Munson Healthcare Manistee 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 | $338,169 – $619,828 · median $364,605 | 15 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $136,743 – $250,635 · median $147,432 | 15 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $256,128 – $469,456 · median $276,150 | 15 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $167,147 – $306,363 · median $180,214 | 15 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $124,419 – $228,046 · median $134,145 | 15 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $55,956 – $102,560 · median $60,330 | 15 plans |
| 007 | LUNG TRANSPLANT | $156,272 – $286,430 · median $168,489 | 15 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $67,632 – $123,962 · median $72,919 | 15 plans |
| 010 | PANCREAS TRANSPLANT | $86,590 – $158,711 · median $93,359 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $65,816 – $120,633 · median $70,961 | 15 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $50,875 – $93,249 · median $54,852 | 15 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $34,775 – $63,739 · median $37,494 | 15 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $145,022 – $265,810 · median $156,359 | 15 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $71,555 – $131,152 · median $77,148 | 15 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $65,553 – $120,151 · median $70,677 | 15 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $521,095 – $955,110 · median $561,830 | 15 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $86,095 – $157,802 · median $92,825 | 15 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $94,954 – $174,041 · median $102,377 | 15 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $63,881 – $117,087 · median $68,875 | 15 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $38,342 – $70,277 · median $41,340 | 15 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $69,149 – $126,742 · median $74,554 | 15 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $47,206 – $86,523 · median $50,896 | 15 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $54,866 – $100,563 · median $59,155 | 15 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $37,519 – $68,769 · median $40,452 | 15 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $30,444 – $55,801 · median $32,824 | 15 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $72,503 – $132,891 · median $78,171 | 15 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $41,168 – $75,457 · median $44,387 | 15 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $26,490 – $48,553 · median $28,561 | 15 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $54,067 – $99,099 · median $58,294 | 15 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $25,715 – $47,133 · median $27,725 | 15 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $20,067 – $36,780 · median $21,635 | 15 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $46,708 – $85,612 · median $50,360 | 15 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $28,847 – $52,873 · median $31,102 | 15 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $23,444 – $42,971 · median $25,277 | 15 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $39,726 – $72,814 · median $42,832 | 15 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,580 – $35,888 · median $21,111 | 15 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,185 – $26,000 · median $15,294 | 15 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $46,594 – $85,401 · median $50,236 | 15 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $26,532 – $48,631 · median $28,606 | 15 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $20,848 – $38,213 · median $22,478 | 15 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $21,857 – $40,062 · median $23,566 | 15 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $11,816 – $21,658 · median $12,740 | 15 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $18,425 – $33,772 · median $19,866 | 15 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,304 – $22,551 · median $13,265 | 15 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $28,033 – $51,382 · median $30,225 | 15 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $15,634 – $28,656 · median $16,856 | 15 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,629 – $37,810 · median $22,241 | 15 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $14,974 – $27,446 · median $16,145 | 15 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,099 – $20,344 · median $11,967 | 15 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $33,270 – $60,981 · median $35,871 | 15 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $21,204 – $38,865 · median $22,862 | 15 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $16,940 – $31,049 · median $18,264 | 15 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $24,267 – $44,479 · median $26,164 | 15 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,191 – $22,346 · median $13,145 | 15 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,259 – $15,137 · median $8,904 | 15 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $17,723 – $32,484 · median $19,109 | 15 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,431 – $19,119 · median $11,246 | 15 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,639 – $17,668 · median $10,393 | 15 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $20,089 – $36,822 · median $21,660 | 15 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,381 – $22,693 · median $13,349 | 15 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,125 – $16,726 · median $9,839 | 15 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $19,359 – $35,484 · median $20,873 | 15 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,439 – $22,799 · median $13,411 | 15 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $23,139 – $42,411 · median $24,948 | 15 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $9,958 – $18,252 · median $10,736 | 15 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $21,842 – $40,033 · median $23,549 | 15 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $10,807 – $19,809 · median $11,652 | 15 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $27,581 – $50,553 · median $29,737 | 15 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $16,843 – $30,872 · median $18,160 | 15 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,534 – $21,140 · median $12,435 | 15 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $27,415 – $50,250 · median $29,559 | 15 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $15,720 – $28,813 · median $16,949 | 15 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,038 – $20,231 · median $11,901 | 15 plans |
