Falmouth Hospital — Pricing
772 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 772 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 772 procedures
Procedures with negotiated rates only
These 772 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 |
|---|---|---|---|
| 003 | ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. | $225,182 – $563,585 · median $255,185 | 14 plans |
| 004 | TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. | $148,464 – $367,791 · median $167,332 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $56,695 – $144,821 · median $65,573 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $43,118 – $111,946 · median $50,688 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $27,844 – $76,519 · median $34,647 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $396,248 – $1,146,616 · median $519,176 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $78,282 – $189,442 · median $92,556 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $84,698 – $208,937 · median $95,257 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $58,075 – $140,564 · median $64,695 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $34,863 – $84,368 · median $41,223 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $59,943 – $152,154 · median $68,894 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $39,944 – $103,871 · median $47,032 | 14 plans |
| 025 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY | $46,990 – $120,727 · median $54,664 | 14 plans |
| 026 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION | $32,137 – $82,557 · median $37,381 | 14 plans |
| 027 | CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $25,929 – $66,990 · median $30,332 | 14 plans |
| 028 | SPINAL PROCEDURES WITH COMORBITY | $63,877 – $159,536 · median $72,293 | 14 plans |
| 029 | SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS | $35,269 – $90,587 · median $41,017 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $23,382 – $58,288 · median $26,437 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $44,031 – $118,969 · median $53,868 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION | $22,439 – $56,584 · median $25,620 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,764 – $44,154 · median $19,993 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURE WITH COMORBITY | $40,859 – $102,777 · median $46,536 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION | $23,901 – $63,474 · median $28,740 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY | $19,260 – $51,586 · median $23,358 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH COMORBITY | $34,893 – $87,414 · median $39,580 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH COMPLICATION | $16,930 – $43,084 · median $19,508 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,959 – $31,213 · median $14,133 | 14 plans |
| 040 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY | $39,633 – $102,525 · median $46,422 | 14 plans |
| 041 | PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM | $23,727 – $58,381 · median $26,654 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,467 – $45,875 · median $20,843 | 14 plans |
| 052 | SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY | $19,874 – $48,095 · median $23,498 | 14 plans |
| 053 | SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY | $9,681 – $26,000 · median $11,773 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH COMORBITY | $15,751 – $40,543 · median $18,358 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY | $11,187 – $27,073 · median $12,738 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY | $25,489 – $61,684 · median $29,238 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY | $14,021 – $34,402 · median $15,728 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,757 – $45,392 · median $21,551 | 14 plans |
| 059 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION | $12,856 – $32,949 · median $14,919 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,376 – $24,423 · median $11,059 | 14 plans |
| 061 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY | $28,405 – $73,208 · median $33,148 | 14 plans |
| 062 | ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION | $18,712 – $46,658 · median $21,160 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,760 – $37,275 · median $16,878 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY | $20,901 – $53,397 · median $24,178 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS | $10,685 – $26,826 · median $12,147 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY | $7,232 – $18,173 · median $8,228 | 14 plans |
| 067 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY | $15,287 – $38,998 · median $17,658 | 14 plans |
| 068 | NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY | $9,262 – $22,952 · median $10,442 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,407 – $21,210 · median $9,604 | 14 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY | $18,266 – $44,205 · median $20,348 | 14 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION | $11,073 – $27,243 · median $12,437 | 14 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,882 – $20,079 · median $9,092 | 14 plans |
| 073 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY | $16,240 – $42,598 · median $19,288 | 14 plans |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY | $10,953 – $27,370 · median $12,400 | 14 plans |
| 075 | VIRAL MENINGITIS WITH COMPLICATION/COMORBITY | $18,097 – $50,915 · median $23,054 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY | $9,054 – $21,911 · median $10,706 | 14 plans |
| 080 | NONTRAUMATIC STUPOR & COMA WITH COMORBITY | $19,860 – $48,060 · median $23,211 | 14 plans |
| 081 | NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY | $9,507 – $23,781 · median $10,768 | 14 plans |
| 082 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY | $24,378 – $60,689 · median $27,545 | 14 plans |
| 083 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION | $14,609 – $37,062 · median $16,781 | 14 plans |
| 084 | TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY | $10,046 – $25,379 · median $11,491 | 14 plans |
| 085 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY | $23,809 – $60,325 · median $27,314 | 14 plans |
| 086 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION | $13,781 – $34,590 · median $15,662 | 14 plans |
| 087 | TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY | $9,288 – $24,288 · median $10,997 | 14 plans |
| 088 | CONCUSSION WITH COMORBITY | $14,822 – $35,894 · median $16,515 | 14 plans |
| 089 | CONCUSSION WITH COMPLICATION | $11,265 – $29,171 · median $13,208 | 14 plans |
| 090 | CONCUSSION WITHOUT COMPLICATION/COMORBITY | $9,008 – $21,858 · median $10,047 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY | $19,153 – $46,632 · median $21,399 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION | $11,124 – $27,163 · median $12,448 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $8,293 – $21,144 · median $9,574 | 14 plans |
| 094 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY | $38,337 – $93,449 · median $42,857 | 14 plans |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION | $25,187 – $68,485 · median $31,009 | 14 plans |
| 096 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY | $25,187 – $68,485 · median $31,009 | 14 plans |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY | $37,663 – $95,903 · median $43,424 | 14 plans |
| 098 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION | $22,793 – $60,936 · median $27,591 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,639 – $36,175 · median $16,479 | 14 plans |
| 100 | SEIZURES WITH COMORBITY | $20,860 – $51,427 · median $23,453 | 14 plans |
| 101 | SEIZURES WITHOUT COMORBITY | $9,684 – $23,966 · median $10,909 | 14 plans |
| 102 | HEADACHES WITH MCC | $12,183 – $29,763 · median $13,635 | 14 plans |
| 103 | HEADACHES WITHOUT COMORBITY | $8,933 – $22,206 · median $10,086 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,710 – $62,428 · median $28,267 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,420 – $35,926 · median $16,267 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,086 – $40,756 · median $18,454 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,532 – $48,010 · median $21,738 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,333 – $28,807 · median $13,043 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,222 – $30,889 · median $13,986 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,127 – $20,865 · median $9,447 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,439 – $21,205 · median $9,601 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH COMORBITY | $13,700 – $35,132 · median $15,907 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT COMORBITY | $8,424 – $20,387 · median $9,641 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $23,810 – $57,619 · median $28,151 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,278 – $26,959 · median $12,207 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,695 – $39,648 · median $17,952 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,547 – $23,531 · median $10,655 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $13,558 – $32,811 · median $16,031 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,436 – $113,255 · median $51,281 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,574 – $57,914 · median $26,223 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,521 – $42,389 · median $19,193 | 14 plans |
