Hillsdale Hospital — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 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 770 procedures
Procedures with negotiated rates only
These 770 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 | $175,181 – $266,227 · median $184,401 | 12 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $70,836 – $107,652 · median $74,565 | 12 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $132,681 – $201,639 · median $139,664 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $86,587 – $131,588 · median $91,144 | 12 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $64,452 – $97,950 · median $67,844 | 12 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $28,986 – $44,052 · median $30,512 | 12 plans |
| 007 | LUNG TRANSPLANT | $80,953 – $123,027 · median $85,214 | 12 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $35,035 – $53,244 · median $36,879 | 12 plans |
| 010 | PANCREAS TRANSPLANT | $44,856 – $68,169 · median $47,217 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $34,094 – $51,814 · median $35,889 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $26,355 – $40,052 · median $27,742 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,014 – $27,377 · median $18,963 | 12 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $75,125 – $114,170 · median $79,079 | 12 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $37,067 – $56,332 · median $39,018 | 12 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $33,958 – $51,607 · median $35,745 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $269,941 – $410,237 · median $284,148 | 12 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $44,599 – $67,779 · median $46,947 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $49,189 – $74,754 · median $51,778 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $33,092 – $50,291 · median $34,834 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $19,862 – $30,185 · median $20,908 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $35,821 – $54,438 · median $37,706 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,454 – $37,163 · median $25,741 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $28,422 – $43,194 · median $29,918 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $19,436 – $29,537 · median $20,459 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $15,771 – $23,968 · median $16,601 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $37,559 – $57,079 · median $39,535 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $21,326 – $32,410 · median $22,449 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $13,722 – $20,854 · median $14,445 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $28,008 – $42,565 · median $29,482 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,321 – $20,245 · median $14,022 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,395 – $15,798 · median $10,942 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,196 – $36,772 · median $25,470 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,943 – $22,710 · median $15,730 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $12,145 – $18,457 · median $12,784 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $20,579 – $31,275 · median $21,662 | 12 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,143 – $15,415 · median $10,677 | 12 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,348 – $11,167 · median $7,735 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,137 – $36,681 · median $25,407 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $13,744 – $20,888 · median $14,468 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $10,800 – $16,413 · median $11,368 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $11,323 – $17,207 · median $11,919 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,121 – $9,302 · median $6,443 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,545 – $14,506 · median $10,047 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $6,374 – $9,686 · median $6,709 | 12 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $14,522 – $22,069 · median $15,286 | 12 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $8,099 – $12,308 · median $8,525 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $10,686 – $16,240 · median $11,249 | 12 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $7,757 – $11,789 · median $8,165 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,750 – $8,738 · median $6,052 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,235 – $26,192 · median $18,142 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $10,984 – $16,693 · median $11,563 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $8,775 – $13,336 · median $9,237 | 12 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $12,571 – $19,105 · median $13,233 | 12 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,316 – $9,598 · median $6,648 | 12 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,278 – $6,502 · median $4,503 | 12 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,181 – $13,953 · median $9,664 | 12 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,403 – $8,212 · median $5,688 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $4,993 – $7,589 · median $5,256 | 12 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $10,407 – $15,816 · median $10,955 | 12 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $6,414 – $9,747 · median $6,751 | 12 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,727 – $7,184 · median $4,976 | 12 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $10,029 – $15,241 · median $10,556 | 12 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,444 – $9,793 · median $6,783 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,987 – $18,216 · median $12,617 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,158 – $7,839 · median $5,430 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $11,315 – $17,195 · median $11,910 | 12 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,599 – $8,508 · median $5,893 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $14,288 – $21,713 · median $15,040 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,725 – $13,260 · median $9,185 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $5,975 – $9,080 · median $6,289 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,202 – $21,583 · median $14,949 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,143 – $12,376 · median $8,572 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,718 – $8,690 · median $6,019 | 12 plans |
| 088 | CONCUSSION WITH MCC | $8,450 – $12,842 · median $8,895 | 12 plans |
| 089 | CONCUSSION WITH CC | $6,867 – $10,437 · median $7,229 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,146 – $7,820 · median $5,417 | 12 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $10,978 – $16,684 · median $11,556 | 12 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $6,395 – $9,719 · median $6,731 | 12 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $4,978 – $7,565 · median $5,240 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,000 – $33,434 · median $23,158 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $16,123 – $24,502 · median $16,971 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,123 – $24,502 · median $16,971 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,578 – $34,312 · median $23,766 | 12 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $14,346 – $21,802 · median $15,101 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $8,517 – $12,943 · median $8,965 | 12 plans |
| 100 | SEIZURES WITH MCC | $12,107 – $18,400 · median $12,744 | 12 plans |
| 101 | SEIZURES WITHOUT MCC | $5,642 – $8,575 · median $5,939 | 12 plans |
| 102 | HEADACHES WITH MCC | $7,007 – $10,649 · median $7,376 | 12 plans |
