MaineGeneral Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 771 procedures
Procedures with negotiated rates only
These 771 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $294,582 – $701,793 · median $296,055 | 10 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $115,309 – $274,548 · median $115,885 | 10 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $224,156 – $533,953 · median $225,276 | 10 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $147,824 – $352,039 · median $148,563 | 10 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $111,437 – $265,322 · median $111,995 | 10 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $50,802 – $120,814 · median $51,056 | 10 plans |
| 007 | Lung transplant | $136,730 – $325,600 · median $137,414 | 10 plans |
| 008 | Simultaneous pancreas/kidney transplant | $56,989 – $135,561 · median $57,274 | 10 plans |
| 010 | Pancreas transplant | $83,458 – $198,642 · median $83,875 | 10 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $56,517 – $134,435 · median $56,799 | 10 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $43,008 – $102,241 · median $43,223 | 10 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $27,811 – $66,023 · median $27,950 | 10 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $137,075 – $326,422 · median $137,760 | 10 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $63,208 – $150,380 · median $63,524 | 10 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $63,208 – $150,380 · median $63,524 | 10 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $394,361 – $939,587 · median $396,332 | 10 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $82,980 – $197,503 · median $83,395 | 10 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $84,379 – $200,837 · median $84,801 | 10 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $57,891 – $137,709 · median $58,180 | 10 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $37,015 – $87,957 · median $37,200 | 10 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $59,749 – $142,138 · median $60,048 | 10 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $39,851 – $94,717 · median $40,050 | 10 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $46,861 – $111,424 · median $47,096 | 10 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $32,083 – $76,203 · median $32,243 | 10 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $25,906 – $61,483 · median $26,036 | 10 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $63,663 – $151,466 · median $63,982 | 10 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $35,199 – $83,630 · median $35,375 | 10 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $23,372 – $55,444 · median $23,489 | 10 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $43,917 – $104,406 · median $44,136 | 10 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $22,433 – $53,207 · median $22,546 | 10 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $16,787 – $39,751 · median $16,871 | 10 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $40,760 – $96,884 · median $40,964 | 10 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $23,889 – $56,675 · median $24,008 | 10 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $19,271 – $45,670 · median $19,367 | 10 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $34,825 – $82,738 · median $34,999 | 10 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $16,952 – $40,144 · median $17,037 | 10 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $12,007 – $28,357 · median $12,067 | 10 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $39,542 – $93,979 · median $39,739 | 10 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $23,715 – $56,261 · median $23,834 | 10 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,482 – $43,789 · median $18,574 | 10 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,147 – $50,140 · median $21,252 | 10 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,740 – $22,956 · median $9,789 | 10 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $15,779 – $37,349 · median $15,858 | 10 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,513 – $27,181 · median $11,571 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,286 – $62,388 · median $26,417 | 10 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,058 – $33,246 · median $14,128 | 10 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $19,405 – $45,989 · median $19,502 | 10 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $12,899 – $30,485 · median $12,964 | 10 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $9,437 – $22,234 · median $9,484 | 10 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $28,369 – $67,353 · median $28,511 | 10 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $18,725 – $44,370 · median $18,819 | 10 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $14,794 – $35,000 · median $14,868 | 10 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,903 – $49,559 · median $21,007 | 10 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $10,738 – $25,335 · median $10,792 | 10 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $7,303 – $17,149 · median $7,340 | 10 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $15,317 – $36,248 · median $15,394 | 10 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $9,323 – $21,962 · median $9,370 | 10 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $8,472 – $19,934 · median $8,514 | 10 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $18,285 – $43,321 · median $18,377 | 10 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $11,125 – $26,257 · median $11,181 | 10 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,950 – $18,691 · median $7,990 | 10 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $16,266 – $38,508 · median $16,347 | 10 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $11,005 – $25,971 · median $11,060 | 10 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $18,114 – $42,912 · median $18,204 | 10 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,693 – $22,844 · median $9,741 | 10 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,273 – $38,525 · median $16,354 | 10 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $10,540 – $24,862 · median $10,593 | 10 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $7,077 – $16,610 · median $7,113 | 10 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,888 – $49,525 · median $20,993 | 10 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $9,567 – $22,542 · median $9,614 | 10 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,363 – $57,806 · median $24,485 | 10 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $14,643 – $34,641 · median $14,716 | 10 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $10,103 – $23,821 · median $10,153 | 10 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $23,797 – $56,456 · median $23,916 | 10 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,819 – $32,678 · median $13,888 | 10 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $9,349 – $22,024 · median $9,396 | 10 plans |
| 088 | CONCUSSION WITH MCC | $14,855 – $35,147 · median $14,930 | 10 plans |
| 089 | CONCUSSION WITH CC | $11,316 – $26,711 · median $11,372 | 10 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,070 – $21,359 · median $9,115 | 10 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $19,164 – $45,416 · median $19,260 | 10 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $11,175 – $26,377 · median $11,231 | 10 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $8,359 – $19,665 · median $8,401 | 10 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $38,252 – $90,905 · median $38,443 | 10 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,168 – $59,725 · median $25,294 | 10 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $25,168 – $59,725 · median $25,294 | 10 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $37,581 – $89,308 · median $37,769 | 10 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $22,786 – $54,047 · median $22,900 | 10 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $14,673 – $34,713 · median $14,747 | 10 plans |
| 100 | SEIZURES WITH MCC | $20,862 – $49,462 · median $20,966 | 10 plans |
| 101 | SEIZURES WITHOUT MCC | $9,743 – $22,963 · median $9,792 | 10 plans |
| 102 | HEADACHES WITH MCC | $12,229 – $28,888 · median $12,290 | 10 plans |