| 143 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,693 – $99,482 · median $45,044 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,458 – $46,013 · median $20,870 | 14 plans |
| 145 | OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,449 – $31,924 · median $14,455 | 14 plans |
| 146 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY | $23,232 – $56,223 · median $26,785 | 14 plans |
| 147 | EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION | $13,079 – $33,762 · median $15,287 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,413 – $21,165 · median $9,583 | 14 plans |
| 149 | DYSEQUILIBRIUM | $7,854 – $19,957 · median $9,036 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $14,523 – $35,355 · median $16,225 | 14 plans |
| 151 | EPISTAXIS WITHOUT COMORBITY | $7,964 – $19,490 · median $8,921 | 14 plans |
| 152 | OTITIS MEDIA & URI WITH COMORBITY | $11,923 – $31,391 · median $14,213 | 14 plans |
| 153 | OTITIS MEDIA & URI WITHOUT COMORBITY | $7,478 – $19,601 · median $8,875 | 14 plans |
| 154 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY | $17,088 – $41,515 · median $19,071 | 14 plans |
| 155 | OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION | $9,809 – $24,336 · median $11,064 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,065 – $18,351 · median $8,309 | 14 plans |
| 157 | DENTAL & ORAL DISEASES WITH COMORBITY | $17,205 – $45,586 · median $20,641 | 14 plans |
| 158 | DENTAL & ORAL DISEASES WITH COMPLICATION | $9,883 – $24,158 · median $11,064 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,930 – $18,813 · median $8,518 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH COMORBITY | $48,429 – $119,004 · median $54,360 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH COMPLICATION | $26,446 – $67,019 · median $30,345 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY | $19,585 – $50,827 · median $23,014 | 14 plans |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY | $40,455 – $99,246 · median $45,377 | 14 plans |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION | $19,198 – $47,885 · median $21,713 | 14 plans |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,225 – $36,281 · median $16,428 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $32,242 – $79,031 · median $36,145 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE | $14,805 – $36,473 · median $16,640 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT COMORBITY | $8,558 – $21,375 · median $9,686 | 14 plans |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY | $16,985 – $41,494 · median $19,009 | 14 plans |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION | $10,424 – $25,915 · median $11,770 | 14 plans |
| 179 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY | $8,087 – $20,047 · median $9,118 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH COMORBITY | $18,364 – $46,892 · median $21,232 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION | $11,666 – $28,438 · median $13,042 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY | $8,271 – $20,015 · median $9,779 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH COMORBITY | $16,678 – $40,623 · median $18,637 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH COMPLICATION | $11,223 – $28,255 · median $12,793 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY | $8,171 – $20,884 · median $9,456 | 14 plans |
| 186 | PLEURAL EFFUSION WITH COMORBITY | $16,601 – $41,382 · median $18,771 | 14 plans |
| 187 | PLEURAL EFFUSION WITH COMPLICATION | $10,549 – $26,263 · median $11,919 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY | $7,714 – $19,044 · median $8,679 | 14 plans |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $13,001 – $32,803 · median $14,853 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY | $11,799 – $29,412 · median $13,343 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION | $9,027 – $22,384 · median $10,179 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY | $6,800 – $17,047 · median $7,719 | 14 plans |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY | $13,845 – $34,901 · median $15,803 | 14 plans |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION | $8,616 – $21,399 · median $9,724 | 14 plans |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY | $6,543 – $16,688 · median $7,556 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMORBITY | $19,796 – $50,110 · median $22,689 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION | $10,402 – $25,201 · median $11,593 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,359 – $19,017 · median $8,611 | 14 plans |
| 199 | PNEUMOTHORAX WITH COMORBITY | $18,548 – $46,841 · median $21,209 | 14 plans |
| 200 | PNEUMOTHORAX WITH COMPLICATION | $11,637 – $29,189 · median $13,217 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY | $7,114 – $18,988 · median $8,597 | 14 plans |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY | $10,157 – $25,788 · median $11,676 | 14 plans |
| 203 | BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY | $7,319 – $17,790 · median $8,169 | 14 plans |
| 204 | RESPIRATORY SIGNS & SYMPTOMS | $8,521 – $21,439 · median $9,707 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY | $19,835 – $48,618 · median $22,236 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY | $9,517 – $24,989 · median $11,315 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $67,951 – $170,858 · median $77,363 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,199 – $72,985 · median $33,047 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $114,462 – $288,736 · median $130,736 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $109,250 – $264,384 · median $123,703 | 14 plans |
| 216 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | $101,404 – $259,759 · median $117,616 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $67,853 – $174,591 · median $79,053 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $62,509 – $174,591 · median $79,053 | 14 plans |
| 219 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY | $81,298 – $203,879 · median $92,314 | 14 plans |
| 220 | CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION | $55,652 – $141,600 · median $64,115 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,254 – $133,830 · median $60,597 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY | $52,360 – $131,366 · median $59,481 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY | $32,638 – $83,627 · median $37,866 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $89,035 – $223,836 · median $101,350 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $64,184 – $160,978 · median $72,889 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY | $82,127 – $203,000 · median $92,459 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY | $55,899 – $145,049 · median $65,677 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY | $61,825 – $155,827 · median $70,557 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY | $43,206 – $111,224 · median $50,361 | 14 plans |
| 239 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY | $52,923 – $130,684 · median $59,551 | 14 plans |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION | $30,598 – $75,688 · median $34,461 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,190 – $36,759 · median $17,629 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY | $35,032 – $84,777 · median $39,607 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION | $23,381 – $56,581 · median $26,304 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY | $18,962 – $47,994 · median $21,731 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $50,059 – $121,144 · median $57,057 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY | $23,947 – $57,951 · median $27,004 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY | $16,398 – $39,683 · median $18,276 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH COMORBITY | $36,043 – $92,624 · median $41,939 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION | $26,824 – $68,920 · median $31,206 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,381 – $47,309 · median $21,421 | 14 plans |
| 255 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY | $27,492 – $71,623 · median $32,430 | 14 plans |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION | $17,796 – $45,084 · median $20,413 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,371 – $29,001 · median $13,131 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH COMORBITY | $29,477 – $83,431 · median $37,777 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY | $18,468 – $53,692 · median $24,311 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY | $35,690 – $86,370 · median $39,814 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION | $19,938 – $50,198 · median $22,729 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,948 – $43,278 · median $19,596 | 14 plans |