| 103 | HEADACHES WITHOUT MCC | $5,228 – $7,945 · median $5,503 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $14,697 – $22,335 · median $15,471 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,458 – $12,854 · median $8,903 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,595 – $14,582 · median $10,100 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,303 – $17,177 · median $11,898 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $6,782 – $10,307 · median $7,139 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $7,272 – $11,051 · median $7,655 | 12 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,912 – $7,465 · median $5,171 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $4,992 – $7,587 · median $5,255 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,271 – $12,569 · median $8,706 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,800 – $7,294 · median $5,052 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $13,565 – $20,615 · median $14,279 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,347 – $9,645 · median $6,681 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,334 – $14,185 · median $9,825 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,540 – $8,419 · median $5,831 | 12 plans |
| 139 | SALIVARY GLAND PROCEDURES | $7,725 – $11,739 · median $8,131 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $26,663 – $40,520 · median $28,066 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,634 – $20,720 · median $14,352 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $9,979 – $15,166 · median $10,505 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,420 – $35,593 · median $24,653 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $10,833 – $16,463 · median $11,403 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $7,516 – $11,422 · median $7,911 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $13,236 – $20,115 · median $13,933 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,948 – $12,079 · median $8,367 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $4,983 – $7,572 · median $5,245 | 12 plans |
| 149 | DYSEQUILIBRIUM | $4,698 – $7,140 · median $4,946 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $8,323 – $12,649 · median $8,761 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,588 – $6,973 · median $4,830 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,390 – $11,231 · median $7,779 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,615 – $7,013 · median $4,857 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $9,774 – $14,853 · median $10,288 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,729 – $8,707 · median $6,031 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $4,320 – $6,565 · median $4,548 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $10,732 – $16,310 · median $11,297 | 12 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $5,687 – $8,643 · median $5,987 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,429 – $6,731 · median $4,662 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $28,016 – $42,577 · median $29,491 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $15,778 – $23,978 · median $16,608 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,966 – $18,185 · median $12,596 | 12 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $23,365 – $35,508 · median $24,595 | 12 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $11,273 – $17,132 · median $11,867 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,542 – $12,981 · median $8,991 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $18,606 – $28,276 · median $19,585 | 12 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $8,587 – $13,049 · median $9,038 | 12 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $5,032 – $7,648 · median $5,297 | 12 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $9,769 – $14,846 · median $10,283 | 12 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $6,101 – $9,272 · median $6,422 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,720 – $7,173 · median $4,968 | 12 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $11,039 – $16,777 · median $11,620 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $6,695 – $10,175 · median $7,047 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $4,712 – $7,161 · median $4,960 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,564 – $14,534 · median $10,067 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,652 – $10,109 · median $7,002 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,917 – $7,472 · median $5,175 | 12 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $9,742 – $14,806 · median $10,255 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,183 – $9,396 · median $6,508 | 12 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,483 – $6,813 · median $4,719 | 12 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $7,723 – $11,736 · median $8,129 | 12 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $6,924 – $10,523 · median $7,289 | 12 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,270 – $8,009 · median $5,547 | 12 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,013 – $6,099 · median $4,224 | 12 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,216 – $12,487 · median $8,649 | 12 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $5,038 – $7,656 · median $5,303 | 12 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $3,929 – $5,971 · median $4,136 | 12 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,797 – $17,928 · median $12,418 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $5,933 – $9,016 · median $6,245 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,477 – $6,804 · median $4,713 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,028 – $16,759 · median $11,608 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $6,872 – $10,443 · median $7,234 | 12 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,470 – $6,793 · median $4,705 | 12 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $6,071 – $9,226 · median $6,391 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,188 – $6,365 · median $4,409 | 12 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $5,047 – $7,670 · median $5,313 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $11,446 – $17,395 · median $12,048 | 12 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $5,883 – $8,940 · median $6,193 | 12 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $40,224 – $61,130 · median $42,341 | 12 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $17,182 – $26,113 · median $18,087 | 12 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $70,755 – $107,529 · median $74,479 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $67,975 – $103,304 · median $71,553 | 12 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $35,674 – $54,216 · median $37,552 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $62,242 – $94,592 · median $65,518 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $61,153 – $92,937 · median $64,372 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $41,103 – $62,465 · median $43,266 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,103 – $62,465 · median $43,266 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $47,998 – $72,944 · median $50,524 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $33,336 – $50,662 · median $35,090 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $31,507 – $47,882 · median $33,165 | 12 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $30,927 – $47,000 · median $32,554 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $19,688 – $29,920 · median $20,724 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,696 – $80,084 · median $55,470 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $37,898 – $57,595 · median $39,893 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $47,791 – $72,629 · median $50,306 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $34,148 – $51,896 · median $35,945 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $36,685 – $55,752 · median $38,616 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,185 – $39,794 · median $27,563 | 12 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $30,766 – $46,756 · median $32,385 | 12 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $17,819 – $27,080 · median $18,757 | 12 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $8,654 – $13,152 · median $9,110 | 12 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $19,959 – $30,332 · median $21,009 | 12 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $13,321 – $20,244 · median $14,022 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,299 – $17,171 · median $11,894 | 12 plans |