| 103 | HEADACHES WITHOUT MCC | $8,996 – $21,182 · median $9,041 | 10 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $23,698 – $56,222 · median $23,817 | 10 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,465 – $29,451 · median $12,528 | 10 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $16,113 – $38,144 · median $16,193 | 10 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $17,551 – $41,572 · median $17,639 | 10 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $11,383 – $26,873 · median $11,440 | 10 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $12,268 – $28,980 · median $12,329 | 10 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,199 – $16,899 · median $7,235 | 10 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $8,504 – $20,011 · median $8,547 | 10 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $13,739 – $32,486 · median $13,807 | 10 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $8,740 – $20,572 · median $8,783 | 10 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $25,314 – $60,071 · median $25,440 | 10 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $10,334 – $24,371 · median $10,386 | 10 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $14,729 – $34,845 · median $14,802 | 10 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,612 – $20,268 · median $8,655 | 10 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,461 – $34,207 · median $14,533 | 10 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $44,320 – $105,367 · median $44,542 | 10 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $22,568 – $53,528 · median $22,681 | 10 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $16,546 – $39,175 · median $16,628 | 10 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,626 – $82,264 · median $34,799 | 10 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,472 – $43,767 · median $18,565 | 10 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,494 – $29,518 · median $12,556 | 10 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $24,090 – $57,156 · median $24,211 | 10 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $13,121 – $31,013 · median $13,187 | 10 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $8,478 – $19,949 · median $8,521 | 10 plans |
| 149 | DYSEQUILIBRIUM | $7,922 – $18,623 · median $7,962 | 10 plans |
| 150 | EPISTAXIS WITH MCC | $14,557 – $34,437 · median $14,630 | 10 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,032 – $18,885 · median $8,072 | 10 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $11,971 – $28,273 · median $12,031 | 10 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $7,548 – $17,731 · median $7,586 | 10 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,109 – $40,518 · median $17,195 | 10 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $9,868 – $23,260 · median $9,917 | 10 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $7,137 – $16,752 · median $7,173 | 10 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $17,226 – $40,797 · median $17,312 | 10 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,941 – $23,434 · median $9,990 | 10 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $7,003 – $16,433 · median $7,038 | 10 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $48,293 – $114,835 · median $48,534 | 10 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $26,421 – $62,709 · median $26,553 | 10 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $19,594 – $46,440 · median $19,692 | 10 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $40,359 – $95,927 · median $40,561 | 10 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $19,209 – $45,523 · median $19,305 | 10 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,261 – $33,731 · median $14,333 | 10 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $32,187 – $76,452 · median $32,348 | 10 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $14,839 – $35,107 · median $14,913 | 10 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $8,623 – $20,293 · median $8,666 | 10 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $17,007 – $40,274 · median $17,092 | 10 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $10,479 – $24,717 · median $10,532 | 10 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $8,154 – $19,177 · median $8,195 | 10 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,379 – $43,545 · median $18,471 | 10 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $11,715 – $27,662 · median $11,773 | 10 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $8,863 – $20,866 · median $8,907 | 10 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $16,701 – $39,546 · median $16,785 | 10 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,274 – $26,611 · median $11,330 | 10 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $8,238 – $19,376 · median $8,279 | 10 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $16,625 – $39,365 · median $16,708 | 10 plans |
| 187 | PLEURAL EFFUSION WITH CC | $10,604 – $25,014 · median $10,657 | 10 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $7,783 – $18,292 · median $7,822 | 10 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $13,044 – $30,829 · median $13,109 | 10 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $11,848 – $27,979 · median $11,907 | 10 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $9,089 – $21,404 · median $9,134 | 10 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,874 – $16,125 · median $6,908 | 10 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $13,883 – $32,830 · median $13,952 | 10 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $8,680 – $20,430 · median $8,723 | 10 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $6,617 – $15,514 · median $6,651 | 10 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,804 – $46,941 · median $19,903 | 10 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $10,457 – $24,665 · median $10,509 | 10 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $7,430 – $17,450 · median $7,467 | 10 plans |
| 199 | PNEUMOTHORAX WITH MCC | $18,562 – $43,981 · median $18,655 | 10 plans |
| 200 | PNEUMOTHORAX WITH CC | $11,686 – $27,593 · median $11,744 | 10 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $7,186 – $16,869 · median $7,222 | 10 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $10,214 – $24,085 · median $10,265 | 10 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $7,390 – $17,355 · median $7,427 | 10 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $8,586 – $20,205 · median $8,629 | 10 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $19,843 – $47,033 · median $19,942 | 10 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $9,577 – $22,567 · median $9,625 | 10 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $67,716 – $161,126 · median $68,055 | 10 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $28,164 – $66,865 · median $28,305 | 10 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES | $113,993 – $271,414 · median $114,563 | 10 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $110,867 – $263,962 · median $111,421 | 10 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $101,001 – $240,450 · median $101,506 | 10 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $67,619 – $160,894 · median $67,957 | 10 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $62,302 – $148,223 · median $62,614 | 10 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $80,996 – $192,774 · median $81,401 | 10 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $55,480 – $131,963 · median $55,757 | 10 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,119 – $114,421 · median $48,360 | 10 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $52,204 – $124,155 · median $52,465 | 10 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $32,581 – $77,391 · median $32,744 | 10 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $88,695 – $211,121 · median $89,138 | 10 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $63,969 – $152,194 · median $64,288 | 10 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $81,821 – $194,740 · median $82,230 | 10 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $55,726 – $132,549 · median $56,004 | 10 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $61,622 – $146,601 · median $61,930 | 10 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $43,096 – $102,450 · median $43,311 | 10 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $52,764 – $125,491 · median $53,028 | 10 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,552 – $72,555 · median $30,705 | 10 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $15,892 – $37,618 · median $15,972 | 10 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $35,568 – $84,509 · median $35,746 | 10 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $23,659 – $56,127 · median $23,777 | 10 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $18,974 – $44,963 · median $19,069 | 10 plans |