| 263 | VEIN LIGATION & STRIPPING | $28,181 – $81,182 · median $36,758 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $36,654 – $88,702 · median $40,866 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $37,481 – $96,073 · median $43,501 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY | $62,945 – $162,725 · median $73,680 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY | $49,432 – $126,412 · median $57,238 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY | $70,056 – $182,626 · median $82,691 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY | $43,716 – $112,137 · median $50,774 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY | $53,932 – $140,100 · median $63,436 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION | $36,190 – $94,429 · median $42,756 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY | $26,291 – $67,789 · median $30,694 | 14 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY | $41,086 – $109,543 · median $49,600 | 14 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY | $32,792 – $87,403 · median $39,575 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $74,253 – $189,331 · median $85,727 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $65,085 – $159,491 · median $72,954 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $48,878 – $122,633 · median $55,527 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,570 – $147,797 · median $66,921 | 14 plans |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $33,669 – $95,759 · median $43,359 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY | $17,246 – $42,593 · median $19,409 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION | $9,685 – $24,404 · median $11,050 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY | $7,619 – $19,200 · median $8,694 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY | $20,545 – $52,595 · median $23,815 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION | $7,595 – $18,380 · median $8,651 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,899 – $15,902 · median $7,200 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY | $23,255 – $58,756 · median $26,604 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY | $11,449 – $28,414 · median $12,916 | 14 plans |
| 288 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY | $28,700 – $71,857 · median $32,536 | 14 plans |
| 289 | ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION | $16,566 – $45,323 · median $20,522 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,201 – $24,686 · median $11,431 | 14 plans |
| 291 | HEART FAILURE & SHOCK WITH COMORBITY | $13,710 – $34,088 · median $15,482 | 14 plans |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION | $9,049 – $22,543 · median $10,229 | 14 plans |
| 293 | HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY | $5,765 – $15,029 · median $6,805 | 14 plans |
| 296 | CARDIAC ARREST; UNEXPLAINED WITH COMORBITY | $17,137 – $41,473 · median $19,132 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,956 – $16,834 · median $8,225 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,641 – $12,084 · median $5,472 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH COMORBITY | $16,996 – $43,352 · median $19,630 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION | $11,249 – $28,345 · median $12,834 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,496 – $19,110 · median $8,653 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH COMORBITY | $12,223 – $31,773 · median $14,386 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT COMORBITY | $7,065 – $17,875 · median $8,094 | 14 plans |
| 304 | HYPERTENSION WITH COMORBITY | $12,344 – $31,598 · median $14,307 | 14 plans |
| 305 | HYPERTENSION WITHOUT COMORBITY | $7,888 – $20,050 · median $9,078 | 14 plans |
| 306 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY | $15,733 – $41,842 · median $18,945 | 14 plans |
| 307 | CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY | $9,734 – $24,248 · median $11,002 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY | $12,670 – $31,969 · median $14,475 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION | $7,768 – $19,535 · median $8,845 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY | $5,879 – $15,031 · median $6,806 | 14 plans |
| 311 | ANGINA PECTORIS | $7,337 – $18,637 · median $8,439 | 14 plans |
| 312 | SYNCOPE & COLLAPSE | $9,155 – $23,143 · median $10,479 | 14 plans |
| 313 | CHEST PAIN | $7,496 – $19,118 · median $8,656 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY | $22,627 – $55,368 · median $25,344 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION | $10,111 – $25,578 · median $11,582 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,173 – $18,112 · median $8,201 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $65,001 – $177,544 · median $80,390 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,155 – $118,502 · median $53,656 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,322 – $63,867 · median $28,918 | 14 plans |
| 321 | CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION | $29,853 – $72,244 · median $33,285 | 14 plans |
| 322 | SHOULDER AND ELBOW JOINT REPLACEMENT | $19,009 – $46,812 · median $21,361 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $44,754 – $114,904 · median $52,027 | 14 plans |
| 324 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $33,571 – $83,667 · median $37,954 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $30,072 – $85,245 · median $38,598 | 14 plans |
| 326 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY | $53,365 – $132,429 · median $60,200 | 14 plans |
| 327 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION | $25,512 – $64,900 · median $29,386 | 14 plans |
| 328 | STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY | $16,743 – $42,545 · median $19,264 | 14 plans |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $48,247 – $122,049 · median $55,263 | 14 plans |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $24,835 – $63,652 · median $28,821 | 14 plans |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $17,347 – $44,685 · median $20,233 | 14 plans |
| 332 | RECTAL RESECTION WITH COMORBITY | $36,446 – $96,139 · median $43,531 | 14 plans |
| 333 | RECTAL RESECTION WITH COMPLICATION | $22,331 – $62,192 · median $28,160 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,427 – $43,491 · median $19,715 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH COMORBITY | $38,071 – $94,817 · median $43,030 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION | $22,194 – $55,992 · median $25,352 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY | $16,129 – $40,758 · median $18,455 | 14 plans |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY | $28,311 – $68,580 · median $31,551 | 14 plans |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION | $15,642 – $39,954 · median $18,091 | 14 plans |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY | $13,015 – $31,497 · median $14,540 | 14 plans |
| 347 | ANAL & STOMAL PROCEDURES WITH COMORBITY | $24,868 – $60,954 · median $27,878 | 14 plans |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION | $13,227 – $34,752 · median $15,735 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,256 – $23,117 · median $10,476 | 14 plans |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY | $25,413 – $66,166 · median $29,959 | 14 plans |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION | $15,808 – $40,479 · median $18,329 | 14 plans |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $11,585 – $31,008 · median $14,040 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY | $30,817 – $77,056 · median $34,898 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION | $17,873 – $44,672 · median $20,236 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY | $14,008 – $35,713 · median $16,171 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY | $44,820 – $116,640 · median $52,813 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION | $23,662 – $61,748 · median $27,959 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,238 – $37,118 · median $16,807 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY | $17,467 – $42,269 · median $19,500 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION | $10,692 – $26,558 · median $12,067 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,334 – $18,608 · median $8,426 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY | $18,366 – $47,080 · median $21,318 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION | $10,815 – $27,110 · median $12,275 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY | $7,622 – $19,314 · median $8,745 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH COMORBITY | $22,184 – $56,788 · median $25,713 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION | $12,910 – $32,118 · median $14,583 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,278 – $24,543 · median $11,113 | 14 plans |