| 245 | AICD GENERATOR PROCEDURES | $28,520 – $43,343 · median $30,021 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $13,643 – $20,734 · median $14,361 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $9,342 – $14,198 · median $9,834 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,806 – $33,139 · median $22,953 | 12 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,225 – $24,658 · median $17,079 | 12 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,138 – $16,926 · median $11,724 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,862 – $25,625 · median $17,749 | 12 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,614 – $16,130 · median $11,172 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,827 – $10,376 · median $7,187 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,642 – $29,850 · median $20,675 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $12,640 – $19,210 · median $13,306 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $20,334 – $30,902 · median $21,404 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,818 – $17,960 · median $12,440 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,189 – $15,484 · median $10,725 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,112 – $29,045 · median $20,118 | 12 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $20,882 – $31,736 · median $21,982 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $22,618 – $34,373 · median $23,808 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,309 – $58,220 · median $40,326 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $29,760 – $45,228 · median $31,327 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,995 – $65,340 · median $45,257 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,400 – $40,120 · median $27,789 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,983 – $50,125 · median $34,719 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,231 – $33,785 · median $23,401 | 12 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $15,959 – $24,254 · median $16,799 | 12 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,789 – $39,192 · median $27,146 | 12 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,577 – $31,271 · median $21,660 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $44,573 – $67,739 · median $46,919 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $37,548 – $57,063 · median $39,524 | 12 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $28,871 – $43,876 · median $30,390 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $34,795 – $52,879 · median $36,626 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $22,544 – $34,261 · median $23,731 | 12 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,027 – $15,239 · median $10,555 | 12 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,745 – $8,731 · median $6,048 | 12 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,520 – $6,869 · median $4,758 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,382 – $18,818 · median $13,034 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,327 – $6,576 · median $4,555 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,744 – $5,690 · median $3,941 | 12 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $13,832 – $21,022 · median $14,560 | 12 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,689 – $10,166 · median $7,041 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $16,917 – $25,709 · median $17,807 | 12 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $10,670 – $16,216 · median $11,232 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $5,812 – $8,832 · median $6,118 | 12 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,025 – $12,196 · median $8,448 | 12 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $5,307 – $8,066 · median $5,587 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,538 – $5,377 · median $3,724 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,764 – $14,838 · median $10,277 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $3,963 – $6,023 · median $4,172 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,845 – $4,323 · median $2,995 | 12 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $10,206 – $15,511 · median $10,743 | 12 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,673 – $10,141 · median $7,024 | 12 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $4,499 – $6,837 · median $4,736 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,480 – $11,368 · median $7,874 | 12 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $4,208 – $6,395 · median $4,430 | 12 plans |
| 304 | HYPERTENSION WITH MCC | $7,439 – $11,305 · median $7,830 | 12 plans |
| 305 | HYPERTENSION WITHOUT MCC | $4,720 – $7,173 · median $4,969 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $9,851 – $14,970 · median $10,369 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,709 – $8,675 · median $6,009 | 12 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $7,526 – $11,438 · median $7,922 | 12 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $4,599 – $6,989 · median $4,841 | 12 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $3,539 – $5,378 · median $3,725 | 12 plans |
| 311 | ANGINA PECTORIS | $4,388 – $6,668 · median $4,619 | 12 plans |
| 312 | SYNCOPE AND COLLAPSE | $5,448 – $8,280 · median $5,735 | 12 plans |
| 313 | CHEST PAIN | $4,501 – $6,840 · median $4,738 | 12 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $13,035 – $19,809 · median $13,721 | 12 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $6,022 – $9,151 · median $6,339 | 12 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,264 – $6,480 · median $4,488 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $41,798 – $63,522 · median $43,998 | 12 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $15,141 – $23,011 · median $15,938 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $27,898 – $42,398 · median $29,366 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,036 – $22,850 · median $15,827 | 12 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $17,008 – $25,848 · median $17,903 | 12 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,021 – $16,749 · median $11,601 | 12 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,051 – $41,110 · median $28,475 | 12 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $19,697 – $29,935 · median $20,734 | 12 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,069 – $30,499 · median $21,125 | 12 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $31,177 – $47,380 · median $32,818 | 12 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $15,279 – $23,220 · median $16,083 | 12 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $10,016 – $15,222 · median $10,543 | 12 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $28,733 – $43,667 · median $30,246 | 12 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,985 – $22,773 · median $15,774 | 12 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,520 – $15,988 · median $11,074 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,633 – $34,397 · median $23,825 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $14,641 – $22,251 · median $15,412 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,239 – $15,560 · median $10,778 | 12 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $22,322 – $33,924 · median $23,497 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,182 – $20,033 · median $13,876 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,595 – $14,583 · median $10,100 | 12 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $16,145 – $24,537 · median $16,995 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,406 – $14,295 · median $9,901 | 12 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,415 – $11,269 · median $7,805 | 12 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $14,350 – $21,808 · median $15,105 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,181 – $12,434 · median $8,612 | 12 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,442 – $8,271 · median $5,729 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,577 – $23,673 · median $16,397 | 12 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,530 – $14,483 · median $10,031 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,300 – $11,094 · median $7,684 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,141 – $27,569 · median $19,096 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,517 – $15,983 · median $11,070 | 12 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $8,408 – $12,778 · median $8,850 | 12 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,460 – $41,732 · median $28,905 | 12 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,537 – $22,092 · median $15,302 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,738 – $13,280 · median $9,198 | 12 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $21,495 – $32,667 · median $22,626 | 12 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $15,092 – $22,936 · median $15,886 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,951 – $15,123 · median $10,475 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,252 – $9,502 · median $6,581 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,381 – $6,658 · median $4,611 | 12 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,084 – $16,844 · median $11,667 | 12 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $6,382 – $9,700 · median $6,718 | 12 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,547 – $6,910 · median $4,786 | 12 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,369 – $20,318 · median $14,073 | 12 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,561 – $11,491 · median $7,959 | 12 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,778 – $8,781 · median $6,082 | 12 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $11,427 – $17,366 · median $12,028 | 12 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $6,130 – $9,317 · median $6,453 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $3,941 – $5,989 · median $4,148 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,266 – $18,641 · median $12,912 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,773 – $10,293 · median $7,130 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $5,005 – $7,606 · median $5,268 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,631 – $13,117 · median $9,085 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,343 – $8,121 · median $5,625 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $9,891 – $15,032 · median $10,412 | 12 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,103 – $9,275 · median $6,424 | 12 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,259 – $6,472 · median $4,483 | 12 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,232 – $14,030 · median $9,718 | 12 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $4,937 – $7,503 · median $5,197 | 12 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $3,401 – $5,168 · median $3,580 | 12 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $7,928 – $12,049 · median $8,346 | 12 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $4,873 – $7,406 · median $5,130 | 12 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $9,997 – $15,193 · median $10,524 | 12 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $5,849 – $8,889 · median $6,157 | 12 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,057 – $6,166 · median $4,271 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $14,971 – $22,752 · median $15,759 | 12 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $9,462 – $14,379 · median $9,960 | 12 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $7,156 – $10,875 · median $7,532 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,133 – $38,195 · median $26,455 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,197 – $51,970 · median $35,997 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,129 – $27,552 · median $19,084 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $13,875 – $21,086 · median $14,605 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,289 – $33,873 · median $23,462 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,611 – $20,684 · median $14,327 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,925 – $15,083 · median $10,447 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $20,649 – $31,381 · median $21,736 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $13,143 – $19,974 · median $13,835 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $10,380 – $15,775 · median $10,926 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,270 – $33,845 · median $23,442 | 12 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,919 – $19,634 · median $13,599 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,522 – $12,951 · median $8,971 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $14,918 – $22,671 · median $15,703 | 12 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $10,574 – $16,070 · median $11,131 | 12 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $8,538 – $12,975 · median $8,987 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,298 – $32,367 · median $22,419 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,861 – $16,506 · median $11,433 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $8,748 – $13,295 · median $9,209 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $25,961 – $39,454 · median $27,327 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $13,677 – $20,785 · median $14,397 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,379 – $14,253 · median $9,872 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $68,895 – $104,701 · median $72,521 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,124 – $68,577 · median $47,499 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,144 – $53,409 · median $36,993 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $56,320 – $85,591 · median $59,284 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $36,051 – $54,787 · median $37,948 | 12 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $12,303 – $18,698 · median $12,951 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,602 – $10,034 · median $6,950 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,454 – $6,769 · median $4,688 | 12 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,481 – $17,449 · median $12,086 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,071 – $10,745 · median $7,443 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,334 – $8,106 · median $5,615 | 12 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,191 – $15,487 · median $10,727 | 12 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $5,258 – $7,991 · median $5,535 | 12 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,884 – $5,903 · median $4,089 | 12 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $11,219 – $17,050 · median $11,809 | 12 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,034 – $9,170 · median $6,352 | 12 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,374 – $6,647 · median $4,604 | 12 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $10,445 – $15,874 · median $10,995 | 12 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $6,841 – $10,397 · median $7,201 | 12 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $5,172 – $7,859 · median $5,444 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $41,767 – $63,475 · median $43,966 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,510 – $40,288 · median $27,905 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,316 – $50,631 · median $35,069 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $20,194 – $30,689 · median $21,256 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $52,531 – $79,832 · median $55,295 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $37,276 – $56,649 · median $39,238 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $26,083 – $39,640 · median $27,456 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,525 – $52,469 · median $36,342 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $16,628 – $25,270 · median $17,503 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,628 – $54,145 · median $37,503 | 12 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $19,470 – $29,590 · median $20,495 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,400 – $17,325 · median $12,000 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,540 – $49,451 · median $34,252 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,045 – $33,503 · median $23,205 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $17,178 – $26,106 · median $18,082 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $18,961 – $28,815 · median $19,959 | 12 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $12,058 – $18,325 · median $12,692 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $30,185 – $45,873 · median $31,773 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,416 – $27,988 · median $19,386 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $15,261 – $23,192 · median $16,064 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $26,835 – $40,783 · median $28,248 | 12 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $14,226 – $21,619 · median $14,974 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,378 – $11,212 · median $7,766 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $21,595 – $32,819 · median $22,732 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,373 – $23,362 · median $16,182 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,620 – $17,660 · median $12,232 | 12 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $18,205 – $27,667 · median $19,163 | 12 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $13,093 – $19,898 · median $13,782 | 12 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $10,196 – $15,495 · median $10,732 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $17,327 – $26,333 · median $18,239 | 12 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,173 – $30,657 · median $21,235 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,072 – $19,865 · median $13,760 | 12 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,790 – $14,879 · median $10,306 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,058 – $16,805 · median $11,640 | 12 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $6,981 – $10,610 · median $7,349 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $22,952 – $34,880 · median $24,160 | 12 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $15,853 – $24,093 · median $16,688 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $12,543 – $19,062 · median $13,203 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $22,665 – $34,444 · median $23,858 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,276 – $17,137 · median $11,870 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $7,553 – $11,479 · median $7,951 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,858 – $28,660 · median $19,851 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $12,595 – $19,141 · median $13,258 | 12 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $19,784 – $30,066 · median $20,825 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $10,928 – $16,607 · median $11,503 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $8,413 – $12,786 · median $8,856 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $17,447 – $26,515 · median $18,366 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $11,685 – $17,757 · median $12,300 | 12 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $11,207 – $17,032 · median $11,797 | 12 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $8,434 – $12,817 · median $8,878 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $11,292 – $17,161 · median $11,886 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,467 – $14,387 · median $9,965 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $18,881 – $28,695 · median $19,875 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $12,999 – $19,754 · median $13,683 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $10,348 – $15,726 · median $10,893 | 12 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,841 – $14,956 · median $10,359 | 12 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,391 – $9,712 · median $6,727 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,922 – $30,276 · median $20,970 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $12,990 – $19,742 · median $13,674 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $9,606 – $14,599 · median $10,112 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $23,362 – $35,504 · median $24,592 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,503 – $19,002 · median $13,162 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,339 – $14,192 · median $9,830 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $17,942 – $27,267 · median $18,886 | 12 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,238 – $20,118 · median $13,935 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,800 – $14,893 · median $10,316 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,039 – $7,658 · median $5,304 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,014 – $12,179 · median $8,436 | 12 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,048 – $7,672 · median $5,314 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,965 – $9,066 · median $6,279 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,503 – $6,843 · median $4,740 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,313 – $18,712 · median $12,961 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $8,103 – $12,315 · median $8,530 | 12 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $4,922 – $7,480 · median $5,181 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,043 – $16,782 · median $11,624 | 12 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $6,426 – $9,766 · median $6,764 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,717 – $7,169 · median $4,965 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $15,513 – $23,576 · median $16,330 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $7,210 – $10,957 · median $7,590 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,227 – $7,944 · median $5,502 | 12 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,070 – $18,344 · median $12,706 | 12 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $7,546 – $11,468 · median $7,944 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $5,464 – $8,304 · median $5,752 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $10,477 – $15,923 · median $11,029 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $6,009 – $9,132 · median $6,325 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,103 – $12,315 · median $8,530 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $5,189 – $7,886 · median $5,462 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,263 – $12,557 · median $8,698 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $5,192 – $7,891 · median $5,465 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,295 – $14,126 · median $9,784 | 12 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $5,584 – $8,485 · median $5,877 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,658 – $17,717 · median $12,271 | 12 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $7,039 – $10,698 · median $7,410 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,025 – $7,637 · median $5,290 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,907 – $13,536 · median $9,375 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,598 – $8,507 · median $5,893 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $9,649 – $14,664 · median $10,157 | 12 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $6,091 – $9,257 · median $6,412 | 12 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $4,684 – $7,118 · median $4,930 | 12 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $18,385 – $27,940 · median $19,353 | 12 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,561 – $16,050 · median $11,117 | 12 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $7,166 – $10,890 · median $7,543 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $40,954 – $62,238 · median $43,109 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,700 – $32,978 · median $22,842 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,233 – $17,072 · median $11,824 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $30,638 – $46,561 · median $32,250 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $16,570 – $25,182 · median $17,442 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,042 – $15,261 · median $10,570 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $20,244 – $30,766 · median $21,310 | 12 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $10,802 – $16,416 · median $11,370 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,021 – $13,709 · median $9,496 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,043 – $18,303 · median $12,677 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $10,779 – $16,382 · median $11,347 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $13,382 – $20,337 · median $14,086 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,059 – $18,326 · median $12,694 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $12,098 – $18,385 · median $12,735 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $7,416 – $11,270 · median $7,806 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $5,418 – $8,235 · median $5,704 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,257 – $20,147 · median $13,954 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,767 – $10,284 · median $7,123 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,421 – $15,837 · median $10,970 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,072 – $10,747 · median $7,444 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,810 – $7,309 · median $5,063 | 12 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,511 – $9,895 · median $6,854 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,782 – $5,748 · median $3,981 | 12 plans |
