MaineHealth Mid Coast Hospital — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 771 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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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 | $198,572 – $508,792 · median $199,565 | 6 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $78,193 – $199,044 · median $78,584 | 6 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $151,282 – $387,110 · median $152,038 | 6 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $100,026 – $255,224 · median $100,527 | 6 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $75,593 – $192,356 · median $75,971 | 6 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,877 – $87,589 · median $35,052 | 6 plans |
| 007 | LUNG TRANSPLANT | $92,577 – $236,056 · median $93,040 | 6 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,032 – $98,280 · median $39,227 | 6 plans |
| 010 | PANCREAS TRANSPLANT | $56,806 – $144,013 · median $57,090 | 6 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,715 – $97,464 · median $38,909 | 6 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,644 – $74,123 · median $29,792 | 6 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,439 – $47,866 · median $19,537 | 6 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $92,809 – $236,652 · median $93,273 | 6 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,208 – $109,024 · median $43,424 | 6 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $43,208 – $109,024 · median $43,424 | 6 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $265,572 – $681,190 · median $266,900 | 6 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $56,485 – $143,187 · median $56,767 | 6 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,424 – $145,604 · median $57,711 | 6 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,637 – $99,837 · median $39,836 | 6 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,620 – $63,768 · median $25,748 | 6 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,886 – $103,049 · median $41,090 | 6 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,524 – $68,668 · median $27,662 | 6 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,232 – $80,781 · median $32,393 | 6 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,308 – $55,246 · median $22,419 | 6 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $18,160 – $44,575 · median $18,251 | 6 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,514 – $109,811 · median $43,731 | 6 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,400 – $60,631 · median $24,522 | 6 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $16,459 – $40,196 · median $16,541 | 6 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $30,254 – $75,693 · median $30,405 | 6 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,828 – $38,574 · median $15,908 | 6 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,037 – $28,819 · median $12,097 | 6 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,135 – $70,240 · median $28,275 | 6 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,806 – $41,089 · median $16,890 | 6 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,705 – $33,111 · median $13,773 | 6 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,149 – $59,984 · median $24,270 | 6 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,148 – $29,104 · median $12,209 | 6 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,827 – $20,559 · median $8,871 | 6 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,316 – $68,134 · median $27,453 | 6 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,689 – $40,789 · median $16,773 | 6 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,175 – $31,747 · median $13,241 | 6 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,964 – $36,351 · median $15,039 | 6 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,305 – $16,643 · median $7,342 | 6 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,360 – $27,078 · median $11,417 | 6 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,496 – $19,706 · median $8,538 | 6 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,415 – $45,230 · median $18,507 | 6 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,204 – $24,103 · median $10,255 | 6 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,795 – $33,342 · median $13,864 | 6 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,426 – $22,101 · median $9,474 | 6 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,101 – $16,119 · median $7,137 | 6 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,814 – $48,830 · median $19,913 | 6 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $13,339 – $32,168 · median $13,405 | 6 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,698 – $25,374 · median $10,752 | 6 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,801 – $35,930 · median $14,875 | 6 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,975 – $18,368 · median $8,015 | 6 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,669 – $12,432 · median $5,697 | 6 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,050 – $26,279 · median $11,105 | 6 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,025 – $15,922 · median $7,060 | 6 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,454 – $14,452 · median $6,486 | 6 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,043 – $31,407 · median $13,108 | 6 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,235 – $19,036 · median $8,276 | 6 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,103 – $13,551 · median $6,134 | 6 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,687 – $27,918 · median $11,745 | 6 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,154 – $18,828 · median $8,195 | 6 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,928 – $31,111 · median $12,993 | 6 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,273 – $16,562 · median $7,310 | 6 plans |
| 077 | DRG | $11,692 – $27,930 · median $11,750 | 6 plans |
| 078 | DRG | $7,842 – $18,025 · median $7,881 | 6 plans |
| 079 | DRG | $5,517 – $12,042 · median $5,545 | 6 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,791 – $35,905 · median $14,865 | 6 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,189 – $16,343 · median $7,224 | 6 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,124 – $41,909 · median $17,210 | 6 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,597 – $25,114 · median $10,650 | 6 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,549 – $17,270 · median $7,586 | 6 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,744 – $40,930 · median $16,828 | 6 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,044 – $23,691 · median $10,094 | 6 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $7,042 – $15,967 · median $7,078 | 6 plans |
| 088 | CONCUSSION WITH MCC | $10,740 – $25,481 · median $10,794 | 6 plans |
| 089 | CONCUSSION WITH CC | $8,363 – $19,365 · median $8,405 | 6 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,855 – $15,485 · median $6,889 | 6 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,633 – $32,926 · median $13,702 | 6 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,269 – $19,123 · median $8,310 | 6 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,378 – $14,257 · median $6,410 | 6 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,450 – $65,905 · median $26,582 | 6 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,665 – $43,300 · median $17,753 | 6 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $17,665 – $43,300 · median $17,753 | 6 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,000 – $64,747 · median $26,130 | 6 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,065 – $39,183 · median $16,145 | 6 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,618 – $25,167 · median $10,671 | 6 plans |
| 100 | SEIZURES WITH MCC | $14,773 – $35,860 · median $14,847 | 6 plans |
| 101 | SEIZURES WITHOUT MCC | $7,307 – $16,648 · median $7,344 | 6 plans |
| 102 | HEADACHES WITH MCC | $8,976 – $20,944 · median $9,021 | 6 plans |