| 377 | G.I. HEMORRHAGE WITH COMORBITY | $19,104 – $48,538 · median $21,978 | 14 plans |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION | $10,359 – $26,040 · median $11,791 | 14 plans |
| 379 | G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY | $6,690 – $16,739 · median $7,579 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH COMORBITY | $20,219 – $52,102 · median $23,591 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION | $11,443 – $28,770 · median $13,027 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY | $7,873 – $21,258 · median $9,625 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH COMORBITY | $13,283 – $36,661 · median $16,600 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY | $9,137 – $22,697 · median $10,313 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH COMORBITY | $17,072 – $42,014 · median $19,177 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION | $10,428 – $25,923 · median $11,774 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY | $7,043 – $18,090 · median $8,191 | 14 plans |
| 388 | G.I. OBSTRUCTION WITH COMORBITY | $15,444 – $39,213 · median $17,755 | 14 plans |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION | $8,422 – $20,971 · median $9,518 | 14 plans |
| 390 | G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY | $5,749 – $14,445 · median $6,540 | 14 plans |
| 391 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY | $13,496 – $33,677 · median $15,270 | 14 plans |
| 392 | ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY | $8,199 – $20,700 · median $9,373 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY | $17,400 – $42,466 · median $19,464 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION | $9,890 – $24,845 · median $11,250 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $6,687 – $17,233 · median $7,803 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,034 – $63,591 · median $29,134 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,899 – $40,190 · median $18,198 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,808 – $30,395 · median $13,762 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,105 – $106,755 · median $48,337 | 14 plans |
| 405 | PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY | $57,039 – $145,256 · median $65,770 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,508 – $77,008 · median $34,868 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,441 – $58,936 · median $26,686 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,788 – $94,676 · median $42,868 | 14 plans |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION | $22,028 – $57,813 · median $26,177 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,297 – $42,158 · median $19,089 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,751 – $87,711 · median $39,715 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,397 – $55,827 · median $25,322 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION/COMORBITY | $17,468 – $44,091 · median $19,964 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY | $36,814 – $94,596 · median $42,832 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,784 – $54,876 · median $24,847 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,397 – $36,199 · median $16,391 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY | $24,970 – $63,365 · median $28,691 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION | $17,425 – $44,916 · median $20,338 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY | $13,844 – $36,266 · median $16,421 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $37,084 – $90,467 · median $41,474 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,206 – $46,135 · median $20,890 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,356 – $37,160 · median $17,156 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,736 – $110,273 · median $49,930 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION | $23,991 – $58,094 · median $26,731 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,242 – $39,837 · median $18,214 | 14 plans |
| 426 | NON-HYPOVOLEMIC SODIUM DISORDERS | $110,065 – $292,642 · median $132,505 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,628 – $191,673 · median $86,787 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,832 – $149,279 · median $67,592 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $87,635 – $239,228 · median $108,320 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,479 – $153,132 · median $69,336 | 14 plans |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY | $20,584 – $52,261 · median $23,663 | 14 plans |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION | $11,240 – $28,045 · median $12,715 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,318 – $18,919 · median $8,566 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY | $19,171 – $48,769 · median $22,082 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION | $11,849 – $30,034 · median $13,599 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,250 – $22,657 · median $10,259 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY | $17,481 – $43,286 · median $19,699 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION | $9,038 – $22,336 · median $10,175 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $6,463 – $16,500 · median $7,471 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY | $19,692 – $47,654 · median $22,072 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION | $10,152 – $25,631 · median $11,606 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY | $7,383 – $18,579 · median $8,412 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH COMORBITY | $17,698 – $44,367 · median $20,089 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION | $11,395 – $29,059 · median $13,158 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY | $8,377 – $21,967 · median $9,946 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,446 – $177,414 · median $80,331 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,905 – $112,604 · median $50,986 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $54,112 – $141,515 · median $64,076 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,425 – $85,776 · median $38,838 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $88,986 – $223,132 · median $101,032 | 14 plans |
| 457 | SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION | $60,304 – $158,336 · median $71,693 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $45,369 – $110,793 · median $50,766 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $60,599 – $146,650 · median $71,655 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $29,186 – $70,630 · median $33,437 | 14 plans |
| 463 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY | $56,748 – $151,337 · median $68,524 | 14 plans |
| 464 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION | $30,981 – $82,703 · median $37,447 | 14 plans |
| 465 | WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY | $18,241 – $48,424 · median $21,926 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY | $53,529 – $138,217 · median $62,583 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION | $35,989 – $93,640 · median $42,399 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY | $27,563 – $72,967 · median $33,038 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT | $33,281 – $80,539 · median $38,165 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | $19,811 – $51,217 · median $23,191 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH COMORBITY | $51,036 – $128,215 · median $58,054 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION | $30,441 – $78,227 · median $35,420 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $24,874 – $64,823 · median $29,351 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $47,102 – $113,988 · median $52,476 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION | $22,667 – $60,426 · median $27,360 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,221 – $31,337 · median $14,189 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $36,134 – $91,729 · median $41,534 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $24,572 – $65,298 · median $29,566 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,658 – $49,359 · median $22,349 | 14 plans |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY | $30,901 – $77,329 · median $35,014 | 14 plans |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION | $21,801 – $55,614 · median $25,182 | 14 plans |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY | $16,668 – $43,307 · median $19,609 | 14 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $26,774 – $73,601 · median $33,326 | 14 plans |
| 485 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY | $33,825 – $85,688 · median $38,799 | 14 plans |
| 486 | KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION | $22,284 – $55,524 · median $25,190 | 14 plans |