| 602 | CELLULITIS WITH MCC | $8,885 – $13,502 · median $9,352 | 12 plans |
| 603 | CELLULITIS WITHOUT MCC | $5,444 – $8,274 · median $5,731 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,202 – $13,985 · median $9,687 | 12 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $5,726 – $8,702 · median $6,027 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $9,459 – $14,375 · median $9,957 | 12 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,666 – $8,611 · median $5,964 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $13,701 – $20,822 · median $14,422 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $8,747 – $13,293 · median $9,208 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $21,800 – $33,130 · median $22,948 | 12 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,691 – $17,768 · median $12,307 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,866 – $13,474 · median $9,333 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $18,049 – $27,430 · median $18,999 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,004 – $15,203 · median $10,530 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,429 – $14,330 · median $9,925 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,249 – $33,812 · median $23,420 | 12 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $11,214 – $17,042 · median $11,804 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,826 – $11,893 · median $8,238 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,879 – $28,691 · median $19,873 | 12 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $9,373 – $14,244 · median $9,866 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $8,303 – $12,619 · median $8,740 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,297 – $35,405 · median $24,523 | 12 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $13,620 – $20,699 · median $14,337 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,124 – $13,865 · median $9,604 | 12 plans |
| 637 | DIABETES WITH MCC | $8,981 – $13,649 · median $9,454 | 12 plans |
| 638 | DIABETES WITH CC | $5,602 – $8,514 · median $5,897 | 12 plans |
| 639 | DIABETES WITHOUT CC/MCC | $3,883 – $5,901 · median $4,088 | 12 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,349 – $12,688 · median $8,788 | 12 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $4,865 – $7,393 · median $5,121 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $8,890 – $13,510 · median $9,358 | 12 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $10,290 – $15,638 · median $10,832 | 12 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $6,407 – $9,738 · median $6,745 | 12 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $4,803 – $7,299 · median $5,056 | 12 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $29,389 – $44,663 · median $30,936 | 12 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $23,165 – $35,205 · median $24,385 | 12 plans |
| 652 | KIDNEY TRANSPLANT | $20,188 – $30,680 · median $21,251 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $32,483 – $49,366 · median $34,193 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $17,499 – $26,593 · median $18,420 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,231 – $20,108 · median $13,927 | 12 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $19,902 – $30,246 · median $20,950 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,440 – $17,385 · median $12,042 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,700 – $14,742 · median $10,211 | 12 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $15,883 – $24,139 · median $16,719 | 12 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,262 – $12,556 · median $8,697 | 12 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $6,472 – $9,836 · median $6,813 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $19,138 – $29,084 · median $20,145 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,503 – $14,442 · median $10,003 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,544 – $9,946 · median $6,889 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $19,511 – $29,651 · median $20,538 | 12 plans |
| 666 | PROSTATECTOMY WITH CC | $10,935 – $16,618 · median $11,511 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,915 – $10,509 · median $7,279 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $18,253 – $27,740 · median $19,214 | 12 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,702 – $14,744 · median $10,212 | 12 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,109 – $9,284 · median $6,431 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $11,221 – $17,053 · median $11,811 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,748 – $10,255 · median $7,103 | 12 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,265 – $39,915 · median $27,647 | 12 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,619 – $22,217 · median $15,388 | 12 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $10,261 – $15,593 · median $10,801 | 12 plans |
| 682 | RENAL FAILURE WITH MCC | $9,258 – $14,070 · median $9,745 | 12 plans |
| 683 | RENAL FAILURE WITH CC | $5,475 – $8,320 · median $5,763 | 12 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $3,753 – $5,703 · median $3,950 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $11,275 – $17,135 · median $11,869 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $6,550 – $9,954 · median $6,895 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,940 – $7,508 · median $5,200 | 12 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,253 – $11,023 · median $7,635 | 12 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $5,060 – $7,690 · median $5,327 | 12 plans |
| 693 | URINARY STONES WITH MCC | $8,405 – $12,773 · median $8,847 | 12 plans |
| 694 | URINARY STONES WITHOUT MCC | $4,887 – $7,426 · median $5,144 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,150 – $10,866 · median $7,526 | 12 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,307 – $6,546 · median $4,534 | 12 plans |
| 697 | URETHRAL STRICTURE | $6,737 – $10,239 · median $7,092 | 12 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $10,342 – $15,717 · median $10,886 | 12 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $6,345 – $9,643 · median $6,679 | 12 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $4,313 – $6,554 · median $4,540 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,504 – $19,003 · median $13,162 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,590 – $14,575 · median $10,095 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,547 – $22,107 · median $15,313 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $8,759 – $13,311 · median $9,220 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $13,026 – $19,796 · median $13,712 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $6,874 – $10,447 · median $7,236 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,398 – $14,282 · median $9,893 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,610 – $10,045 · median $6,958 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,986 – $21,254 · median $14,722 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,195 – $13,975 · median $9,679 | 12 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,818 – $17,960 · median $12,440 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,396 – $12,759 · median $8,838 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,313 – $17,192 · median $11,908 