| 245 | AICD GENERATOR PROCEDURES | $51,195 – $121,751 · median $51,451 | 10 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $24,284 – $57,617 · median $24,405 | 10 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $16,443 – $38,931 · median $16,525 | 10 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $35,969 – $85,466 · median $36,149 | 10 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $26,797 – $63,606 · median $26,931 | 10 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $18,396 – $43,585 · median $18,488 | 10 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $27,461 – $65,188 · median $27,598 | 10 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $17,814 – $42,197 · median $17,903 | 10 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,432 – $22,221 · median $9,479 | 10 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,437 – $69,897 · median $29,584 | 10 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,483 – $43,792 · median $18,575 | 10 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $35,716 – $84,863 · median $35,895 | 10 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $19,945 – $47,277 · median $20,045 | 10 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,975 – $37,815 · median $16,055 | 10 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,147 – $66,823 · median $28,287 | 10 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $36,646 – $87,078 · median $36,829 | 10 plans |
| 265 | AICD LEAD PROCEDURES | $37,400 – $88,874 · median $37,587 | 10 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $62,736 – $149,256 · median $63,050 | 10 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $49,291 – $117,214 · median $49,537 | 10 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $69,811 – $166,118 · median $70,160 | 10 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $43,604 – $103,661 · median $43,822 | 10 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $53,769 – $127,885 · median $54,037 | 10 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $36,116 – $85,815 · median $36,296 | 10 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $26,266 – $62,341 · median $26,397 | 10 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $40,986 – $97,422 · median $41,191 | 10 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $32,735 – $77,757 · median $32,899 | 10 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $73,987 – $176,069 · median $74,357 | 10 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $64,864 – $154,329 · median $65,189 | 10 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $48,739 – $115,899 · median $48,983 | 10 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $52,413 – $124,654 · median $52,675 | 10 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,607 – $79,835 · median $33,775 | 10 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $17,267 – $40,894 · median $17,353 | 10 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $9,744 – $22,966 · median $9,793 | 10 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $7,688 – $18,065 · median $7,726 | 10 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,550 – $48,717 · median $20,652 | 10 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,854 – $18,461 · median $7,893 | 10 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,977 – $13,987 · median $6,006 | 10 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $23,246 – $55,143 · median $23,362 | 10 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $11,499 – $27,149 · median $11,557 | 10 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,663 – $68,053 · median $28,806 | 10 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $16,591 – $39,282 · median $16,674 | 10 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $10,342 – $24,391 · median $10,394 | 10 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $13,748 – $32,508 · median $13,817 | 10 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $9,111 – $21,456 · median $9,156 | 10 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,844 – $13,670 · median $5,873 | 10 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,945 – $30,595 · median $13,010 | 10 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $8,364 – $19,677 · median $8,406 | 10 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $17,236 – $40,820 · median $17,322 | 10 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,472 – $17,550 · median $7,509 | 10 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,725 – $11,005 · median $4,749 | 10 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $17,018 – $40,301 · median $17,103 | 10 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,300 – $26,673 · median $11,356 | 10 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $7,566 – $17,774 · median $7,603 | 10 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $12,269 – $28,983 · median $12,330 | 10 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,137 – $16,752 · median $7,173 | 10 plans |
| 304 | HYPERTENSION WITH MCC | $12,389 – $29,269 · median $12,451 | 10 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,956 – $18,703 · median $7,995 | 10 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,762 – $37,307 · median $15,840 | 10 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $9,792 – $23,081 · median $9,841 | 10 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $12,714 – $30,044 · median $12,778 | 10 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,836 – $18,419 · median $7,876 | 10 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,957 – $13,940 · median $5,987 | 10 plans |
| 311 | ANGINA PECTORIS | $7,408 – $17,398 · median $7,445 | 10 plans |
| 312 | SYNCOPE AND COLLAPSE | $9,216 – $21,708 · median $9,262 | 10 plans |
| 313 | CHEST PAIN | $7,566 – $17,774 · median $7,603 | 10 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,621 – $53,653 · median $22,734 | 10 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $10,168 – $23,975 · median $10,218 | 10 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,245 – $17,009 · median $7,281 | 10 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $64,781 – $154,130 · median $65,105 | 10 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $46,030 – $109,443 · median $46,261 | 10 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $24,307 – $57,672 · median $24,428 | 10 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $29,868 – $70,926 · median $30,018 | 10 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,021 – $45,075 · median $19,116 | 10 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $44,636 – $106,120 · median $44,859 | 10 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $33,510 – $79,604 · median $33,677 | 10 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $30,028 – $71,307 · median $30,178 | 10 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $53,204 – $126,540 · median $53,470 | 10 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $25,491 – $60,494 · median $25,619 | 10 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $16,766 – $39,701 · median $16,850 | 10 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $48,112 – $114,404 · median $48,352 | 10 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $24,818 – $58,890 · median $24,942 | 10 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $17,367 – $41,133 · median $17,454 | 10 plans |
| 332 | RECTAL RESECTION WITH MCC | $36,370 – $86,420 · median $36,552 | 10 plans |
| 333 | RECTAL RESECTION WITH CC | $22,326 – $52,950 · median $22,437 | 10 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $17,447 – $41,323 · median $17,534 | 10 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $37,987 – $90,274 · median $38,177 | 10 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $22,190 – $52,626 · median $22,301 | 10 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $16,156 – $38,246 · median $16,237 | 10 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,276 – $67,132 · median $28,418 | 10 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $15,671 – $37,090 · median $15,749 | 10 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,126 – $31,026 · median $13,192 | 10 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $24,850 – $58,967 · median $24,975 | 10 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $13,268 – $31,365 · median $13,335 | 10 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $9,317 – $21,947 · median $9,363 | 10 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $25,393 – $60,260 · median $25,520 | 10 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $15,836 – $37,484 · median $15,915 | 10 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $11,634 – $27,470 · median $11,693 | 10 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $30,770 – $73,074 · median $30,923 | 10 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $17,891 – $42,382 · median $17,981 | 10 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $14,045 – $33,216 · median $14,115 | 10 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $44,702 – $106,277 · median $44,925 | 10 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $23,650 – $56,107 · median $23,769 | 10 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $14,274 – $33,761 · median $14,345 | 10 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,566 – $41,607 · median $17,654 | 10 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $10,746 – $25,353 · median $10,799 | 10 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $7,405 – $17,390 · median $7,442 | 10 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $18,381 – $43,550 · median $18,473 | 10 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $10,868 – $25,644 · median $10,922 | 10 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $7,691 – $18,073 · median $7,730 | 10 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $22,180 – $52,604 · median $22,291 | 10 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,953 – $30,612 · median $13,017 | 10 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $9,339 – $21,999 · median $9,385 | 10 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $19,115 – $45,299 · median $19,211 | 10 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $10,414 – $24,563 · median $10,466 | 10 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,764 – $15,863 · median $6,798 | 10 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,224 – $47,943 · median $20,326 | 10 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $11,493 – $27,134 · median $11,551 | 10 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,941 – $18,668 · median $7,981 | 10 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,324 – $31,497 · median $13,390 | 10 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $9,199 – $21,665 · median $9,245 | 10 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $17,093 – $40,481 · median $17,179 | 10 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $10,483 – $24,727 · median $10,536 | 10 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,115 – $16,700 · median $7,151 | 10 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $15,474 – $36,622 · median $15,552 | 10 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $8,488 – $19,971 · median $8,530 | 10 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,828 – $13,633 · median $5,857 | 10 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $13,536 – $32,002 · median $13,604 | 10 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $8,265 – $19,441 · median $8,306 | 10 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $17,420 – $41,258 · median $17,507 | 10 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $9,948 – $23,452 · median $9,998 | 10 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,761 – $15,855 · median $6,794 | 10 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $26,011 – $61,733 · median $26,141 | 10 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $15,927 – $37,700 · median $16,006 | 10 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $11,856 – $27,999 · median $11,915 | 10 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $41,006 – $97,470 · median $41,211 | 10 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $56,860 – $135,252 · median $57,144 | 10 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $29,467 – $69,969 · median $29,614 | 10 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $22,436 – $53,212 · median $22,548 | 10 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $36,711 – $87,232 · median $36,894 | 10 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $22,025 – $52,233 · median $22,135 | 10 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $16,323 – $38,645 · median $16,405 | 10 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,714 – $68,175 · median $28,858 | 10 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $22,392 – $53,107 · median $22,504 | 10 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $17,488 – $41,420 · median $17,575 | 10 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $36,737 – $87,295 · median $36,920 | 10 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,787 – $49,283 · median $20,891 | 10 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $14,432 – $34,138 · median $14,504 | 10 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $24,952 – $59,209 · median $25,077 | 10 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $17,445 – $41,318 · median $17,532 | 10 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $13,882 – $32,827 · median $13,951 | 10 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $37,005 – $87,935 · median $37,190 | 10 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,227 – $40,800 · median $17,313 | 10 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,469 – $36,609 · median $15,546 | 10 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,629 – $101,336 · median $42,842 | 10 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $23,977 – $56,887 · median $24,097 | 10 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $16,268 – $38,512 · median $16,349 | 10 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $109,618 – $260,987 · median $110,167 | 10 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $74,360 – $176,959 · median $74,732 | 10 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $57,648 – $137,131 · median $57,936 | 10 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $87,301 – $207,800 · median $87,738 | 10 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $57,297 – $136,294 · median $57,583 | 10 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,588 – $48,810 · median $20,691 | 10 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $11,291 – $26,653 · median $11,348 | 10 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,389 – $17,353 · median $7,426 | 10 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,182 – $45,459 · median $19,278 | 10 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $11,897 – $28,096 · median $11,956 | 10 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $8,316 – $19,563 · median $8,358 | 10 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $17,500 – $41,450 · median $17,588 | 10 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $9,100 – $21,431 · median $9,146 | 10 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,538 – $15,325 · median $6,571 | 10 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $19,870 – $47,098 · median $19,969 | 10 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $10,208 – $24,072 · median $10,259 | 10 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,454 – $17,507 · median $7,491 | 10 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $17,717 – $41,966 · median $17,805 | 10 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $11,445 – $27,020 · median $11,502 | 10 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,443 – $19,864 · median $8,485 | 10 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,199 – $167,043 · median $70,550 | 10 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,797 – $101,737 · median $43,011 | 10 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $53,947 – $128,311 · median $54,217 | 10 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $32,369 – $76,885 · median $32,531 | 10 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $88,645 – $211,004 · median $89,089 | 10 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $60,108 – $142,993 · median $60,408 | 10 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $45,248 – $107,580 · median $45,475 | 10 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $64,261 – $152,891 · median $64,583 | 10 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $30,046 – $71,350 · median $30,196 | 10 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $56,570 – $134,562 · median $56,853 | 10 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $30,933 – $73,462 · median $31,087 | 10 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,257 – $43,254 · median $18,348 | 10 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $53,367 – $126,928 · median $53,634 | 10 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $35,915 – $85,336 · median $36,095 | 10 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $27,532 – $65,358 · median $27,670 | 10 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $34,279 – $60,675 · median $34,450 | 10 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $19,819 – $34,999 · median $19,918 | 10 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $50,886 – $121,016 · median $51,141 | 10 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $30,395 – $72,182 · median $30,547 | 10 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $24,857 – $58,982 · median $24,981 | 10 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $46,991 – $111,733 · median $47,226 | 10 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,660 – $53,748 · median $22,774 | 10 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,267 – $28,978 · median $12,328 | 10 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $36,059 – $85,680 · median $36,240 | 10 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $24,556 – $58,265 · median $24,678 | 10 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,672 – $44,243 · median $18,765 | 10 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $30,853 – $73,273 · median $31,007 | 10 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $21,799 – $51,695 · median $21,908 | 10 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $16,692 – $39,524 · median $16,775 | 10 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,747 – $63,487 · median $26,881 | 10 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $33,763 – $80,207 · median $33,931 | 10 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $22,280 – $52,841 · median $22,391 | 10 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $16,627 – $39,370 · median $16,710 | 10 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,654 – $48,967 · median $20,757 | 10 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,054 – $30,854 · median $13,119 | 10 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $37,232 – $88,476 · median $37,418 | 10 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $25,208 – $59,819 · median $25,334 | 10 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $19,818 – $46,973 · median $19,917 | 10 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $36,912 – $87,713 · median $37,097 | 10 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,734 – $49,156 · median $20,837 | 10 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,143 – $33,450 · median $14,214 | 10 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $26,503 – $62,906 · median $26,636 | 10 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,243 – $28,921 · median $12,304 | 10 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $33,234 – $78,946 · median $33,400 | 10 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $18,765 – $44,465 · median $18,859 | 10 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $14,714 – $34,810 · median $14,788 | 10 plans |
| 503 | FOOT PROCEDURES WITH MCC | $27,775 – $65,938 · median $27,914 | 10 plans |
| 504 | FOOT PROCEDURES WITH CC | $18,455 – $43,725 · median $18,547 | 10 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $18,455 – $43,725 · median $18,547 | 10 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $15,779 – $37,349 · median $15,858 | 10 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,370 – $48,289 · median $20,472 | 10 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $13,600 – $32,154 · median $13,668 | 10 plans |
| 509 | ARTHROSCOPY | $18,472 – $43,767 · median $18,565 | 10 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $29,987 – $71,208 · median $30,136 | 10 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,610 – $48,862 · median $20,713 | 10 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $16,916 – $40,057 · median $17,000 | 10 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $15,847 – $37,511 · median $15,927 | 10 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $10,767 – $25,403 · median $10,820 | 10 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $32,436 – $77,045 · median $32,598 | 10 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $21,138 – $50,120 · median $21,244 | 10 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $15,712 – $37,190 · median $15,791 | 10 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $37,575 – $89,293 · median $37,763 | 10 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,722 – $49,128 · median $20,826 | 10 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $15,090 – $35,707 · median $15,166 | 10 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $30,578 – $72,618 · median $30,731 | 10 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $22,146 – $52,522 · median $22,257 | 10 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $16,049 – $37,992 · median $16,129 | 10 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $8,617 – $20,280 · median $8,660 | 10 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,011 – $33,134 · median $14,081 | 10 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $8,585 – $20,203 · median $8,628 | 10 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $9,715 – $22,896 · median $9,764 | 10 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $7,128 – $16,730 · median $7,163 | 10 plans |
| 539 | OSTEOMYELITIS WITH MCC | $21,250 – $50,387 · median $21,356 | 10 plans |
| 540 | OSTEOMYELITIS WITH CC | $13,636 – $32,242 · median $13,704 | 10 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,254 – $21,798 · median $9,300 | 10 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $19,606 – $46,468 · median $19,704 | 10 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $11,198 – $26,432 · median $11,254 | 10 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $8,008 – $18,828 · median $8,048 | 10 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $26,524 – $62,956 · median $26,657 | 10 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $12,210 – $28,843 · median $12,271 | 10 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,909 – $18,591 · median $7,948 | 10 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $21,168 – $50,192 · median $21,274 | 10 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $12,706 – $30,024 · median $12,769 | 10 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $9,120 – $21,479 · median $9,166 | 10 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $17,947 – $42,514 · median $18,036 | 10 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,183 – $24,012 · median $10,234 | 10 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,761 – $32,538 · median $13,830 | 10 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $8,833 – $20,793 · median $8,877 | 10 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,185 – $33,550 · median $14,256 | 10 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $8,643 – $20,343 · median $8,687 | 10 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $16,308 – $38,610 · median $16,390 | 10 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $9,138 – $21,521 · median $9,184 | 10 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,514 – $46,248 · median $19,611 | 10 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $12,012 – $28,370 · median $12,072 | 10 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $8,655 – $20,370 · median $8,698 | 10 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $15,407 – $36,462 · median $15,484 | 10 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $9,452 – $22,268 · median $9,499 | 10 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,512 – $39,095 · median $16,595 | 10 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,768 – $25,405 · median $10,822 | 10 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,928 – $18,638 · median $7,968 | 10 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,577 – $74,997 · median $31,734 | 10 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $17,611 – $41,714 · median $17,699 | 10 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $12,050 – $28,462 · median $12,111 | 10 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $64,486 – $153,427 · median $64,808 | 10 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $36,330 – $86,325 · median $36,512 | 10 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $20,981 – $49,746 · median $21,086 | 10 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $56,511 – $134,420 · median $56,793 | 10 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $27,945 – $66,342 · median $28,085 | 10 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $17,779 – $42,115 · median $17,868 | 10 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $34,182 – $81,206 · median $34,353 | 10 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,643 – $44,173 · median $18,736 | 10 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $15,153 – $35,857 · median $15,229 | 10 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $18,415 – $43,630 · median $18,507 | 10 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $17,281 – $40,927 · median $17,367 | 10 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $21,511 – $51,010 · median $21,619 | 10 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,860 – $49,457 · median $20,964 | 10 plans |