| 487 | KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $16,603 – $41,587 · median $18,830 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $19,409 – $46,969 · median $22,948 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY | $12,254 – $29,654 · median $14,463 | 14 plans |
| 492 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY | $37,312 – $97,491 · median $44,143 | 14 plans |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION | $25,227 – $67,340 · median $30,491 | 14 plans |
| 494 | LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY | $19,810 – $53,278 · median $24,124 | 14 plans |
| 495 | LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY | $36,991 – $96,272 · median $43,591 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $19,793 – $47,898 · median $23,037 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $13,258 – $32,084 · median $15,682 | 14 plans |
| 498 | LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY | $26,529 – $80,104 · median $36,270 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,197 – $53,498 · median $23,046 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH COMORBITY | $33,294 – $84,034 · median $38,050 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION | $18,752 – $46,417 · median $21,128 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY | $14,680 – $35,737 · median $16,401 | 14 plans |
| 503 | FOOT PROCEDURES WITH COMORBITY | $27,808 – $74,111 · median $33,557 | 14 plans |
| 504 | FOOT PROCEDURES WITH COMPLICATION | $18,440 – $49,632 · median $22,473 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY | $18,440 – $47,604 · median $21,554 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $14,804 – $35,825 · median $17,503 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $19,820 – $47,965 · median $22,630 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,560 – $40,211 · median $18,207 | 14 plans |
| 510 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY | $30,030 – $80,202 · median $36,315 | 14 plans |
| 511 | SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION | $20,606 – $55,213 · median $25,000 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,893 – $43,955 · median $19,902 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,819 – $41,802 · median $18,927 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,713 – $27,145 · median $12,291 | 14 plans |
| 515 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY | $32,492 – $84,621 · median $38,315 | 14 plans |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION | $21,137 – $55,179 · median $24,984 | 14 plans |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY | $15,684 – $40,803 · median $18,475 | 14 plans |
| 518 | BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM | $37,657 – $99,235 · median $44,933 | 14 plans |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION | $20,719 – $53,111 · median $24,048 | 14 plans |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | $15,059 – $39,667 · median $17,961 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,625 – $76,211 · median $34,597 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,150 – $56,230 · median $25,461 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,022 – $41,626 · median $18,848 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT COMORBITY | $8,553 – $21,404 · median $9,692 | 14 plans |
| 535 | FRACTURES OF HIP & PELVIS WITH COMORBITY | $13,973 – $34,040 · median $15,617 | 14 plans |
| 536 | FRACTURES OF HIP & PELVIS WITHOUT COMORBITY | $8,520 – $21,444 · median $9,710 | 14 plans |
| 537 | SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY | $9,656 – $25,339 · median $11,473 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,055 – $19,126 · median $8,660 | 14 plans |
| 539 | OSTEOMYELITIS WITH COMORBITY | $21,249 – $52,301 · median $23,874 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,597 – $34,420 · median $15,585 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY | $8,639 – $20,908 · median $10,215 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY | $19,382 – $46,905 · median $21,776 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION | $11,147 – $27,296 · median $12,490 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY | $7,940 – $20,037 · median $9,072 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH COMORBITY | $26,550 – $65,896 · median $29,952 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION | $12,164 – $30,626 · median $13,867 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY | $7,840 – $22,203 · median $10,053 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $21,167 – $51,270 · median $23,588 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH COMPLICATION | $12,662 – $32,054 · median $14,514 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,058 – $23,210 · median $10,509 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH COMORBITY | $17,929 – $44,505 · median $20,228 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT COMORBITY | $10,127 – $25,525 · median $11,557 | 14 plans |
| 553 | BONE DISEASES & ARTHROPATHIES WITH COMORBITY | $13,722 – $34,420 · median $15,585 | 14 plans |
| 554 | BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY | $8,769 – $22,041 · median $9,980 | 14 plans |
| 555 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY | $14,149 – $35,097 · median $15,958 | 14 plans |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY | $8,579 – $22,055 · median $9,986 | 14 plans |
| 557 | TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY | $16,283 – $39,481 · median $18,155 | 14 plans |
| 558 | TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY | $9,076 – $23,717 · median $10,739 | 14 plans |
| 559 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY | $19,504 – $49,518 · median $22,421 | 14 plans |
| 560 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION | $11,964 – $29,901 · median $13,546 | 14 plans |
| 561 | AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY | $8,591 – $21,346 · median $9,697 | 14 plans |
| 562 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY | $15,377 – $37,832 · median $17,273 | 14 plans |
| 563 | FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY | $9,391 – $23,778 · median $10,766 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY | $16,488 – $40,987 · median $18,616 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION | $10,691 – $25,873 · median $11,921 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,860 – $19,896 · median $9,009 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH COMORBITY | $31,628 – $78,094 · median $35,590 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION | $17,592 – $44,861 · median $20,312 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY | $12,003 – $30,437 · median $13,782 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $64,704 – $173,957 · median $78,766 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,406 – $92,175 · median $41,736 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,717 – $47,715 · median $23,312 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $53,777 – $130,140 · median $62,994 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,978 – $70,383 · median $31,869 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,626 – $42,654 · median $19,737 | 14 plans |
| 579 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY | $34,247 – $85,991 · median $38,936 | 14 plans |
| 580 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION | $18,629 – $45,883 · median $20,935 | 14 plans |
| 581 | OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY | $15,122 – $38,318 · median $17,350 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH COMPLICATION/COMORBITY | $18,400 – $51,156 · median $23,163 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,260 – $45,787 · median $20,732 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,512 – $56,841 · median $25,737 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,857 – $51,223 · median $23,405 | 14 plans |
| 592 | SKIN ULCERS WITH COMORBITY | $21,234 – $51,387 · median $24,009 | 14 plans |
| 593 | SKIN ULCERS WITH COMPLICATION | $12,847 – $31,499 · median $14,404 | 14 plans |
| 594 | SKIN ULCERS WITHOUT COMPLICATION/COMORBITY | $8,917 – $23,016 · median $10,421 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH COMORBITY | $22,223 – $56,310 · median $25,497 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT COMORBITY | $11,359 – $28,743 · median $13,015 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH COMORBITY | $18,292 – $44,266 · median $20,510 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH COMPLICATION | $11,336 – $30,039 · median $13,601 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,442 – $20,430 · median $9,982 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY | $10,051 – $27,657 · median $12,523 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,299 – $16,064 · median $7,274 | 14 plans |
| 602 | CELLULITIS WITH COMORBITY | $15,437 – $37,739 · median $17,284 | 14 plans |
| 603 | CELLULITIS WITHOUT COMORBITY | $9,255 – $23,125 · median $10,477 | 14 plans |