| 103 | HEADACHES WITHOUT MCC | $6,805 – $15,357 · median $6,839 | 6 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,678 – $40,760 · median $16,761 | 6 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,135 – $21,352 · median $9,181 | 6 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,584 – $27,654 · median $11,642 | 6 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $12,550 – $30,139 · median $12,613 | 6 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $8,409 – $19,482 · median $8,451 | 6 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,002 – $21,010 · median $9,047 | 6 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,599 – $12,252 · median $5,627 | 6 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,475 – $14,508 · median $6,508 | 6 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,990 – $23,552 · median $10,040 | 6 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,633 – $14,914 · median $6,666 | 6 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,762 – $43,551 · median $17,851 | 6 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $7,704 – $17,669 · median $7,742 | 6 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,655 – $25,262 · median $10,708 | 6 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,548 – $14,694 · median $6,580 | 6 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,475 – $24,800 · median $10,528 | 6 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,525 – $76,390 · median $30,678 | 6 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,919 – $38,807 · median $15,999 | 6 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,875 – $28,402 · median $11,934 | 6 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,016 – $59,641 · median $24,136 | 6 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,169 – $31,731 · median $13,234 | 6 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,154 – $21,401 · median $9,200 | 6 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $16,941 – $41,437 · median $17,026 | 6 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,575 – $22,484 · median $9,623 | 6 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,458 – $14,463 · median $6,490 | 6 plans |
| 149 | DYSEQUILIBRIUM | $6,084 – $13,502 · median $6,115 | 6 plans |
| 150 | EPISTAXIS WITH MCC | $10,540 – $24,966 · median $10,592 | 6 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,158 – $13,691 · median $6,189 | 6 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $8,803 – $20,497 · median $8,847 | 6 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,833 – $12,855 · median $5,862 | 6 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $12,253 – $29,375 · median $12,315 | 6 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,391 – $16,863 · median $7,428 | 6 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,557 – $12,145 · median $5,585 | 6 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,332 – $29,577 · median $12,394 | 6 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,440 – $16,990 · median $7,477 | 6 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,467 – $11,914 · median $5,495 | 6 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,193 – $83,254 · median $33,359 | 6 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,506 – $45,463 · median $18,598 | 6 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $13,922 – $33,669 · median $13,991 | 6 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $27,865 – $69,546 · median $28,005 | 6 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,664 – $33,004 · median $13,732 | 6 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,341 – $24,455 · median $10,393 | 6 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,378 – $55,427 · median $22,490 | 6 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,729 – $25,452 · median $10,782 | 6 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,555 – $14,712 · median $6,587 | 6 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,184 – $29,198 · median $12,245 | 6 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,801 – $17,920 · median $7,840 | 6 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,240 – $13,903 · median $6,271 | 6 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,106 – $31,570 · median $13,172 | 6 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,631 – $20,055 · median $8,674 | 6 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,716 – $15,127 · median $6,750 | 6 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,979 – $28,671 · median $12,039 | 6 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,335 – $19,293 · median $8,377 | 6 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,296 – $14,047 · median $6,328 | 6 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,928 – $28,539 · median $11,988 | 6 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,885 – $18,135 · median $7,924 | 6 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,991 – $13,262 · median $6,021 | 6 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,523 – $22,351 · median $9,571 | 6 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,720 – $20,284 · median $8,764 | 6 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,868 – $15,518 · median $6,902 | 6 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,380 – $11,690 · median $5,407 | 6 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,087 – $23,801 · median $10,137 | 6 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,593 – $14,811 · median $6,626 | 6 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,208 – $11,248 · median $5,234 | 6 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,063 – $34,032 · median $14,133 | 6 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,787 – $17,882 · median $7,826 | 6 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,754 – $12,651 · median $5,782 | 6 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,229 – $31,886 · median $13,295 | 6 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,611 – $20,004 · median $8,654 | 6 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,590 – $12,230 · median $5,618 | 6 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,623 – $17,461 · median $7,661 | 6 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,727 – $12,582 · median $5,756 | 6 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,530 – $14,649 · median $6,563 | 6 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,089 – $34,099 · median $14,159 | 6 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,196 – $16,361 · median $7,231 | 6 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $46,235 – $116,814 · median $46,466 | 6 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,677 – $48,476 · median $19,775 | 6 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,310 – $196,772 · median $77,696 | 6 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $75,210 – $191,369 · median $75,586 | 6 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $68,586 – $174,324 · median $68,928 | 6 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,170 – $116,646 · median $46,401 | 6 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $42,600 – $107,460 · median $42,813 | 6 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,153 – $139,759 · median $55,428 | 6 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,019 – $95,672 · median $38,209 | 6 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,076 – $82,954 · median $33,241 | 6 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,819 – $90,011 · median $35,998 | 6 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,643 – $56,108 · median $22,756 | 6 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $60,322 – $153,060 · median $60,623 | 6 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,719 – $110,339 · median $43,937 | 6 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,706 – $141,184 · median $55,985 | 6 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,184 – $96,096 · median $38,375 | 6 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,143 – $106,284 · median $42,353 | 6 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,703 – $74,275 · median $29,852 | 6 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,195 – $90,979 · median $36,376 | 6 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,280 – $52,602 · median $21,386 | 6 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,436 – $27,273 · median $11,493 | 6 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,648 – $61,268 · median $24,771 | 6 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,651 – $40,691 · median $16,734 | 6 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,506 – $32,598 · median $13,573 | 6 plans |