| 592 | SKIN ULCERS WITH MCC | $21,604 – $51,231 · median $21,712 | 10 plans |
| 593 | SKIN ULCERS WITH CC | $12,890 – $30,463 · median $12,954 | 10 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,980 – $21,145 · median $9,025 | 10 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,219 – $52,696 · median $22,330 | 10 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,410 – $26,935 · median $11,467 | 10 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $18,472 – $43,767 · median $18,565 | 10 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $11,387 – $26,880 · median $11,444 | 10 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,045 – $21,299 · median $9,090 | 10 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $10,108 – $23,833 · median $10,159 | 10 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,375 – $14,936 · median $6,407 | 10 plans |
| 602 | CELLULITIS WITH MCC | $15,467 – $36,604 · median $15,544 | 10 plans |
| 603 | CELLULITIS WITHOUT MCC | $9,316 – $21,945 · median $9,362 | 10 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $15,639 – $37,015 · median $15,718 | 10 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $9,764 – $23,013 · median $9,813 | 10 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $16,942 – $40,119 · median $17,027 | 10 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,142 – $21,531 · median $9,188 | 10 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $23,933 – $56,780 · median $24,052 | 10 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $15,088 – $35,702 · median $15,164 | 10 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $40,513 – $96,294 · median $40,715 | 10 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,301 – $48,124 · median $20,402 | 10 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,124 – $31,021 · median $13,190 | 10 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $28,611 – $67,929 · median $28,754 | 10 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $16,803 – $39,788 · median $16,887 | 10 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $15,389 – $36,420 · median $15,466 | 10 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $39,227 – $93,229 · median $39,423 | 10 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,104 – $47,656 · median $20,205 | 10 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,594 – $24,992 · median $10,647 | 10 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $30,081 – $71,432 · median $30,231 | 10 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,886 – $37,603 · median $15,965 | 10 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $13,352 – $31,564 · median $13,419 | 10 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $41,356 – $98,304 · median $41,563 | 10 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $23,620 – $56,035 · median $23,738 | 10 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $14,757 – $34,912 · median $14,831 | 10 plans |
| 637 | DIABETES WITH MCC | $15,332 – $36,283 · median $15,409 | 10 plans |
| 638 | DIABETES WITH CC | $9,696 – $22,851 · median $9,745 | 10 plans |
| 639 | DIABETES WITHOUT CC/MCC | $6,658 – $15,611 · median $6,691 | 10 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $13,991 – $33,086 · median $14,061 | 10 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $8,276 – $19,468 · median $8,318 | 10 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,082 – $30,921 · median $13,148 | 10 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $17,433 – $41,290 · median $17,520 | 10 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $10,911 – $25,746 · median $10,965 | 10 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,248 – $19,401 · median $8,290 | 10 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $48,273 – $114,788 · median $48,514 | 10 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $36,409 – $86,515 · median $36,592 | 10 plans |
| 652 | KIDNEY TRANSPLANT | $32,216 – $76,522 · median $32,377 | 10 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $58,385 – $138,887 · median $58,677 | 10 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $29,610 – $70,311 · median $29,758 | 10 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $21,824 – $51,754 · median $21,933 | 10 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $34,167 – $81,171 · median $34,338 | 10 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $19,219 – $45,546 · median $19,315 | 10 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $15,831 – $37,471 · median $15,910 | 10 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $27,124 – $64,386 · median $27,260 | 10 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $14,116 – $33,385 · median $14,187 | 10 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $10,840 – $25,577 · median $10,894 | 10 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $32,720 – $77,723 · median $32,884 | 10 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $16,075 – $38,054 · median $16,156 | 10 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $11,396 – $26,902 · median $11,453 | 10 plans |
| 665 | PROSTATECTOMY WITH MCC | $36,003 – $85,546 · median $36,183 | 10 plans |
| 666 | PROSTATECTOMY WITH CC | $17,329 – $41,041 · median $17,415 | 10 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,852 – $25,607 · median $10,907 | 10 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $30,595 – $72,658 · median $30,748 | 10 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $16,285 – $38,555 · median $16,367 | 10 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $10,099 – $23,811 · median $10,149 | 10 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $18,127 – $42,945 · median $18,218 | 10 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $11,549 – $27,266 · median $11,606 | 10 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $43,906 – $104,381 · median $44,126 | 10 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $24,240 – $57,512 · median $24,361 | 10 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $16,471 – $38,998 · median $16,554 | 10 plans |
| 682 | RENAL FAILURE WITH MCC | $15,809 – $37,419 · median $15,888 | 10 plans |
| 683 | RENAL FAILURE WITH CC | $9,400 – $22,146 · median $9,447 | 10 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $6,457 – $15,133 · median $6,490 | 10 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $19,821 – $46,981 · median $19,920 | 10 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $11,113 – $26,227 · median $11,168 | 10 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,679 – $18,043 · median $7,717 | 10 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $12,342 – $29,157 · median $12,404 | 10 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $8,498 – $19,996 · median $8,541 | 10 plans |
| 693 | URINARY STONES WITH MCC | $15,479 – $36,634 · median $15,557 | 10 plans |
| 694 | URINARY STONES WITHOUT MCC | $8,276 – $19,468 · median $8,318 | 10 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $11,898 – $28,098 · median $11,957 | 10 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $7,340 – $17,236 · median $7,377 | 10 plans |
| 697 | URETHRAL STRICTURE | $10,581 – $24,959 · median $10,633 | 10 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $17,680 – $41,878 · median $17,768 | 10 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $10,770 – $25,410 · median $10,824 | 10 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,365 – $17,295 · median $7,402 | 10 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,395 – $48,349 · median $20,497 | 10 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $15,606 – $36,935 · median $15,684 | 10 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $23,599 – $55,985 · median $23,717 | 10 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $15,803 – $37,406 · median $15,882 | 10 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,081 – $47,601 · median $20,182 | 10 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $11,289 – $26,648 · median $11,346 | 10 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $15,224 – $36,026 · median $15,300 | 10 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,931 – $23,412 · median $9,981 | 10 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $23,716 – $56,264 · median $23,835 | 10 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $14,945 – $35,361 · median $15,020 | 10 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $19,505 – $46,228 · median $19,603 | 10 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,986 – $30,692 · median $13,051 | 10 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $18,182 – $43,074 · median $18,273 | 10 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $11,847 – $27,976 · median $11,906 | 10 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,725 – $18,153 · median $7,763 | 10 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $13,307 – $31,457 · median $13,374 | 10 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,890 – $18,546 · median $7,929 | 10 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $15,469 – $36,609 · median $15,546 | 10 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $8,650 – $20,357 · median $8,693 | 10 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $11,617 – $27,428 · median $11,675 | 10 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,452 – $15,120 · median $6,485 | 10 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $22,091 – $52,390 · median $22,201 | 10 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,798 – $30,243 · median $12,862 | 10 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $41,272 – $98,102 · median $41,478 | 10 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,999 – $49,789 · median $21,104 | 10 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $15,965 – $37,792 · median $16,045 | 10 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $41,724 – $99,181 · median $41,933 | 10 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $19,116 – $45,302 · median $19,212 | 10 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,467 – $34,222 · median $14,540 | 10 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $19,204 – $45,511 · median $19,300 | 10 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $12,639 – $29,865 · median $12,702 | 10 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,535 – $48,683 · median $20,638 | 10 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,821 – $25,532 · median $10,875 | 10 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $17,614 – $41,721 · median $17,702 | 10 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,093 – $23,798 · median $10,144 | 10 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $14,349 – $33,941 · median $14,421 | 10 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $27,169 – $64,493 · median $27,305 | 10 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,588 – $32,127 · median $13,656 | 10 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $19,022 – $45,077 · median $19,117 | 10 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,713 – $27,657 · median $11,771 | 10 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $10,091 – $23,793 · median $10,142 | 10 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,903 – $35,261 · median $14,978 | 10 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,764 – $25,395 · median $10,817 | 10 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,798 – $15,945 · median $6,832 | 10 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $10,411 – $24,556 · median $10,463 | 10 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,735 – $15,793 · median $6,768 | 10 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $14,634 – $34,618 · median $14,707 | 10 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,356 – $26,808 · median $11,413 | 10 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,567 – $17,776 · median $7,604 | 10 plans |
| 779 | ABORTION WITHOUT D&C | $9,880 – $23,290 · median $9,930 | 10 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,952 – $44,910 · median $19,047 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $62,255 – $148,110 · median $62,566 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $42,550 – $101,149 · median $42,763 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $25,717 – $61,033 · median $25,846 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $43,706 – $103,905 · median $43,925 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $15,540 – $36,778 · median $15,618 | 10 plans |
| 795 | NORMAL NEWBORN | $2,392 – $4,978 · median $2,404 | 10 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $49,815 – $118,462 · median $50,064 | 10 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $30,569 – $72,595 · median $30,722 | 10 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,270 – $40,902 · median $17,356 | 10 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,583 – $89,313 · median $37,771 | 10 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $18,716 – $44,347 · median $18,810 | 10 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,666 – $27,545 · median $11,724 | 10 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $13,055 – $30,856 · median $13,120 | 10 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $10,058 – $23,713 · median $10,108 | 10 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $14,816 – $35,052 · median $14,890 | 10 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $9,756 – $22,993 · median $9,805 | 10 plans |
| 813 | COAGULATION DISORDERS | $16,291 – $38,567 · median $16,372 | 10 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $21,962 – $52,083 · median $22,072 | 10 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $10,730 – $25,315 · median $10,784 | 10 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,001 – $16,428 · median $7,036 | 10 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $26,610 – $63,160 · median $26,743 | 10 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $13,573 – $32,090 · median $13,640 | 10 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,643 – $20,343 · median $8,687 | 10 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $60,975 – $145,058 · median $61,279 | 10 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $23,445 – $55,619 · median $23,563 | 10 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,064 – $28,494 · median $12,124 | 10 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $49,028 – $116,586 · median $49,273 | 10 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $23,100 – $54,796 · median $23,216 | 10 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,975 – $30,665 · median $13,039 | 10 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $50,031 – $118,978 · median $50,281 | 10 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,778 – $58,795 · median $24,902 | 10 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,865 – $39,935 · median $16,949 | 10 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $32,346 – $76,831 · median $32,508 | 10 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $15,397 – $36,437 · median $15,474 | 10 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,140 – $28,676 · median $12,201 | 10 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,921 – $18,621 · median $7,961 | 10 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,542 – $12,950 · median $5,569 | 10 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $57,891 – $137,709 · median $58,180 | 10 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $22,437 – $53,214 · median $22,549 | 10 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,392 – $31,659 · median $13,459 | 10 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $52,453 – $124,751 · median $52,716 | 10 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $21,311 – $50,531 · median $21,417 | 10 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $14,434 – $34,143 · median $14,506 | 10 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,446 – $79,452 · median $33,613 | 10 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $16,500 – $39,066 · median $16,582 | 10 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,104 – $26,207 · median $11,160 | 10 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $19,900 – $47,170 · median $20,000 | 10 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $12,602 – $29,778 · median $12,665 | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $8,856 – $20,848 · median $8,900 | 10 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $26,805 – $63,626 · median $26,939 | 10 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $13,392 – $31,659 · median $13,459 | 10 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,669 – $20,402 · median $8,712 | 10 plans |