| 604 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY | $15,610 – $39,088 · median $17,699 | 14 plans |
| 605 | TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY | $9,705 – $24,322 · median $11,013 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH COMORBITY | $16,603 – $40,179 · median $18,800 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT COMORBITY | $9,080 – $24,067 · median $10,897 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,945 – $58,198 · median $26,729 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,057 – $37,155 · median $16,937 | 14 plans |
| 616 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY | $38,264 – $92,600 · median $45,129 | 14 plans |
| 617 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION | $20,295 – $49,661 · median $22,737 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,082 – $37,660 · median $17,052 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $28,647 – $76,668 · median $34,714 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,780 – $42,492 · median $19,240 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,359 – $40,052 · median $18,135 | 14 plans |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY | $39,052 – $94,506 · median $43,717 | 14 plans |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION | $19,683 – $47,633 · median $22,349 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,540 – $33,241 · median $15,051 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,125 – $80,192 · median $36,310 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,858 – $39,813 · median $18,027 | 14 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,311 – $35,270 · median $15,970 | 14 plans |
| 628 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY | $40,891 – $98,956 · median $46,079 | 14 plans |
| 629 | OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION | $23,631 – $57,853 · median $26,482 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,723 – $38,754 · median $17,547 | 14 plans |
| 637 | DIABETES WITH COMORBITY | $15,301 – $38,148 · median $17,302 | 14 plans |
| 638 | DIABETES WITH COMPLICATION | $9,637 – $23,796 · median $10,844 | 14 plans |
| 639 | DIABETES WITHOUT COMPLICATION/COMORBITY | $6,584 – $16,494 · median $7,469 | 14 plans |
| 640 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY | $13,953 – $35,464 · median $16,058 | 14 plans |
| 641 | MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY | $8,210 – $20,663 · median $9,356 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,040 – $37,760 · median $17,098 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH COMORBITY | $17,413 – $43,708 · median $19,791 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION | $10,858 – $27,216 · median $12,323 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY | $8,182 – $20,400 · median $9,254 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,409 – $124,834 · median $56,524 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,486 – $98,399 · median $44,554 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $57,016 – $137,978 · median $65,087 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH COMPLICATION | $29,652 – $74,329 · median $33,655 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,826 – $56,201 · median $25,447 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $34,232 – $84,538 · median $38,521 | 14 plans |
| 657 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION | $19,208 – $48,591 · median $22,002 | 14 plans |
| 658 | KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY | $15,803 – $41,204 · median $18,657 | 14 plans |
| 659 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY | $27,153 – $67,468 · median $30,651 | 14 plans |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION | $14,079 – $35,095 · median $15,918 | 14 plans |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY | $10,786 – $27,493 · median $12,448 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $32,778 – $81,291 · median $36,964 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH COMPLICATION | $16,048 – $40,365 · median $18,277 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,345 – $27,798 · median $12,717 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $34,246 – $82,876 · median $40,090 | 14 plans |
| 666 | PROSTATECTOMY WITH COMPLICATION | $17,308 – $46,448 · median $21,031 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,799 – $29,373 · median $13,300 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH COMORBITY | $30,642 – $77,534 · median $35,106 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH COMPLICATION | $16,260 – $41,210 · median $18,659 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,042 – $25,950 · median $11,750 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,111 – $47,662 · median $21,581 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,499 – $28,664 · median $13,001 | 14 plans |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY | $44,020 – $111,563 · median $50,515 | 14 plans |
| 674 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION | $24,254 – $62,096 · median $28,116 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,447 – $43,583 · median $19,734 | 14 plans |
| 682 | RENAL FAILURE WITH COMORBITY | $15,780 – $39,324 · median $17,840 | 14 plans |
| 683 | RENAL FAILURE WITH COMPLICATION | $9,340 – $23,255 · median $10,554 | 14 plans |
| 684 | RENAL FAILURE WITHOUT COMPLICATION/COMORBITY | $6,382 – $15,940 · median $7,224 | 14 plans |
| 686 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY | $19,790 – $47,893 · median $22,057 | 14 plans |
| 687 | KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION | $11,061 – $27,822 · median $12,597 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,609 – $20,985 · median $9,502 | 14 plans |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY | $12,296 – $30,809 · median $13,950 | 14 plans |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY | $8,433 – $21,494 · median $9,732 | 14 plans |
| 693 | URINARY STONES WITH COMORBITY | $14,752 – $35,700 · median $17,168 | 14 plans |
| 694 | URINARY STONES WITHOUT COMORBITY | $8,210 – $20,756 · median $9,398 | 14 plans |
| 695 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY | $11,850 – $30,371 · median $13,752 | 14 plans |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY | $7,269 – $18,295 · median $8,284 | 14 plans |
| 697 | URETHRAL STRICTURE | $10,526 – $28,618 · median $12,958 | 14 plans |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY | $17,661 – $43,929 · median $19,947 | 14 plans |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION | $10,716 – $26,951 · median $12,203 | 14 plans |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,294 – $18,319 · median $8,295 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY | $20,390 – $53,113 · median $24,049 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY | $15,577 – $40,737 · median $18,445 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,610 – $61,791 · median $27,978 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,374 – $37,205 · median $17,530 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,075 – $55,330 · median $25,053 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,238 – $29,200 · median $13,221 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,193 – $39,919 · median $18,075 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,873 – $28,077 · median $12,713 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,728 – $59,406 · median $26,898 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,913 – $39,059 · median $17,685 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY | $19,496 – $50,198 · median $22,729 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,944 – $35,663 · median $16,148 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,166 – $48,052 · median $21,758 | 14 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,798 – $30,342 · median $13,738 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,194 – $17,411 · median $8,508 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,840 – $31,072 · median $14,749 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY | $7,821 – $19,171 · median $8,768 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY | $15,439 – $39,375 · median $17,829 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY | $8,585 – $21,540 · median $9,753 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,567 – $28,111 · median $12,912 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,377 – $17,843 · median $8,079 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,094 – $56,557 · median $25,608 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,754 – $35,727 · median $16,177 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $39,220 – $94,912 · median $45,974 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,997 – $54,714 · median $24,774 | 14 plans |