| 245 | AICD GENERATOR PROCEDURES | $35,141 – $88,268 · median $35,317 | 6 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,071 – $41,772 · median $17,156 | 6 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,806 – $28,225 · median $11,865 | 6 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,918 – $61,962 · median $25,042 | 6 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,758 – $46,114 · median $18,852 | 6 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,117 – $31,599 · median $13,183 | 6 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $19,204 – $47,261 · median $19,300 | 6 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,726 – $30,593 · median $12,790 | 6 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,098 – $16,110 · median $7,133 | 6 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $20,531 – $50,675 · median $20,634 | 6 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,176 – $31,749 · median $13,242 | 6 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,748 – $61,525 · median $24,871 | 6 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,158 – $34,276 · median $14,229 | 6 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $11,492 – $27,415 · median $11,549 | 6 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,665 – $48,446 · median $19,763 | 6 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,372 – $63,130 · median $25,499 | 6 plans |
| 265 | AICD LEAD PROCEDURES | $25,878 – $64,433 · median $26,007 | 6 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,891 – $108,209 · median $43,106 | 6 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,863 – $84,979 · median $34,032 | 6 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $47,642 – $120,434 · median $47,880 | 6 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,044 – $75,153 · median $30,194 | 6 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,870 – $92,715 · median $37,054 | 6 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,016 – $62,215 · median $25,141 | 6 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,402 – $45,196 · median $18,494 | 6 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $28,286 – $70,630 · median $28,428 | 6 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,746 – $56,373 · median $22,859 | 6 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,446 – $127,648 · median $50,698 | 6 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,320 – $111,887 · median $44,542 | 6 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $33,492 – $84,025 · median $33,660 | 6 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $35,959 – $90,372 · median $36,139 | 6 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,331 – $57,880 · median $23,448 | 6 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $12,359 – $29,648 · median $12,421 | 6 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $7,308 – $16,650 · median $7,344 | 6 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $5,927 – $13,097 · median $5,957 | 6 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $14,563 – $35,320 · median $14,636 | 6 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,039 – $13,384 · median $6,069 | 6 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,778 – $10,140 · median $4,802 | 6 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $16,374 – $39,978 · median $16,456 | 6 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,486 – $19,683 · median $8,529 | 6 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,012 – $49,338 · median $20,112 | 6 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,905 – $28,479 · median $11,965 | 6 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,709 – $17,683 · median $7,748 | 6 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,996 – $23,568 · median $10,046 | 6 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,882 – $15,555 · median $6,917 | 6 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,689 – $9,911 · median $4,712 | 6 plans |
| 294 | DRG | $9,457 – $22,181 · median $9,505 | 6 plans |
| 295 | DRG | $6,381 – $14,266 · median $6,413 | 6 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $12,338 – $29,594 · median $12,400 | 6 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,782 – $12,723 · median $5,811 | 6 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,938 – $7,978 · median $3,957 | 6 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $12,192 – $29,218 · median $12,253 | 6 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,352 – $19,338 · median $8,394 | 6 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,845 – $12,886 · median $5,874 | 6 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $9,003 – $21,012 · median $9,048 | 6 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,557 – $12,145 · median $5,585 | 6 plans |
| 304 | HYPERTENSION WITH MCC | $9,084 – $21,220 · median $9,129 | 6 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,107 – $13,560 · median $6,137 | 6 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,348 – $27,047 · median $11,405 | 6 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,340 – $16,733 · median $7,377 | 6 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,302 – $21,782 · median $9,349 | 6 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,027 – $13,354 · median $6,057 | 6 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,765 – $10,106 · median $4,788 | 6 plans |
| 311 | ANGINA PECTORIS | $5,739 – $12,613 · median $5,768 | 6 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,953 – $15,738 · median $6,988 | 6 plans |
| 313 | CHEST PAIN | $5,845 – $12,886 · median $5,874 | 6 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,954 – $38,898 · median $16,034 | 6 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,592 – $17,382 · median $7,630 | 6 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,629 – $12,331 · median $5,658 | 6 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,264 – $111,742 · median $44,485 | 6 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,673 – $79,345 · median $31,832 | 6 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,086 – $41,811 · median $17,172 | 6 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,821 – $51,421 · median $20,925 | 6 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,537 – $32,679 · median $13,605 | 6 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,737 – $76,936 · median $30,891 | 6 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,266 – $57,712 · median $23,382 | 6 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,928 – $51,697 · median $21,033 | 6 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,490 – $91,740 · median $36,673 | 6 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $17,882 – $43,858 · median $17,971 | 6 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,023 – $28,783 · median $12,083 | 6 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $33,071 – $82,942 · median $33,236 | 6 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,430 – $42,695 · median $17,517 | 6 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,427 – $29,821 · median $12,489 | 6 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,186 – $62,654 · median $25,312 | 6 plans |
| 333 | RECTAL RESECTION WITH CC | $15,756 – $38,388 · median $15,835 | 6 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,480 – $29,959 · median $12,542 | 6 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,272 – $65,448 · median $26,404 | 6 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,665 – $38,154 · median $15,743 | 6 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,613 – $27,728 · median $11,671 | 6 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,752 – $48,670 · median $19,851 | 6 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,287 – $26,890 · median $11,344 | 6 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,579 – $22,493 · median $9,627 | 6 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,451 – $42,750 · median $17,539 | 6 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,674 – $22,739 · median $9,723 | 6 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,021 – $15,911 · median $7,056 | 6 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,816 – $43,688 · median $17,905 | 6 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,398 – $27,175 · median $11,455 | 6 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,577 – $19,916 · median $8,620 | 6 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,426 – $52,978 · median $21,533 | 6 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,778 – $30,726 · median $12,842 | 6 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,196 – $24,081 · median $10,247 | 6 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $30,781 – $77,050 · median $30,935 | 6 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,646 – $40,677 · median $16,729 | 6 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,350 – $24,477 · median $10,401 | 6 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,560 – $30,164 · median $12,623 | 6 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,980 – $18,380 · median $8,020 | 6 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,737 – $12,608 · median $5,766 | 6 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,108 – $31,573 · median $13,173 | 6 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,062 – $18,592 · median $8,103 | 6 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,929 – $13,103 · median $5,959 | 6 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,659 – $38,137 · median $15,737 | 6 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,462 – $22,193 · median $9,510 | 6 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,035 – $15,949 · median $7,071 | 6 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,600 – $32,841 · median $13,668 | 6 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,758 – $17,808 · median $7,797 | 6 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,307 – $11,500 · median $5,333 | 6 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,345 – $34,758 · median $14,417 | 6 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,482 – $19,672 · median $8,525 | 6 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,097 – $13,534 · median $6,127 | 6 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,711 – $22,835 · median $9,760 | 6 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,941 – $15,707 · median $6,976 | 6 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,243 – $29,348 · median $12,304 | 6 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,804 – $17,927 · median $7,843 | 6 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,542 – $12,107 · median $5,570 | 6 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,155 – $26,550 · median $11,211 | 6 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,464 – $14,479 · median $6,496 | 6 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,678 – $9,884 · median $4,702 | 6 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,854 – $23,201 · median $9,903 | 6 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,315 – $14,094 · median $6,346 | 6 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,462 – $29,912 · median $12,524 | 6 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,445 – $17,002 · median $7,482 | 6 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,304 – $11,495 · median $5,331 | 6 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,231 – $44,755 · median $18,322 | 6 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $11,459 – $27,332 · median $11,517 | 6 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $8,726 – $20,299 · median $8,769 | 6 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,300 – $70,664 · median $28,441 | 6 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,945 – $98,056 · median $39,140 | 6 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,551 – $50,727 · median $20,654 | 6 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,830 – $38,578 · median $15,909 | 6 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,415 – $63,242 · median $25,542 | 6 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $15,554 – $37,868 · median $15,632 | 6 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,725 – $28,017 · median $11,784 | 6 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,046 – $49,426 · median $20,146 | 6 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,800 – $38,502 · median $15,879 | 6 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $12,507 – $30,029 · median $12,570 | 6 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,433 – $63,288 · median $25,560 | 6 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,723 – $35,730 · median $14,796 | 6 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,456 – $24,749 · median $10,508 | 6 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,520 – $42,926 · median $17,607 | 6 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,479 – $29,955 · median $12,541 | 6 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,086 – $23,799 · median $10,137 | 6 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,613 – $63,752 · median $25,741 | 6 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,333 – $29,579 · median $12,394 | 6 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,152 – $26,541 · median $11,208 | 6 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,389 – $73,468 · median $29,536 | 6 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,865 – $41,242 · median $16,950 | 6 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $11,688 – $27,921 · median $11,747 | 6 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $74,372 – $189,213 · median $74,744 | 6 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $50,696 – $128,293 · median $50,950 | 6 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,475 – $99,418 · median $39,672 | 6 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,386 – $150,653 · median $59,683 | 6 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $39,239 – $98,811 · median $39,435 | 6 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,589 – $35,386 · median $14,662 | 6 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,347 – $19,323 · median $8,388 | 6 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,726 – $12,581 · median $5,755 | 6 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,645 – $32,957 · median $13,714 | 6 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,753 – $20,369 · median $8,797 | 6 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,349 – $14,183 · median $6,381 | 6 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,516 – $30,051 · median $12,578 | 6 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,875 – $15,537 · median $6,910 | 6 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,155 – $11,110 · median $5,181 | 6 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,107 – $34,145 · median $14,178 | 6 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,620 – $17,452 · median $7,658 | 6 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,770 – $12,693 · median $5,799 | 6 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,661 – $30,425 · median $12,724 | 6 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,450 – $19,589 · median $8,492 | 6 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,434 – $14,401 · median $6,466 | 6 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,902 – $121,104 · median $48,142 | 6 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,502 – $73,759 · median $29,650 | 6 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $36,990 – $93,024 · median $37,174 | 6 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,500 – $55,741 · median $22,613 | 6 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,289 – $152,976 · median $60,590 | 6 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $41,126 – $103,668 · median $41,332 | 6 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,148 – $77,994 · median $31,304 | 6 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,915 – $110,845 · median $44,135 | 6 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,940 – $51,728 · median $21,045 | 6 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $38,751 – $97,556 · median $38,945 | 6 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,536 – $53,259 · median $21,643 | 6 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,024 – $31,358 · median $13,089 | 6 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,600 – $92,022 · median $36,783 | 6 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,881 – $61,868 · median $25,006 | 6 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,252 – $47,384 · median $19,348 | 6 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,783 – $59,041 · median $23,901 | 6 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,073 – $34,057 · median $14,143 | 6 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,934 – $87,735 · median $35,109 | 6 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,175 – $52,331 · median $21,281 | 6 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $17,456 – $42,761 · median $17,543 | 6 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,319 – $81,005 · median $32,480 | 6 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,981 – $38,966 · median $16,061 | 6 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,002 – $21,009 · median $9,047 | 6 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,978 – $62,117 · median $25,103 | 6 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,253 – $42,241 · median $17,340 | 6 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,303 – $32,076 · median $13,369 | 6 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,482 – $53,122 · median $21,590 | 6 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,402 – $37,478 · median $15,479 | 6 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,973 – $28,654 · median $12,033 | 6 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $18,725 – $46,027 · median $18,818 | 6 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $23,436 – $58,149 · median $23,553 | 6 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $15,725 – $38,309 · median $15,804 | 6 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,930 – $28,542 · median $11,989 | 6 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,634 – $35,500 · median $14,707 | 6 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,530 – $22,369 · median $9,578 | 6 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $25,766 – $64,144 · median $25,894 | 6 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $17,691 – $43,368 · median $17,780 | 6 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $14,072 – $34,055 · median $14,142 | 6 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,551 – $63,591 · median $25,679 | 6 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,687 – $35,637 · median $14,760 | 6 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,262 – $24,251 · median $10,313 | 6 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,561 – $45,606 · median $18,654 | 6 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,986 – $20,967 · median $9,030 | 6 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,081 – $57,235 · median $23,196 | 6 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,365 – $32,236 · median $13,432 | 6 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,645 – $25,237 · median $10,698 | 6 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,416 – $47,804 · median $19,513 | 6 plans |
| 504 | FOOT PROCEDURES WITH CC | $13,157 – $31,700 · median $13,222 | 6 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $13,157 – $31,700 · median $13,222 | 6 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,360 – $27,078 · median $11,417 | 6 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,443 – $35,009 · median $14,515 | 6 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,897 – $23,312 · median $9,946 | 6 plans |
| 509 | DRG | $13,169 – $31,731 · median $13,234 | 6 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,900 – $51,625 · median $21,005 | 6 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,604 – $35,424 · median $14,677 | 6 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $12,123 – $29,041 · median $12,184 | 6 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $11,406 – $27,195 · median $11,463 | 6 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $7,994 – $18,417 · median $8,034 | 6 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,545 – $55,857 · median $22,658 | 6 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $14,959 – $36,336 · median $15,033 | 6 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,315 – $26,962 · median $11,372 | 6 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $25,996 – $64,736 · median $26,126 | 6 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,679 – $35,618 · median $14,753 | 6 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,898 – $25,887 · median $10,952 | 6 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,298 – $52,647 · median $21,404 | 6 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,635 – $38,078 · median $15,714 | 6 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $11,541 – $27,544 · median $11,599 | 6 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,551 – $14,703 · median $6,584 | 6 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,173 – $24,021 · median $10,223 | 6 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,529 – $14,647 · median $6,562 | 6 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $7,288 – $16,600 · median $7,325 | 6 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $5,551 – $12,129 · median $5,579 | 6 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,034 – $36,530 · median $15,109 | 6 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,921 – $23,375 · median $9,971 | 6 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,979 – $15,803 · median $7,014 | 6 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,930 – $33,689 · median $13,999 | 6 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,284 – $19,163 · median $8,326 | 6 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,142 – $13,650 · median $6,173 | 6 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,575 – $45,642 · median $18,668 | 6 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,964 – $20,911 · median $9,009 | 6 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,075 – $13,478 · median $6,106 | 6 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,979 – $36,389 · median $15,054 | 6 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,297 – $21,767 · median $9,343 | 6 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,889 – $15,572 · median $6,923 | 6 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,816 – $30,822 · median $12,880 | 6 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,603 – $17,409 · median $7,641 | 6 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,005 – $23,590 · median $10,055 | 6 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,696 – $15,075 · median $6,729 | 6 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,290 – $24,323 · median $10,341 | 6 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,569 – $14,748 · median $6,601 | 6 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $11,716 – $27,992 · median $11,774 | 6 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $6,901 – $15,602 · median $6,935 | 6 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,868 – $33,530 · median $13,937 | 6 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,830 – $20,568 · median $8,875 | 6 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,576 – $14,768 · median $6,609 | 6 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $11,110 – $26,435 · median $11,166 | 6 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,111 – $16,144 · median $7,147 | 6 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,852 – $28,344 · median $11,912 | 6 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,995 – $18,418 · median $8,035 | 6 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,089 – $13,513 · median $6,119 | 6 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,968 – $54,372 · median $22,078 | 6 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,590 – $30,242 · median $12,653 | 6 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,856 – $20,635 · median $8,901 | 6 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,066 – $111,233 · median $44,287 | 6 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,160 – $62,585 · median $25,286 | 6 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,853 – $36,066 · median $14,928 | 6 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,711 – $97,453 · median $38,904 | 6 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,529 – $48,097 · median $19,627 | 6 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,703 – $30,533 · median $12,767 | 6 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $23,717 – $58,873 · median $23,836 | 6 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,283 – $32,025 · median $13,349 | 6 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,940 – $25,996 · median $10,995 | 6 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,130 – $31,631 · median $13,196 | 6 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $12,368 – $29,671 · median $12,430 | 6 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $15,209 – $36,981 · median $15,285 | 6 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,772 – $35,856 · median $14,846 | 6 plans |
