,994 – $47,529 · median $40,380 | 13 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,750 – $27,417 · median $23,278 | 13 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,787 – $19,551 · median $16,589 | 13 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $36,078 – $47,639 · median $40,474 | 13 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $18,222 – $24,082 · median $20,443 | 13 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,075 – $19,828 · median $16,825 | 13 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $18,476 – $24,417 · median $20,727 | 13 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,493 – $16,524 · median $14,016 | 13 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,634 – $27,264 · median $23,148 | 13 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,438 – $59,026 · median $50,156 | 13 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,492 – $23,119 · median $19,624 | 13 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $8,657 – $11,463 · median $9,712 | 13 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,970 – $18,472 · median $15,672 | 13 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $25,855 – $34,152 · median $29,005 | 13 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,861 – $19,648 · median $16,672 | 13 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,545 – $24,509 · median $20,805 | 13 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,954 – $14,493 · median $12,289 | 13 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,672 – $12,802 · median $10,851 | 13 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,419 – $19,064 · median $16,176 | 13 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,858 – $13,048 · median $11,059 | 13 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,682 – $8,858 · median $7,497 | 13 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,145 – $13,426 · median $11,381 | 13 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,745 – $7,621 · median $6,445 | 13 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $17,016 – $22,491 · median $19,089 | 13 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,097 – $13,362 · median $11,327 | 13 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,593 – $8,739 · median $7,396 | 13 plans |
| 779 | ABORTION WITHOUT D&C | $8,472 – $11,218 · median $9,504 | 13 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,148 – $23,984 · median $20,359 | 13 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $59,849 – $79,001 · median $67,142 | 13 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $40,873 – $53,965 · median $45,853 | 13 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $24,663 – $32,579 · median $27,668 | 13 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $41,987 – $55,435 · median $47,103 | 13 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,862 – $19,649 · median $16,673 | 13 plans |
| 795 | NORMAL NEWBORN | $2,131 – $2,836 · median $2,376 | 13 plans |
| 799 | SPLENECTOMY WITH MCC | $45,605 – $60,208 · median $51,162 | 13 plans |
| 800 | SPLENECTOMY WITH CC | $28,290 – $37,364 · median $31,737 | 13 plans |
| 801 | SPLENECTOMY WITHOUT CC/MCC | $19,222 – $25,401 · median $21,564 | 13 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $47,068 – $61,855 · median $52,562 | 13 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,719 – $24,737 · median $20,999 | 13 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,654 – $18,056 · median $15,318 | 13 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $22,233 – $29,373 · median $24,942 | 13 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,706 – $17,987 · median $15,259 | 13 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,539 – $13,946 · median $11,823 | 13 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,141 – $18,698 · median $15,864 | 13 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,246 – $12,240 · median $10,373 | 13 plans |
| 813 | COAGULATION DISORDERS | $15,359 – $20,305 · median $17,231 | 13 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,415 – $28,295 · median $24,025 | 13 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,211 – $13,513 · median $11,455 | 13 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,364 – $8,438 · median $7,140 | 13 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $22,975 – $30,353 · median $25,775 | 13 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $11,673 – $15,442 · median $13,095 | 13 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,659 – $11,465 · median $9,714 | 13 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $59,057 – $77,955 · median $66,253 | 13 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $22,542 – $29,781 · median $25,289 | 13 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,124 – $16,037 · median $13,601 | 13 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $46,167 – $60,950 · median $51,793 | 13 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $22,814 – $30,140 · median $25,594 | 13 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,588 – $17,968 · median $15,244 | 13 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $47,104 – $62,186 · median $52,844 | 13 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $23,273 – $30,746 · median $26,109 | 13 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $17,157 – $22,677 · median $19,247 | 13 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $31,820 – $42,022 · median $35,698 | 13 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,155 – $20,036 · median $17,002 | 13 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,109 – $16,017 · median $13,584 | 13 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,266 – $9,628 · median $8,152 | 13 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,265 – $6,988 · median $5,907 | 13 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $55,282 – $72,975 · median $62,018 | 13 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $21,003 – $27,751 · median $23,563 | 13 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,280 – $16,243 · median $13,776 | 13 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $56,758 – $161,786 · median $137,537 | 13 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,019 – $27,773 · median $23,581 | 13 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,540 – $19,224 · median $16,311 | 13 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $32,574 – $43,017 · median $36,544 | 13 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,273 – $41,647 · median $35,378 | 13 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,174 – $13,465 · median $11,414 | 13 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,087 – $26,542 · median $22,535 | 13 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,259 – $16,215 · median $13,753 | 13 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,575 – $11,355 · median $9,620 | 13 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,106 – $34,483 · median $29,287 | 13 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,173 – $17,421 · median $14,778 | 13 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,553 – $11,326 · median $9,595 | 13 plans |
| 849 | RADIOTHERAPY | $32,010 – $72,397 · median $61,527 | 13 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $49,730 – $65,651 · median $55,790 | 13 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,120 – $26,586 · median $22,572 | 13 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,076 – $19,932 · median $16,913 | 13 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $45,804 – $60,471 · median $51,385 | 13 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,564 – $28,491 · median $24,192 | 13 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,026 – $18,546 · median $15,735 | 13 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,364 – $24,269 · median $20,602 | 13 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,049 – $13,299 · median $11,273 | 13 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,939 – $11,835 · median $10,028 | 13 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,087 – $19,947 · median $16,926 | 13 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,757 – $11,594 · median $9,824 | 13 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,287 – $29,272 · median $24,856 | 13 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $10,383 – $13,740 · median $11,648 | 13 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,348 – $9,736 · median $8,243 | 13 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $69,600 – $91,865 · median $78,081 | 13 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $19,560 – $25,848 · median $21,944 | 13 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,304 – $13,636 · median $11,560 | 13 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $14,726 – $45,660 · median $15,460 | 13 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $1,656 – $11,344 · median $1,739 | 13 plans |