| 088 | CONCUSSION WITH MCC | $16,312 – $29,899 · median $17,588 | 15 plans |
| 089 | CONCUSSION WITH CC | $13,257 – $24,299 · median $14,293 | 15 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,934 – $18,207 · median $10,710 | 15 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $21,192 – $38,843 · median $22,849 | 15 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,345 – $22,627 · median $13,310 | 15 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,609 – $17,612 · median $10,360 | 15 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $42,469 – $77,842 · median $45,789 | 15 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $31,124 – $57,046 · median $33,557 | 15 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,124 – $57,046 · median $33,557 | 15 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $43,584 – $79,885 · median $46,991 | 15 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $27,693 – $50,758 · median $29,858 | 15 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $16,440 – $30,133 · median $17,726 | 15 plans |
| 100 | SEIZURES WITH MCC | $23,372 – $42,838 · median $25,199 | 15 plans |
| 101 | SEIZURES WITHOUT MCC | $10,892 – $19,964 · median $11,743 | 15 plans |
| 102 | HEADACHES WITH MCC | $13,526 – $24,792 · median $14,583 | 15 plans |
| 103 | HEADACHES WITHOUT MCC | $10,092 – $18,497 · median $10,881 | 15 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $28,371 – $52,001 · median $30,589 | 15 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,327 – $29,925 · median $17,603 | 15 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $18,522 – $33,949 · median $19,970 | 15 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $21,819 – $39,991 · median $23,524 | 15 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,092 – $23,996 · median $14,115 | 15 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,038 – $25,730 · median $15,135 | 15 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,482 – $17,380 · median $10,224 | 15 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,637 – $17,663 · median $10,390 | 15 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $15,966 – $29,264 · median $17,214 | 15 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,265 – $16,982 · median $9,989 | 15 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $26,186 – $47,996 · median $28,233 | 15 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,252 – $22,456 · median $13,210 | 15 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,019 – $33,026 · median $19,427 | 15 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $10,694 – $19,601 · median $11,530 | 15 plans |
| 139 | SALIVARY GLAND PROCEDURES | $14,911 – $27,331 · median $16,077 | 15 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $51,470 – $94,339 · median $55,494 | 15 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $26,320 – $48,241 · median $28,377 | 15 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $19,264 – $35,309 · median $20,770 | 15 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $45,211 – $82,867 · median $48,745 | 15 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $20,911 – $38,328 · median $22,546 | 15 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $14,508 – $26,592 · median $15,643 | 15 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $25,551 – $46,832 · median $27,548 | 15 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,343 – $28,123 · median $16,543 | 15 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,619 – $17,630 · median $10,371 | 15 plans |
| 149 | DYSEQUILIBRIUM | $9,070 – $16,624 · median $9,779 | 15 plans |
| 150 | EPISTAXIS WITH MCC | $16,067 – $29,450 · median $17,323 | 15 plans |
| 151 | EPISTAXIS WITHOUT MCC | $8,857 – $16,235 · median $9,550 | 15 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,266 – $26,148 · median $15,381 | 15 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $8,908 – $16,327 · median $9,604 | 15 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $18,867 – $34,581 · median $20,342 | 15 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,060 – $20,271 · median $11,924 | 15 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,340 – $15,286 · median $8,992 | 15 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $20,717 – $37,972 · median $22,336 | 15 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $10,979 – $20,123 · median $11,837 | 15 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,550 – $15,670 · median $9,218 | 15 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $54,083 – $99,128 · median $58,310 | 15 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $30,458 – $55,825 · median $32,838 | 15 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $23,099 – $42,338 · median $24,905 | 15 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $45,104 – $82,670 · median $48,629 | 15 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $21,762 – $39,887 · median $23,463 | 15 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,489 – $30,222 · median $17,778 | 15 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $35,917 – $65,832 · median $38,724 | 15 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $16,575 – $30,381 · median $17,871 | 15 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $9,714 – $17,805 · median $10,473 | 15 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $18,857 – $34,564 · median $20,332 | 15 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $11,778 – $21,587 · median $12,698 | 15 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,111 – $16,699 · median $9,823 | 15 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $21,311 – $39,060 · median $22,977 | 15 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $12,924 – $23,688 · median $13,934 | 15 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,096 – $16,672 · median $9,807 | 15 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $18,462 – $33,838 · median $19,905 | 15 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $12,841 – $23,536 · median $13,844 | 15 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,491 – $17,396 · median $10,233 | 15 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $18,807 – $34,471 · median $20,277 | 15 plans |