| 592 | SKIN ULCERS WITH MCC | $15,272 – $37,142 · median $15,348 | 6 plans |
| 593 | SKIN ULCERS WITH CC | $9,420 – $22,085 · median $9,467 | 6 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,795 – $15,330 · median $6,829 | 6 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,685 – $38,204 · median $15,763 | 6 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $8,426 – $19,527 · median $8,468 | 6 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,169 – $31,731 · median $13,234 | 6 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $8,411 – $19,488 · median $8,453 | 6 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,838 – $15,442 · median $6,872 | 6 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,552 – $17,279 · median $7,590 | 6 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,045 – $10,829 · median $5,071 | 6 plans |
| 602 | CELLULITIS WITH MCC | $11,150 – $26,538 · median $11,206 | 6 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,020 – $15,910 · median $7,055 | 6 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,266 – $26,836 · median $11,323 | 6 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,321 – $16,684 · median $7,358 | 6 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,141 – $29,086 · median $12,202 | 6 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $6,903 – $15,610 · median $6,938 | 6 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,835 – $41,165 · median $16,919 | 6 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $10,896 – $25,884 · median $10,951 | 6 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,968 – $69,812 · median $28,108 | 6 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,396 – $34,890 · median $14,468 | 6 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,577 – $22,490 · median $9,625 | 6 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,976 – $49,248 · median $20,076 | 6 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,048 – $28,846 · median $12,108 | 6 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,099 – $26,404 · median $11,154 | 6 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,105 – $67,590 · median $27,241 | 6 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,264 – $34,550 · median $14,336 | 6 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,879 – $18,119 · median $7,918 | 6 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,963 – $51,787 · median $21,068 | 6 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,432 – $27,262 · median $11,489 | 6 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,730 – $22,883 · median $9,779 | 6 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,535 – $71,269 · median $28,678 | 6 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,625 – $40,625 · median $16,708 | 6 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,674 – $25,311 · median $10,727 | 6 plans |
| 637 | DIABETES WITH MCC | $11,060 – $26,305 · median $11,115 | 6 plans |
| 638 | DIABETES WITH CC | $7,276 – $16,567 · median $7,312 | 6 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,236 – $11,318 · median $5,262 | 6 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $10,159 – $23,987 · median $10,210 | 6 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,322 – $14,114 · median $6,354 | 6 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,549 – $22,417 · median $9,597 | 6 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,471 – $29,935 · median $12,533 | 6 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,091 – $18,666 · median $8,132 | 6 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,303 – $14,065 · median $6,335 | 6 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,179 – $83,220 · median $33,345 | 6 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,213 – $62,722 · median $25,339 | 6 plans |
| 652 | KIDNEY TRANSPLANT | $22,398 – $55,477 · median $22,510 | 6 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,969 – $100,692 · median $40,169 | 6 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,648 – $50,974 · median $20,751 | 6 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,419 – $37,521 · median $15,496 | 6 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,707 – $58,848 · median $23,826 | 6 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,670 – $33,020 · median $13,738 | 6 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,395 – $27,166 · median $11,452 | 6 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $18,978 – $46,679 · median $19,073 | 6 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,244 – $24,204 · median $10,295 | 6 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,044 – $18,543 · median $8,084 | 6 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,736 – $56,348 · median $22,850 | 6 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,559 – $27,589 · median $11,617 | 6 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,417 – $19,504 · median $8,459 | 6 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,940 – $62,020 · median $25,065 | 6 plans |
| 666 | PROSTATECTOMY WITH CC | $12,401 – $29,754 · median $12,463 | 6 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,052 – $18,565 · median $8,092 | 6 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $21,309 – $52,676 · median $21,415 | 6 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,700 – $27,952 · median $11,759 | 6 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,546 – $17,262 · median $7,584 | 6 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,937 – $31,134 · median $13,002 | 6 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $8,519 – $19,768 · median $8,562 | 6 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $30,247 – $75,675 · median $30,398 | 6 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,041 – $41,696 · median $17,127 | 6 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,825 – $28,273 · median $11,884 | 6 plans |
| 682 | RENAL FAILURE WITH MCC | $11,380 – $27,128 · median $11,437 | 6 plans |
| 683 | RENAL FAILURE WITH CC | $7,077 – $16,056 · median $7,112 | 6 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,101 – $10,971 · median $5,126 | 6 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,074 – $34,061 · median $14,145 | 6 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,227 – $19,014 · median $8,268 | 6 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,921 – $13,081 · median $5,950 | 6 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,052 – $21,139 · median $9,098 | 6 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,471 – $14,497 · median $6,503 | 6 plans |
| 693 | URINARY STONES WITH MCC | $11,159 – $26,559 · median $11,215 | 6 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,322 – $14,114 · median $6,354 | 6 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $8,754 – $20,371 · median $8,798 | 6 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,693 – $12,496 · median $5,722 | 6 plans |
| 697 | URETHRAL STRICTURE | $7,869 – $18,095 · median $7,909 | 6 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,637 – $30,361 · median $12,700 | 6 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,996 – $18,422 · median $8,036 | 6 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,710 – $12,539 · median $5,739 | 6 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,460 – $35,052 · median $14,532 | 6 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,244 – $26,778 · median $11,300 | 6 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,611 – $40,588 · median $16,694 | 6 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,377 – $27,119 · median $11,433 | 6 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $14,249 – $34,510 · median $14,320 | 6 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $8,345 – $19,320 · median $8,387 | 6 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $10,988 – $26,118 · median $11,043 | 6 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,433 – $16,973 · median $7,471 | 6 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,690 – $40,791 · median $16,773 | 6 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,800 – $25,636 · median $10,854 | 6 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,862 – $33,515 · median $13,932 | 6 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,485 – $22,251 · median $9,532 | 6 