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,143 – $10,856 · median $7,519 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,099 – $6,229 · median $4,315 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $7,315 – $11,117 · median $7,700 | 12 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,513 – $6,859 · median $4,751 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,270 – $14,088 · median $9,758 | 12 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,071 – $7,706 · median $5,338 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,618 – $10,058 · median $6,966 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,201 – $6,384 · median $4,422 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $13,315 – $20,235 · median $14,016 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,411 – $12,782 · median $8,854 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,345 – $33,958 · median $23,521 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $12,881 – $19,576 · median $13,559 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,180 – $13,951 · median $9,663 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $22,396 – $34,037 · median $23,575 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $11,312 – $17,191 · median $11,907 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $8,915 – $13,548 · median $9,384 | 12 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $11,470 – $17,431 · median $12,073 | 12 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $7,756 – $11,787 · median $8,164 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $12,809 – $19,466 · median $13,483 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,111 – $10,806 · median $7,485 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $10,859 – $16,502 · median $11,430 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $5,374 – $8,167 · median $5,657 | 12 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $8,672 – $13,179 · median $9,129 | 12 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,050 – $24,392 · median $16,895 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,225 – $14,020 · median $9,711 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,513 – $17,496 · median $12,119 | 12 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,800 – $10,334 · median $7,158 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,004 – $9,125 · median $6,320 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,951 – $13,603 · median $9,422 | 12 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,120 – $9,301 · median $6,442 | 12 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,148 – $6,304 · median $4,367 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $6,298 – $9,571 · median $6,629 | 12 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $3,566 – $5,420 · median $3,754 | 12 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $1,750 – $8,305 · median $7,051 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $10,563 – $16,053 · median $11,119 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,268 – $9,526 · median $6,598 | 12 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $4,093 – $6,220 · median $4,308 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $5,259 – $7,992 · median $5,536 | 12 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $2,200 – $19,027 · median $16,155 | 12 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $2,200 – $8,216 · median $6,976 | 12 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $2,200 – $7,423 · median $6,302 | 12 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $2,200 – $12,784 · median $10,854 | 12 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $2,200 – $8,655 · median $7,349 | 12 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $2,200 – $7,431 · median $6,309 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,266 – $17,121 · median $11,859 | 12 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,750 – $9,044 · median $7,679 | 12 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $1,750 – $7,753 · median $6,583 | 12 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $1,750 – $7,418 · median $6,298 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $28,311 – $43,025 · median $29,801 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $17,562 – $26,689 · median $18,486 | 12 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,933 – $18,135 · median $12,561 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $24,905 – $37,849 · median $26,216 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,620 – $17,660 · median $12,232 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $8,477 – $12,882 · median $8,923 | 12 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $1,750 – $8,364 · median $7,101 | 12 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $1,750 – $5,844 · median $4,961 | 12 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $1,750 – $5,225 · median $4,436 | 12 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $13,802 – $20,975 · median $14,528 | 12 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $7,913 – $12,026 · median $8,330 | 12 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,542 – $9,943 · median $6,887 | 12 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $8,778 – $13,341 · median $9,240 | 12 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $5,740 – $8,723 · median $6,042 | 12 plans |
| 813 | COAGULATION DISORDERS | $9,535 – $14,490 · median $10,037 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $13,294 – $20,204 · median $13,994 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $6,339 – $9,633 · median $6,672 | 12 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $3,951 – $6,004 · median $4,159 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $14,263 – $21,675 · median $15,013 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $7,246 – $11,012 · median $7,628 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,375 – $8,169 · median $5,658 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $36,662 – $55,716 · median $38,591 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $13,994 – $21,267 · median $14,730 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,526 – $11,438 · median $7,922 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $28,660 – $43,556 · median $30,169 | 12 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,163 – $21,523 · median $14,908 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,435 – $12,819 · median $8,879 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $29,241 – $44,439 · median $30,780 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $14,448 – $21,956 · median $15,208 | 12 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,651 – $16,186 · median $11,211 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,754 – $30,020 · median $20,793 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,408 – $14,298 · median $9,903 | 12 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $7,517 – $11,424 · median $7,913 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $4,511 – $6,855 · median $4,748 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,269 – $4,968 · median $3,441 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $34,318 – $52,154 · median $36,124 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $13,039 – $19,815 · median $13,725 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $7,623 – $11,585 · median $8,024 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $30,032 – $45,641 · median $31,613 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,049 – $19,830 · median $13,735 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,026 – $13,717 · median $9,501 | 12 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,222 – $30,732 · median $21,286 | 12 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,198 – $15,498 · median $10,735 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,316 – $9,599 · median $6,649 | 12 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,470 – $18,951 · median $13,126 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,610 – $11,565 · median $8,011 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,323 – $8,090 · median $5,604 | 12 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $16,206 – $24,629 · median $17,059 | 12 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $8,178 – $12,428 · median $8,608 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,310 – $8,069 · median $5,589 | 12 plans |