| 187 | PLEURAL EFFUSION WITH CC | $11,936 – $21,877 · median $12,869 | 15 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,655 – $15,863 · median $9,331 | 15 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $14,908 – $27,324 · median $16,073 | 15 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,367 – $24,500 · median $14,412 | 15 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,173 – $18,645 · median $10,968 | 15 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $7,747 – $14,200 · median $8,353 | 15 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $15,861 – $29,072 · median $17,101 | 15 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $9,725 – $17,825 · median $10,485 | 15 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,584 – $13,901 · median $8,177 | 15 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $22,773 – $41,741 · median $24,553 | 15 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,453 – $20,992 · median $12,348 | 15 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,643 – $15,841 · median $9,318 | 15 plans |
| 199 | PNEUMOTHORAX WITH MCC | $21,288 – $39,018 · median $22,952 | 15 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,265 – $24,314 · median $14,302 | 15 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,629 – $15,816 · median $9,304 | 15 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $11,720 – $21,481 · median $12,636 | 15 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,085 – $14,819 · median $8,717 | 15 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $9,743 – $17,858 · median $10,505 | 15 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $22,095 – $40,498 · median $23,822 | 15 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,356 – $20,815 · median $12,244 | 15 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $77,649 – $142,322 · median $83,719 | 15 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $33,169 – $60,795 · median $35,762 | 15 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $136,586 – $250,347 · median $147,263 | 15 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $131,220 – $240,512 · median $141,477 | 15 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $68,866 – $126,224 · median $74,250 | 15 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $120,153 – $220,227 · median $129,545 | 15 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $118,051 – $216,374 · median $127,279 | 15 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $79,345 – $145,431 · median $85,548 | 15 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $79,345 – $145,431 · median $85,548 | 15 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $92,655 – $169,827 · median $99,898 | 15 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $64,352 – $117,950 · median $69,382 | 15 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $60,821 – $111,478 · median $65,575 | 15 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $59,701 – $109,426 · median $64,368 | 15 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $38,006 – $69,660 · median $40,977 | 15 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $101,725 – $186,451 · median $109,677 | 15 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $73,158 – $134,092 · median $78,877 | 15 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $92,256 – $169,095 · median $99,468 | 15 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $65,919 – $120,823 · median $71,072 | 15 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,817 – $129,801 · median $76,353 | 15 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $50,547 – $92,647 · median $54,498 | 15 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $59,391 – $108,857 · median $64,034 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $34,398 – $63,047 · median $37,086 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $16,706 – $30,620 · median $18,012 | 15 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $38,528 – $70,618 · median $41,540 | 15 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $25,714 – $47,131 · median $27,724 | 15 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $21,811 – $39,978 · median $23,516 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $55,055 – $100,910 · median $59,359 | 15 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $26,337 – $48,272 · median $28,395 | 15 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $18,034 – $33,055 · median $19,444 | 15 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $42,094 – $77,154 · median $45,385 | 15 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $31,322 – $57,409 · median $33,770 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $21,500 – $39,407 · median $23,181 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $32,550 – $59,661 · median $35,095 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $20,489 – $37,554 · median $22,091 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,180 – $24,157 · median $14,210 | 15 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $37,916 – $69,496 · median $40,880 | 15 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $24,401 – $44,724 · median $26,309 | 15 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $39,252 – $71,945 · median $42,321 | 15 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $22,813 – $41,814 · median $24,596 | 15 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $19,668 – $36,050 · median $21,206 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $36,894 – $67,623 · median $39,778 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $40,312 – $73,887 · median $43,463 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $43,661 – $80,027 · median $47,075 | 15 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $73,953 – $135,547 · median $79,734 | 15 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $57,449 – $105,299 · median $61,940 | 15 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $82,997 – $152,124 · median $89,485 | 15 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $50,962 – $93,408 · median $54,946 | 15 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $63,670 – $116,700 · median $68,647 | 15 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $42,915 – $78,658 · median $46,269 | 15 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $30,808 – $56,467 · median $33,216 | 15 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $49,783 – $91,247 · median $53,675 | 15 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $39,722 – $72,805 · median $42,827 | 15 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $86,044 – $157,709 · median $92,770 | 15 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $72,483 – $132,853 · median $78,149 | 15 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $55,732 – $102,151 · median $60,089 | 15 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $67,168 – $123,112 · median $72,419 | 15 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $43,519 – $79,766 · median $46,921 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $19,357 – $35,479 · median $20,870 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,091 – $20,329 · median $11,958 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $8,726 – $15,993 · median $9,408 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $23,903 – $43,811 · median $25,771 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,353 – $15,310 · median $9,006 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,227 – $13,246 · median $7,792 | 15 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $26,702 – $48,942 · median $28,790 | 15 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,913 – $23,668 · median $13,923 | 15 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $32,656 – $59,855 · median $35,209 | 15 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,597 – $37,753 · median $22,208 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,219 – $20,563 · median $12,096 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $15,492 – $28,395 · median $16,703 | 15 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,245 – $18,778 · median $11,046 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,830 – $12,519 · median $7,364 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,848 – $34,546 · median $20,321 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,651 – $14,023 · median $8,249 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,492 – $10,066 · median $5,921 | 15 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $19,702 – $36,112 · median $21,242 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $12,882 – $23,611 · median $13,889 | 15 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $8,685 – $15,918 · median $9,364 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,440 – $26,466 · median $15,568 | 15 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,124 – $14,890 · median $8,759 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $14,360 – $26,320 · median $15,482 | 15 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,112 – $16,701 · median $9,824 | 15 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $19,015 – $34,853 · median $20,502 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,020 – $20,198 · median $11,881 | 15 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,529 – $26,630 · median $15,665 | 15 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $8,878 – $16,272 · median $9,572 | 15 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $6,831 – $12,521 · median $7,365 | 15 plans |
| 311 | ANGINA PECTORIS | $8,470 – $15,525 · median $9,132 | 15 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,518 – $19,278 · median $11,340 | 15 plans |
| 313 | CHEST PAIN | $8,688 – $15,925 · median $9,368 | 15 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $25,162 – $46,120 · median $27,129 | 15 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $11,624 – $21,306 · median $12,533 | 15 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,231 – $15,087 · median $8,874 | 15 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $80,687 – $147,891 · median $86,995 | 15 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $29,229 – $53,574 · median $31,514 | 15 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $53,855 – $98,710 · median $58,065 | 15 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $29,025 – $53,200 · median $31,294 | 15 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $32,832 – $60,178 · median $35,399 | 15 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,274 – $38,994 · median $22,938 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $52,220 – $95,713 · median $56,302 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $38,024 – $69,693 · median $40,996 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $38,740 – $71,007 · median $41,769 | 15 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $60,184 – $110,311 · median $64,889 | 15 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $29,495 – $54,060 · median $31,800 | 15 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $19,335 – $35,439 · median $20,847 | 15 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $55,467 – $101,665 · median $59,803 | 15 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $28,927 – $53,021 · median $31,189 | 15 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $20,308 – $37,222 · median $21,895 | 15 plans |
| 332 | RECTAL RESECTION WITH MCC | $43,692 – $80,082 · median $47,107 | 15 plans |