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,973 – $31,228 · median $13,038 | 6 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,719 – $20,282 · median $8,763 | 6 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,952 – $13,160 · median $5,981 | 6 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,700 – $22,806 · median $9,749 | 6 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,063 – $13,446 · median $6,093 | 6 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $11,152 – $26,541 · median $11,208 | 6 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,573 – $14,759 · median $6,606 | 6 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $8,565 – $19,885 · median $8,608 | 6 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,097 – $10,962 · median $5,123 | 6 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,598 – $37,982 · median $15,676 | 6 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,358 – $21,926 · median $9,405 | 6 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,478 – $71,123 · median $28,620 | 6 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,865 – $36,096 · median $14,940 | 6 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,485 – $27,399 · median $11,543 | 6 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,782 – $71,905 · median $28,926 | 6 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,601 – $32,843 · median $13,669 | 6 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,479 – $24,811 · median $10,532 | 6 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,660 – $32,995 · median $13,728 | 6 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $9,252 – $21,652 · median $9,298 | 6 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,554 – $35,294 · median $14,626 | 6 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,031 – $18,511 · median $8,071 | 6 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,592 – $30,248 · median $12,655 | 6 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,542 – $17,253 · median $7,580 | 6 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,400 – $24,607 · median $10,452 | 6 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,008 – $46,757 · median $19,103 | 6 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,889 – $23,292 · median $9,938 | 6 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,538 – $32,681 · median $13,606 | 6 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,630 – $20,051 · median $8,673 | 6 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,541 – $17,250 · median $7,579 | 6 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,772 – $25,564 · median $10,826 | 6 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,992 – $18,411 · median $8,032 | 6 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,330 – $11,560 · median $5,356 | 6 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,756 – $17,802 · median $7,794 | 6 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,287 – $11,450 · median $5,313 | 6 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,533 – $19,802 · median $8,575 | 6 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,591 – $25,098 · median $10,644 | 6 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,390 – $19,435 · median $8,432 | 6 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,846 – $12,888 · median $5,875 | 6 plans |
| 779 | ABORTION WITHOUT D&C | $7,399 – $16,885 · median $7,436 | 6 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,768 – $33,273 · median $13,837 | 6 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,439 – $19,562 · median $8,482 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,969 – $15,778 · median $7,004 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $12,180 – $29,187 · median $12,241 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,291 – $19,179 · median $8,332 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,188 – $16,341 · median $7,224 | 6 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $13,491 – $32,560 · median $13,558 | 6 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,568 – $107,378 · median $42,781 | 6 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $29,337 – $73,332 · median $29,483 | 6 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,033 – $44,248 · median $18,124 | 6 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $30,113 – $75,330 · median $30,264 | 6 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,200 – $26,664 · median $11,256 | 6 plans |
| 795 | NORMAL NEWBORN | $2,240 – $3,609 · median $2,251 | 6 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $9,798 – $23,059 · median $9,847 | 6 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,634 – $17,488 · median $7,672 | 6 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $7,634 – $17,488 · median $7,672 | 6 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $34,215 – $85,884 · median $34,386 | 6 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,291 – $52,631 · median $21,398 | 6 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $12,361 – $29,653 · median $12,423 | 6 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $26,001 – $64,751 · median $26,131 | 6 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,332 – $32,151 · median $13,399 | 6 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,598 – $19,970 · median $8,641 | 6 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,843 – $18,026 · median $7,882 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,917 – $13,070 · median $5,946 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,311 – $11,511 · median $5,337 | 6 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,914 – $41,369 · median $16,999 | 6 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,531 – $22,370 · median $9,579 | 6 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,518 – $17,192 · median $7,556 | 6 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,713 – $25,412 · median $10,767 | 6 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,316 – $16,670 · median $7,352 | 6 plans |
| 813 | COAGULATION DISORDERS | $11,704 – $27,961 · median $11,762 | 6 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,512 – $37,760 · median $15,589 | 6 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,970 – $18,353 · median $8,010 | 6 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,466 – $11,910 · median $5,493 | 6 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,633 – $45,790 · median $18,726 | 6 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,878 – $23,265 · median $9,928 | 6 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,569 – $14,748 · median $6,601 | 6 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,708 – $105,166 · median $41,917 | 6 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,508 – $40,323 · median $16,590 | 6 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,866 – $20,658 · median $8,910 | 6 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $33,686 – $84,524 · median $33,854 | 6 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,276 – $39,727 · median $16,358 | 6 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,477 – $22,231 · median $9,524 | 6 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,360 – $86,258 · median $34,532 | 6 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,403 – $42,626 · median $17,490 | 6 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,089 – $28,952 · median $12,149 | 6 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,485 – $55,701 · median $22,597 | 6 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,103 – $26,417 · median $11,159 | 6 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,917 – $20,790 · median $8,961 | 6 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,084 – $13,500 · median $6,114 | 6 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,486 – $9,389 · median $4,508 | 6 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $39,637 – $99,837 · median $39,836 | 6 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,831 – $38,580 · median $15,910 | 6 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,757 – $22,952 · median $9,806 | 6 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,986 – $90,443 · median $36,166 | 6 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $15,075 – $36,635 · median $15,150 | 6 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,457 – $24,753 · median $10,509 | 6 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $23,223 – $57,602 · median $23,339 | 6 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,844 – $28,322 · median $11,903 | 6 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,221 – $19,000 · median $8,262 | 6 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $14,128 – $34,198 · median $14,198 | 6 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,227 – $21,588 · median $9,273 | 6 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,711 – $15,115 · median $6,745 | 6 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,764 – $46,128 · median $18,858 | 6 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,757 – $22,952 · median $9,806 | 6 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,585 – $14,791 · median $6,618 | 6 plans |