| 738 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $15,938 – $38,993 · median $17,850 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $39,311 – $95,133 · median $46,481 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,105 – $48,050 · median $21,756 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,432 – $37,867 · median $17,146 | 14 plans |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY | $19,193 – $48,719 · median $22,059 | 14 plans |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | $12,595 – $32,944 · median $14,917 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,531 – $54,409 · median $24,636 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,768 – $30,204 · median $13,676 | 14 plans |
| 746 | VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY | $17,595 – $46,125 · median $20,885 | 14 plans |
| 747 | VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY | $9,433 – $22,827 · median $11,152 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,314 – $36,836 · median $16,679 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY | $27,198 – $68,176 · median $30,870 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,549 – $39,186 · median $17,743 | 14 plans |
| 754 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $19,010 – $48,902 · median $22,142 | 14 plans |
| 755 | MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $11,664 – $28,884 · median $13,144 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,034 – $25,504 · median $11,548 | 14 plans |
| 757 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY | $14,871 – $38,021 · median $17,215 | 14 plans |
| 758 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION | $10,710 – $25,995 · median $11,948 | 14 plans |
| 759 | INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY | $6,724 – $17,620 · median $7,978 | 14 plans |
| 760 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY | $10,356 – $26,752 · median $12,113 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,260 – $15,148 · median $7,402 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C | $11,519 – $28,454 · median $12,964 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,599 – $44,869 · median $20,316 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,002 – $26,624 · median $12,563 | 14 plans |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | $7,183 – $17,384 · median $8,330 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $9,231 – $22,339 · median $10,914 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $19,355 – $65,189 · median $28,907 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION | $11,379 – $28,148 · median $12,816 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY | $9,178 – $25,432 · median $11,515 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY | $16,978 – $43,799 · median $19,832 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION | $11,156 – $29,654 · median $13,427 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY | $9,506 – $25,459 · median $11,527 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,940 – $47,853 · median $21,667 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $62,462 – $157,815 · median $71,457 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $42,657 – $107,777 · median $48,800 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,739 – $65,033 · median $29,446 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,819 – $110,714 · median $50,130 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,510 – $39,189 · median $17,744 | 14 plans |
| 795 | NORMAL NEWBORN | $2,099 – $5,305 · median $2,402 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $12,805 – $30,987 · median $14,906 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,173 – $26,563 · median $12,028 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,173 – $25,413 · median $11,515 | 14 plans |
| 799 | SPLENECTOMY WITH COMORBITY | $49,692 – $120,254 · median $55,516 | 14 plans |
| 800 | SPLENECTOMY WITH COMPLICATION | $30,615 – $74,597 · median $34,218 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,249 – $50,686 · median $22,950 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,665 – $105,788 · median $47,900 | 14 plans |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION | $18,702 – $49,359 · median $22,349 | 14 plans |
| 804 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITHOUT COMPLICATION/COMORBITY | $11,617 – $36,005 · median $16,303 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,486 – $28,656 · median $12,975 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION | $7,603 – $20,021 · median $9,065 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY | $6,696 – $17,902 · median $8,106 | 14 plans |
| 808 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY | $24,064 – $58,626 · median $26,896 | 14 plans |
| 809 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION | $13,013 – $33,613 · median $15,220 | 14 plans |
| 810 | MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY | $10,001 – $27,790 · median $12,583 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH COMORBITY | $14,782 – $37,288 · median $16,884 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT COMORBITY | $9,697 – $24,381 · median $11,039 | 14 plans |
| 813 | COAGULATION DISORDERS | $16,265 – $40,501 · median $18,380 | 14 plans |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY | $21,965 – $56,469 · median $25,569 | 14 plans |
| 815 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION | $10,676 – $26,924 · median $12,191 | 14 plans |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY | $6,928 – $16,781 · median $7,721 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $25,034 – $60,582 · median $29,601 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,719 – $30,780 · median $15,039 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $8,579 – $22,833 · median $10,338 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $61,175 – $155,726 · median $70,511 | 14 plans |
| 821 | LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION | $23,456 – $59,441 · median $26,914 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,017 – $31,969 · median $14,475 | 14 plans |
| 823 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY | $49,168 – $121,738 · median $55,401 | 14 plans |
| 824 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION | $23,109 – $60,158 · median $27,239 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,932 – $35,830 · median $16,223 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $50,176 – $124,208 · median $56,531 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,795 – $61,368 · median $27,933 | 14 plans |
| 828 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY | $16,842 – $45,240 · median $20,484 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,401 – $83,906 · median $37,992 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,366 – $39,962 · median $18,094 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,094 – $31,930 · median $14,457 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,853 – $19,160 · median $8,783 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $5,462 – $13,884 · median $6,287 | 14 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $58,075 – $145,771 · median $66,004 | 14 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION | $22,442 – $55,383 · median $25,245 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $13,351 – $32,381 · median $14,888 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,611 – $127,567 · median $58,658 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,310 – $55,426 · median $25,096 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,399 – $38,339 · median $17,360 | 14 plans |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY | $33,507 – $85,895 · median $38,892 | 14 plans |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION | $16,475 – $43,318 · median $19,614 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,052 – $26,829 · median $12,330 | 14 plans |
| 843 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY | $19,893 – $52,967 · median $23,983 | 14 plans |
| 844 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION | $12,558 – $32,325 · median $14,636 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,792 – $22,612 · median $10,239 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,833 – $68,838 · median $31,169 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,351 – $34,736 · median $15,728 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,604 – $22,554 · median $10,212 | 14 plans |
| 849 | RADIOTHERAPY | $28,065 – $71,944 · median $32,576 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $95,013 – $229,932 · median $107,556 | 14 plans |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY | $52,549 – $131,133 · median $59,450 | 14 plans |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION | $20,994 – $53,055 · median $24,023 | 14 plans |