| 849 | RADIOTHERAPY | $28,032 – $66,549 · median $28,172 | 10 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $96,410 – $229,508 · median $96,892 | 10 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $52,392 – $124,604 · median $52,654 | 10 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,996 – $49,781 · median $21,101 | 10 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,102 – $40,501 · median $17,187 | 10 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $47,272 – $112,403 · median $47,509 | 10 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $22,886 – $54,286 · median $23,001 | 10 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,577 – $32,100 · median $13,645 | 10 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,330 – $45,810 · median $19,426 | 10 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,561 – $24,912 · median $10,614 | 10 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $9,495 – $22,373 · median $9,543 | 10 plans |
| 865 | VIRAL ILLNESS WITH MCC | $15,537 – $36,771 · median $15,615 | 10 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,357 – $22,044 · median $9,404 | 10 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $22,524 – $53,424 · median $22,637 | 10 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $11,086 – $26,162 · median $11,141 | 10 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $7,630 – $17,928 · median $7,669 | 10 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $72,832 – $173,316 · median $73,196 | 10 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,620 – $48,884 · median $20,723 | 10 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $10,886 – $25,687 · median $10,940 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $41,188 – $97,903 · median $41,394 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $10,129 – $23,883 · median $10,180 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $9,664 – $22,774 · median $9,712 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $10,165 – $23,968 · median $10,215 | 10 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $19,489 – $46,189 · median $19,586 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $17,568 – $41,612 · median $17,656 | 10 plans |
| 885 | PSYCHOSES | $14,844 – $35,119 · median $14,918 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $18,888 – $44,759 · median $18,983 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,542 – $29,633 · median $12,604 | 10 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $6,632 – $15,549 · median $6,665 | 10 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $15,244 – $36,073 · median $15,320 | 10 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,724 – $44,367 · median $18,818 | 10 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $9,330 – $21,979 · median $9,377 | 10 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $46,425 – $110,383 · median $46,657 | 10 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $19,945 – $47,277 · median $20,045 | 10 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $12,852 – $30,373 · median $12,917 | 10 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $40,472 – $96,197 · median $40,674 | 10 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,338 – $41,064 · median $17,425 | 10 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $22,924 – $54,375 · median $23,038 | 10 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $41,754 – $99,251 · median $41,962 | 10 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $21,195 – $50,255 · median $21,301 | 10 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $13,367 – $31,599 · median $13,433 | 10 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $17,026 – $40,319 · median $17,111 | 10 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $9,688 – $22,831 · median $9,736 | 10 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $18,276 – $43,299 · median $18,367 | 10 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $7,050 – $16,546 · median $7,085 | 10 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $17,249 – $40,852 · median $17,335 | 10 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,355 – $22,039 · median $9,402 | 10 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $19,172 – $45,434 · median $19,268 | 10 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $10,728 – $25,310 · median $10,782 | 10 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,297 – $17,134 · median $7,333 | 10 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $17,769 – $42,090 · median $17,858 | 10 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $10,770 – $25,410 · median $10,824 | 10 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $248,108 – $591,036 · median $249,348 | 10 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $69,929 – $166,400 · median $70,279 | 10 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $33,356 – $79,237 · median $33,523 | 10 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $45,341 – $107,802 · median $45,568 | 10 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $22,540 – $53,461 · median $22,653 | 10 plans |
| 935 | NON-EXTENSIVE BURNS | $23,069 – $54,722 · median $23,184 | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,289 – $79,078 · median $33,455 | 10 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $22,180 – $52,604 · median $22,291 | 10 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,538 – $48,690 · median $20,641 | 10 plans |
| 945 | REHABILITATION WITH CC/MCC | $16,066 – $38,032 · median $16,146 | 10 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $11,780 – $27,817 · median $11,839 | 10 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $13,554 – $32,045 · median $13,621 | 10 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $8,413 – $19,794 · median $8,456 | 10 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,388 – $26,883 · median $11,445 | 10 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,235 – $14,602 · median $6,266 | 10 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,035 – $14,126 · median $6,065 | 10 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $71,491 – $170,122 · median $71,849 | 10 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $40,067 – $95,232 · median $40,268 | 10 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $78,139 – $185,965 · median $78,530 | 10 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $43,072 – $102,393 · median $43,287 | 10 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,747 – $65,871 · median $27,886 | 10 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $28,508 – $67,685 · median $28,651 | 10 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $15,790 – $37,374 · median $15,869 | 10 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $9,648 – $22,737 · median $9,696 | 10 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $66,222 – $157,565 · median $66,554 | 10 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $27,846 – $66,105 · median $27,985 | 10 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $31,326 – $74,399 · median $31,482 | 10 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $14,967 – $35,413 · median $15,042 | 10 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,593 – $24,989 · median $10,646 | 10 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,181 – $35,924 · median $15,257 | 10 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $49,805 – $118,440 · median $50,054 | 10 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $25,702 – $60,998 · median $25,831 | 10 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $17,547 – $41,562 · median $17,635 | 10 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $36,725 – $87,267 · median $36,909 | 10 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,047 – $42,753 · median $18,137 | 10 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $2,122 – $28,788 · median $2,133 | 10 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $11,568 – $12,031 · median $11,568 | 8 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $19,365 – $20,140 · median $19,365 | 8 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $11,429 – $11,887 · median $11,429 | 8 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,239 – $9,609 · median $9,239 | 8 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $17,000 – $17,680 · median $17,000 | 8 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $11,208 – $11,656 · median $11,208 | 8 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,565 – $9,948 · median $9,565 | 8 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $13,453 – $13,991 · median $13,453 | 8 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $10,229 – $10,638 · median $10,229 | 8 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $10,229 – $10,638 · median $10,229 | 8 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $10,541 – $10,962 · median $10,541 | 8 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $7,672 – $7,979 · median $7,672 | 8 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $6,770 – $7,041 · median $6,770 | 8 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,051 – $25,013 · median $24,051 | 8 plans |
No procedures match that keyword.