| 849 | RADIOTHERAPY | $19,588 – $48,247 · median $19,685 | 6 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,502 – $166,391 · median $65,830 | 6 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $35,945 – $90,336 · median $36,125 | 6 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $14,863 – $36,091 · median $14,938 | 6 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,248 – $29,363 · median $12,310 | 6 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,507 – $81,491 · median $32,670 | 6 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,132 – $39,357 · median $16,213 | 6 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,881 – $23,272 · median $9,931 | 6 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,744 – $33,212 · median $13,813 | 6 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,856 – $18,061 · median $7,895 | 6 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,141 – $16,220 · median $7,176 | 6 plans |
| 865 | VIRAL ILLNESS WITH MCC | $11,197 – $26,659 · median $11,253 | 6 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,048 – $15,982 · median $7,083 | 6 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,890 – $38,732 · median $15,969 | 6 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,208 – $18,968 · median $8,250 | 6 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,888 – $12,998 · median $5,918 | 6 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $49,670 – $125,652 · median $49,918 | 6 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,610 – $35,441 · median $14,684 | 6 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,074 – $18,623 · median $8,115 | 6 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,422 – $70,979 · median $28,564 | 6 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,566 – $17,315 · median $7,604 | 6 plans |
| 881 | DEPRESSIVE NEUROSES | $7,254 – $16,511 · median $7,290 | 6 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,590 – $17,376 · median $7,628 | 6 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,851 – $33,486 · median $13,920 | 6 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,561 – $30,168 · median $12,624 | 6 plans |
| 885 | PSYCHOSES | $10,732 – $25,461 · median $10,786 | 6 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $13,448 – $32,449 · median $13,515 | 6 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,186 – $21,484 · median $9,232 | 6 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,218 – $11,273 · median $5,244 | 6 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $11,001 – $26,153 · median $11,056 | 6 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $13,338 – $32,166 · median $13,405 | 6 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $7,030 – $15,935 · median $7,065 | 6 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,938 – $80,026 · median $32,098 | 6 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,158 – $34,276 · median $14,229 | 6 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,395 – $22,020 · median $9,442 | 6 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,941 – $69,741 · median $28,081 | 6 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,407 – $29,771 · median $12,469 | 6 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $16,158 – $39,422 · median $16,238 | 6 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,802 – $71,956 · median $28,946 | 6 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,997 – $36,434 · median $15,072 | 6 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $9,740 – $22,909 · median $9,789 | 6 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $12,197 – $29,231 · median $12,258 | 6 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,270 – $16,553 · median $7,306 | 6 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,037 – $31,391 · median $13,102 | 6 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,499 – $11,995 · median $5,526 | 6 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,347 – $29,617 · median $12,409 | 6 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,047 – $15,978 · median $7,082 | 6 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,638 – $32,939 · median $13,706 | 6 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $7,968 – $18,350 · median $8,008 | 6 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,665 – $12,422 · median $5,693 | 6 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,696 – $30,515 · median $12,760 | 6 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,996 – $18,422 · median $8,036 | 6 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $167,366 – $428,495 · median $168,203 | 6 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,721 – $120,638 · median $47,960 | 6 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,163 – $57,446 · median $23,279 | 6 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $31,211 – $78,155 · median $31,367 | 6 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,900 – $38,759 · median $15,980 | 6 plans |
| 935 | NON-EXTENSIVE BURNS | $16,255 – $39,673 · median $16,337 | 6 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,118 – $57,331 · median $23,233 | 6 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,659 – $38,137 · median $15,737 | 6 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $14,556 – $35,300 · median $14,629 | 6 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,553 – $27,573 · median $11,610 | 6 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $8,675 – $20,167 · median $8,718 | 6 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,866 – $23,232 · median $9,915 | 6 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,414 – $14,351 · median $6,446 | 6 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,411 – $19,490 · median $8,453 | 6 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,951 – $10,586 · median $4,976 | 6 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,817 – $10,241 · median $4,841 | 6 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,770 – $123,337 · median $49,014 | 6 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,669 – $69,042 · median $27,808 | 6 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,234 – $134,823 · median $53,500 | 6 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,687 – $74,234 · median $29,835 | 6 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $19,397 – $47,756 · median $19,494 | 6 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,908 – $49,071 · median $20,007 | 6 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,367 – $27,096 · median $11,424 | 6 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,243 – $16,484 · median $7,279 | 6 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,232 – $114,233 · median $45,458 | 6 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $19,463 – $47,925 · median $19,560 | 6 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,799 – $53,938 · median $21,908 | 6 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,815 – $25,674 · median $10,869 | 6 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,878 – $18,117 · median $7,917 | 6 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,959 – $26,044 · median $11,014 | 6 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,208 – $85,868 · median $34,379 | 6 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,024 – $44,223 · median $18,114 | 6 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,547 – $30,132 · median $12,610 | 6 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,425 – $63,268 · median $25,552 | 6 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,883 – $30,995 · median $12,947 | 6 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,948 – $20,871 · median $8,993 | 6 plans |
No procedures match that keyword.