| 855 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY | $16,428 – $39,755 · median $18,980 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY | $47,403 – $120,780 · median $54,688 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION | $22,894 – $56,862 · median $25,838 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY | $13,537 – $36,985 · median $16,746 | 14 plans |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY | $19,319 – $48,424 · median $21,926 | 14 plans |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY | $10,506 – $26,497 · median $11,997 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,435 – $23,571 · median $10,680 | 14 plans |
| 865 | VIRAL ILLNESS WITH COMORBITY | $15,507 – $39,784 · median $18,014 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT COMORBITY | $9,297 – $23,090 · median $10,492 | 14 plans |
| 867 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY | $22,530 – $55,580 · median $25,340 | 14 plans |
| 868 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION | $11,033 – $27,378 · median $12,446 | 14 plans |
| 869 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY | $7,561 – $19,375 · median $8,773 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $73,092 – $183,526 · median $83,099 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY | $20,616 – $51,578 · median $23,355 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY | $10,833 – $27,171 · median $12,303 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $41,288 – $102,623 · median $46,614 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $10,072 – $25,496 · median $11,544 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $9,604 – $24,983 · median $11,312 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,108 – $28,512 · median $12,910 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,479 – $52,210 · median $23,640 | 14 plans |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $17,549 – $42,721 · median $19,605 | 14 plans |
| 885 | PSYCHOSES | $14,811 – $37,089 · median $16,793 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,876 – $55,105 · median $24,951 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,750 – $28,435 · median $13,887 | 14 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA | $6,557 – $16,380 · median $7,422 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,213 – $37,588 · median $17,124 | 14 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY | $18,711 – $46,337 · median $21,086 | 14 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY | $9,269 – $23,441 · median $10,614 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $46,046 – $111,431 · median $51,729 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION | $19,938 – $50,835 · median $23,018 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,809 – $31,056 · median $14,281 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $40,302 – $97,530 · median $45,082 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $16,276 – $39,388 · median $19,244 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $21,553 – $52,157 · median $25,483 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY | $41,857 – $101,943 · median $46,773 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION | $21,194 – $52,978 · median $23,997 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY | $13,326 – $34,856 · median $15,782 | 14 plans |
| 913 | TRAUMATIC INJURY WITH COMORBITY | $17,003 – $43,403 · median $19,652 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT COMORBITY | $9,629 – $23,512 · median $10,773 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH COMORBITY | $18,260 – $44,651 · median $20,446 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT COMORBITY | $6,978 – $17,692 · median $8,011 | 14 plans |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY | $17,209 – $41,645 · median $19,179 | 14 plans |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY | $9,294 – $22,758 · median $10,413 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH COMORBITY | $19,161 – $48,613 · median $22,011 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION | $10,674 – $26,614 · median $12,070 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY | $7,226 – $18,279 · median $8,276 | 14 plans |
| 922 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY | $17,751 – $46,451 · median $21,033 | 14 plans |
| 923 | OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY | $10,716 – $27,023 · median $12,236 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $234,261 – $566,912 · median $276,999 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $70,175 – $190,454 · median $86,235 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,416 – $85,521 · median $38,723 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $42,728 – $103,401 · median $50,521 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,546 – $58,697 · median $26,577 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $22,603 – $54,698 · median $25,645 | 14 plans |
| 939 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY | $33,349 – $96,346 · median $43,625 | 14 plans |
| 940 | O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION | $22,184 – $62,051 · median $28,096 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,534 – $53,841 · median $24,379 | 14 plans |
| 945 | REHABILITATION WITH COMPLICATION/COMORBITY | $16,039 – $41,119 · median $18,618 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,731 – $30,451 · median $13,788 | 14 plans |
| 947 | SIGNS & SYMPTOMS WITH COMORBITY | $13,514 – $33,706 · median $15,284 | 14 plans |
| 948 | SIGNS & SYMPTOMS WITHOUT COMORBITY | $8,348 – $21,255 · median $9,624 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,337 – $31,590 · median $14,303 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,158 – $16,667 · median $7,547 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,957 – $14,763 · median $6,715 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $71,745 – $178,728 · median $81,092 | 14 plans |
| 956 | LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $40,162 – $99,918 · median $45,364 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $78,426 – $202,328 · median $91,612 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $43,182 – $111,890 · median $50,663 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,779 – $78,174 · median $35,396 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY | $28,544 – $72,590 · median $32,868 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION | $15,762 – $40,695 · median $18,426 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,589 – $24,973 · median $11,307 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $66,449 – $162,537 · median $74,415 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,878 – $70,030 · median $31,709 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH COMORBITY | $31,376 – $76,631 · median $35,110 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,209 – $34,386 · median $16,596 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,905 – $23,969 · median $11,710 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $14,239 – $34,457 · median $16,835 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $49,949 – $124,580 · median $56,495 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $25,724 – $65,280 · median $29,558 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $17,528 – $45,511 · median $20,607 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY | $36,803 – $91,033 · median $41,451 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION | $18,030 – $43,642 · median $20,086 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY | $12,141 – $31,842 · median $14,418 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $295,964 – $744,108 · median $343,304 | 13 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $115,784 – $300,889 · median $138,819 | 13 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $111,893 – $273,771 · median $126,308 | 13 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,878 – $123,124 · median $56,805 | 13 plans |
| 007 | LUNG TRANSPLANT | $137,314 – $343,862 · median $158,645 | 13 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $57,170 – $148,817 · median $68,659 | 13 plans |
| 010 | PANCREAS TRANSPLANT | $78,733 – $190,534 · median $93,092 | 13 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $131,862 – $319,107 · median $152,973 | 13 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,419 – $157,449 · median $72,641 | 13 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $59,604 – $144,242 · median $70,474 | 13 plans |
| 652 | KIDNEY TRANSPLANT | $32,271 – $85,752 · median $39,563 | 13 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $124,192 – $300,544 · median $135,058 | 10 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $62,617 – $151,533 · median $68,096 | 10 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $26,577 – $64,316 · median $28,902 | 10 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $37,729 – $91,304 · median $41,030 | 10 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $26,490 – $64,106 · median $28,808 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY | $16,247 – $34,008 · median $21,138 | 6 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION | $10,485 – $21,946 · median $13,641 | 6 plans |
No procedures match that keyword.