| 881 | DEPRESSIVE NEUROSES | $1,626 – $11,116 · median $1,707 | 13 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $1,596 – $12,686 · median $1,675 | 13 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $1,864 – $23,230 · median $1,955 | 13 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $1,656 – $19,008 · median $1,739 | 13 plans |
| 885 | PSYCHOSES | $1,626 – $16,502 · median $1,707 | 13 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,715 – $24,518 · median $13,349 | 13 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,610 – $12,652 · median $1,691 | 13 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $1,385 – $7,288 · median $1,454 | 13 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $16,724 – $125,580 · median $106,756 | 13 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,617 – $78,240 · median $66,501 | 13 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $1,617 – $10,429 · median $1,698 | 13 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $42,258 – $55,793 · median $47,408 | 13 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,278 – $25,476 · median $21,628 | 13 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,778 – $15,580 · median $13,213 | 13 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $36,987 – $48,839 · median $41,494 | 13 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $14,937 – $19,749 · median $16,758 | 13 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $19,780 – $26,137 · median $22,190 | 13 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $38,661 – $51,047 · median $43,371 | 13 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $23,571 – $42,998 · median $36,527 | 13 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,218 – $17,481 · median $14,829 | 13 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $16,460 – $21,757 · median $18,466 | 13 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,917 – $11,805 · median $10,003 | 13 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,933 – $22,382 · median $18,997 | 13 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,709 – $8,893 · median $7,527 | 13 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $1,984 – $18,529 · median $2,082 | 13 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $1,903 – $10,126 · median $1,997 | 13 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,436 – $24,364 · median $20,682 | 13 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,093 – $13,357 · median $11,323 | 13 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,932 – $9,187 · median $7,777 | 13 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,616 – $23,282 · median $19,762 | 13 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,248 – $13,562 · median $11,497 | 13 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $214,993 – $283,682 · median $241,191 | 13 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $72,227 – $95,331 · median $81,028 | 13 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $32,432 – $42,830 · median $36,384 | 13 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $39,213 – $51,776 · median $43,992 | 13 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,260 – $29,409 · median $24,973 | 13 plans |
| 935 | NON-EXTENSIVE BURNS | $20,744 – $27,409 · median $23,271 | 13 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $36,538 – $48,246 · median $40,990 | 13 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $23,532 – $31,087 · median $26,399 | 13 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,418 – $26,980 · median $22,906 | 13 plans |
| 945 | REHABILITATION WITH CC/MCC | $15,594 – $20,615 · median $17,494 | 13 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,548 – $15,277 · median $12,955 | 13 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $2,053 – $14,997 · median $2,154 | 13 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $1,853 – $9,457 · median $1,944 | 13 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,980 – $15,847 · median $13,440 | 13 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,321 – $8,381 · median $7,091 | 13 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,599 – $7,428 · median $6,281 | 13 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $67,780 – $89,464 · median $76,039 | 13 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $37,892 – $50,033 · median $42,510 | 13 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $76,730 – $101,272 · median $86,080 | 13 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $42,433 – $56,023 · median $47,603 | 13 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $34,782 – $45,203 · median $38,402 | 13 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $27,529 – $36,360 · median $30,883 | 13 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,433 – $20,402 · median $17,313 | 13 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,471 – $12,536 · median $10,625 | 13 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $72,317 – $278,603 · median $236,872 | 13 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $31,158 – $82,312 · median $69,958 | 13 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $29,061 – $38,382 · median $32,602 | 13 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,040 – $17,246 · median $14,629 | 13 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,090 – $12,034 · median $10,198 | 13 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,067 – $17,282 · median $14,660 | 13 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $47,245 – $62,372 · median $53,002 | 13 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,756 – $32,703 · median $27,773 | 13 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,259 – $22,812 · median $19,363 | 13 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,523 – $45,588 · median $38,730 | 13 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,551 – $21,877 · median $18,567 | 13 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,076 – $15,973 · median $13,547 | 13 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $294,617 – $386,949 · median $329,003 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $133,874 – $296,468 · median $252,063 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $121,808 – $180,252 · median $153,240 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $54,782 – $221,682 · median $188,470 | 12 plans |
| 007 | LUNG TRANSPLANT | $152,994 – $887,914 · median $754,993 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $66,213 – $215,265 · median $183,013 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $84,774 – $126,019 · median $107,123 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $121,016 – $159,699 · median $135,763 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $59,710 – $78,817 · median $66,986 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $54,702 – $72,209 · median $61,367 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $15,571 – $20,584 · median $17,468 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,049 – $13,299 · median $11,273 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,713 – $8,899 · median $7,532 | 12 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,366 – $16,356 · median $13,872 | 12 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,953 – $10,534 · median $8,922 | 12 plans |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $89,232 – $117,765 · median $100,105 | 12 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $61,589 – $81,296 · median $69,094 | 12 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $46,377 – $61,227 · median $52,028 | 12 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $66,785 – $88,151 · median $74,923 | 12 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $36,834 – $48,637 · median $41,322 | 12 plans |
| 509 | ARTHROSCOPY | $17,689 – $23,379 · median $19,845 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $32,520 – $42,945 · median $36,483 | 12 plans |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $6,827 – $6,827 · median $6,827 | 1 plans |
| 999 | UNGROUPABLE | $13,059 – $13,059 · median $13,059 | 1 plans |
No procedures match that keyword.