| 849 | RADIOTHERAPY | $16,937 – $25,740 · median $17,829 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $54,132 – $82,265 · median $56,981 | 12 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $30,872 – $46,917 · median $32,497 | 12 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $12,490 – $18,982 · median $13,148 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,359 – $14,223 · median $9,852 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,434 – $43,213 · median $29,931 | 12 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,387 – $20,344 · median $14,091 | 12 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,707 – $13,233 · median $9,165 | 12 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $11,400 – $17,325 · median $12,000 | 12 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $6,238 – $9,480 · median $6,566 | 12 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $5,549 – $8,433 · median $5,841 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $9,366 – $14,234 · median $9,859 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,436 – $8,261 · median $5,722 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $13,085 – $19,885 · median $13,774 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $6,446 – $9,795 · median $6,785 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,561 – $6,932 · median $4,802 | 12 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $43,206 – $65,662 · median $45,480 | 12 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $12,143 – $18,454 · median $12,782 | 12 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $6,397 – $9,721 · median $6,733 | 12 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $24,160 – $36,717 · median $25,432 | 12 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $6,002 – $9,122 · median $6,318 | 12 plans |
| 881 | DEPRESSIVE NEUROSES | $5,882 – $8,939 · median $6,191 | 12 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,712 – $10,201 · median $7,066 | 12 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $12,292 – $18,680 · median $12,938 | 12 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,057 – $15,285 · median $10,587 | 12 plans |
| 885 | PSYCHOSES | $8,732 – $13,270 · median $9,191 | 12 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,973 – $19,715 · median $13,656 | 12 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,694 – $10,174 · median $7,047 | 12 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,856 – $5,861 · median $4,059 | 12 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $8,849 – $13,448 · median $9,315 | 12 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $10,909 – $16,578 · median $11,483 | 12 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,518 – $8,387 · median $5,809 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $26,233 – $39,868 · median $27,614 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $11,968 – $18,188 · median $12,598 | 12 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,311 – $11,111 · median $7,696 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $22,961 – $34,894 · median $24,169 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $9,273 – $14,092 · median $9,761 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $12,279 – $18,661 · median $12,925 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $24,000 – $36,473 · median $25,263 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $12,472 – $18,954 · median $13,129 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $8,206 – $12,471 · median $8,638 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $10,218 – $15,529 · median $10,756 | 12 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $5,535 – $8,412 · median $5,827 | 12 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,512 – $15,975 · median $11,065 | 12 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $4,165 – $6,330 · median $4,384 | 12 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $9,804 – $14,900 · median $10,320 | 12 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $5,358 – $8,142 · median $5,640 | 12 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $11,445 – $17,393 · median $12,047 | 12 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $6,265 – $9,522 · median $6,595 | 12 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,303 – $6,540 · median $4,530 | 12 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $10,936 – $16,619 · median $11,511 | 12 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,362 – $9,668 · median $6,697 | 12 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $133,464 – $202,830 · median $140,489 | 12 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,837 – $68,141 · median $47,197 | 12 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $20,134 – $30,598 · median $21,193 | 12 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $24,343 – $36,995 · median $25,624 | 12 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $13,819 – $21,001 · median $14,546 | 12 plans |
| 935 | NON-EXTENSIVE BURNS | $12,877 – $19,570 · median $13,555 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,682 – $34,471 · median $23,876 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,608 – $22,201 · median $15,377 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $12,675 – $19,263 · median $13,343 | 12 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,680 – $14,712 · median $10,190 | 12 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,169 – $10,895 · median $7,546 | 12 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $7,935 – $12,059 · median $8,353 | 12 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $5,004 – $7,605 · median $5,267 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,437 – $11,302 · median $7,828 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,924 – $5,963 · median $4,130 | 12 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,476 – $5,282 · median $3,659 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $42,077 – $63,945 · median $44,291 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $23,523 – $35,749 · median $24,761 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $47,633 – $72,389 · median $50,140 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,342 – $40,032 · median $27,728 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,404 – $27,969 · median $19,373 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,089 – $25,971 · median $17,989 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,580 – $14,560 · median $10,085 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,879 – $8,935 · median $6,189 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,265 – $58,152 · median $40,279 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $16,487 – $25,055 · median $17,354 | 12 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,041 – $27,417 · median $18,990 | 12 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $8,095 – $12,303 · median $8,521 | 12 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,643 – $8,576 · median $5,940 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $8,112 – $12,328 · median $8,539 | 12 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $29,329 – $44,572 · median $30,873 | 12 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,368 – $23,356 · median $16,177 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,714 – $16,283 · median $11,278 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $21,431 – $32,570 · median $22,559 | 12 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $10,274 – $15,614 · median $10,815 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,496 – $11,392 · median $7,891 | 12 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $37,154 – $46,062 · median $39,109 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $25,373 – $31,457 · median $26,709 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $15,310 – $18,981 · median $16,116 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $26,065 – $32,314 · median $27,436 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,226 – $11,438 · median $9,712 | 11 plans |
| 795 | NORMAL NEWBORN | $1,249 – $1,548 · median $1,315 | 11 plans |
No procedures match that keyword.