| 333 | RECTAL RESECTION WITH CC | $28,264 – $51,804 · median $30,473 | 15 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $19,765 – $36,227 · median $21,310 | 15 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $43,091 – $78,981 · median $46,459 | 15 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $25,446 – $46,640 · median $27,435 | 15 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $18,523 – $33,951 · median $19,971 | 15 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $31,167 – $57,126 · median $33,604 | 15 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,157 – $33,281 · median $19,577 | 15 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,314 – $26,236 · median $15,433 | 15 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $27,701 – $50,774 · median $29,867 | 15 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $15,794 – $28,948 · median $17,028 | 15 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,506 – $19,256 · median $11,327 | 15 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $30,070 – $55,115 · median $32,421 | 15 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $18,396 – $33,719 · median $19,835 | 15 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,092 – $25,829 · median $15,194 | 15 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $35,019 – $64,186 · median $37,756 | 15 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $20,302 – $37,211 · median $21,889 | 15 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,230 – $29,748 · median $17,499 | 15 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $53,009 – $97,159 · median $57,153 | 15 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $28,062 – $51,435 · median $30,256 | 15 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $16,869 – $30,919 · median $18,187 | 15 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $41,494 – $76,054 · median $44,738 | 15 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,134 – $53,399 · median $31,411 | 15 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $19,210 – $35,209 · median $20,711 | 15 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,070 – $22,122 · median $13,013 | 15 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,457 – $15,500 · median $9,118 | 15 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $21,396 – $39,217 · median $23,069 | 15 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,321 – $22,582 · median $13,284 | 15 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $8,778 – $16,089 · median $9,464 | 15 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $25,808 – $47,303 · median $27,826 | 15 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $14,596 – $26,754 · median $15,737 | 15 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,154 – $20,444 · median $12,026 | 15 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $22,059 – $40,431 · median $23,783 | 15 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $11,834 – $21,691 · median $12,759 | 15 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,607 – $13,943 · median $8,202 | 15 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $23,678 – $43,400 · median $25,529 | 15 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,075 – $23,965 · median $14,097 | 15 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $9,661 – $17,708 · median $10,416 | 15 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $16,661 – $30,538 · median $17,964 | 15 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,315 – $18,906 · median $11,121 | 15 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,094 – $34,997 · median $20,587 | 15 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $11,781 – $21,594 · median $12,702 | 15 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,221 – $15,069 · median $8,864 | 15 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $17,821 – $32,664 · median $19,214 | 15 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,531 – $17,469 · median $10,276 | 15 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,565 – $12,032 · median $7,078 | 15 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $15,305 – $28,052 · median $16,501 | 15 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,408 – $17,243 · median $10,143 | 15 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $19,299 – $35,373 · median $20,808 | 15 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,291 – $20,696 · median $12,174 | 15 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $7,832 – $14,354 · median $8,444 | 15 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $28,900 – $52,970 · median $31,159 | 15 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $18,265 – $33,478 · median $19,693 | 15 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $13,813 – $25,318 · median $14,893 | 15 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $48,516 – $88,925 · median $52,309 | 15 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $66,014 – $120,996 · median $71,174 | 15 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $34,997 – $64,146 · median $37,733 | 15 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $26,784 – $49,093 · median $28,878 | 15 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $43,027 – $78,863 · median $46,390 | 15 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $26,274 – $48,157 · median $28,328 | 15 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $19,159 – $35,116 · median $20,657 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $39,862 – $73,062 · median $42,978 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $25,371 – $46,503 · median $27,355 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $20,038 – $36,727 · median $21,604 | 15 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $42,991 – $78,797 · median $46,351 | 15 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $24,939 – $45,711 · median $26,889 | 15 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $16,451 – $30,153 · median $17,737 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $28,797 – $52,782 · median $31,048 | 15 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,413 – $37,415 · median $22,009 | 15 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $16,481 – $30,209 · median $17,770 | 15 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $41,114 – $75,358 · median $44,328 | 15 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $20,967 – $38,430 · median $22,606 | 15 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $16,888 – $30,954 · median $18,208 | 15 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $50,115 – $91,855 · median $54,033 | 15 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $26,402 – $48,392 · median $28,466 | 15 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,104 – $33,183 · median $19,520 | 15 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $132,995 – $243,765 · median $143,391 | 15 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $87,108 – $159,660 · median $93,918 | 15 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $67,842 – $124,347 · median $73,145 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $108,720 – $199,273 · median $117,219 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $69,593 – $127,556 · median $75,033 | 15 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $23,751 – $43,532 · median $25,607 | 15 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $12,745 – $23,361 · median $13,742 | 15 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,598 – $15,759 · median $9,270 | 15 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $22,164 – $40,624 · median $23,896 | 15 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,649 – $25,017 · median $14,716 | 15 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,297 – $18,873 · median $11,102 | 15 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $19,672 – $36,057 · median $21,210 | 15 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,151 – $18,606 · median $10,944 | 15 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,499 – $13,744 · median $8,085 | 15 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $21,657 – $39,695 · median $23,350 | 15 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $11,648 – $21,350 · median $12,559 | 15 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,443 – $15,476 · median $9,103 | 15 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $20,163 – $36,957 · median $21,739 | 15 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,206 – $24,206 · median $14,239 | 15 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $9,983 – $18,298 · median $10,764 | 15 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,628 – $147,783 · median $86,931 | 15 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $51,175 – $93,797 · median $55,175 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $64,313 – $117,879 · median $69,341 | 15 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,982 – $71,449 · median $42,029 | 15 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $101,405 – $185,865 · median $109,332 | 15 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $71,958 – $131,891 · median $77,583 | 15 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $50,352 – $92,289 · median $54,288 | 15 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $66,647 – $122,157 · median $71,857 | 15 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $32,099 – $58,833 · median $34,608 | 15 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $68,777 – $126,061 · median $74,153 | 15 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $37,586 – $68,890 · median $40,524 | 15 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $22,007 – $40,336 · median $23,727 | 15 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $62,815 – $115,132 · median $67,725 | 15 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $42,556 – $78,001 · median $45,883 | 15 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $33,161 – $60,780 · median $35,753 | 15 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $36,602 – $67,088 · median $39,463 | 15 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $21,558 – $42,663 · median $25,096 | 15 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $58,269 – $106,800 · median $62,824 | 15 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $35,551 – $65,161 · median $38,330 | 15 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $29,460 – $53,996 · median $31,763 | 15 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $51,803 – $94,950 · median $55,853 | 15 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $27,461 – $50,334 · median $29,608 | 15 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,242 – $26,103 · median $15,355 | 15 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $41,687 – $76,408 · median $44,946 | 15 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $29,676 – $54,392 · median $31,995 | 15 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $22,432 – $41,115 · median $24,185 | 15 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $35,143 – $64,414 · median $37,890 | 15 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $25,275 – $46,326 · median $27,250 | 15 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $19,682 – $36,074 · median $21,220 | 15 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $33,449 – $61,308 · median $36,064 | 15 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $38,942 – $71,376 · median $41,986 | 15 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $25,234 – $46,251 · median $27,206 | 15 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $18,900 – $34,641 · median $20,377 | 15 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,346 – $39,124 · median $23,014 | 15 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,477 – $24,701 · median $14,530 | 15 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $44,306 – $81,208 · median $47,769 | 15 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $30,604 – $56,093 · median $32,996 | 15 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $24,213 – $44,379 · median $26,106 | 15 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $43,752 – $80,193 · median $47,172 | 15 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $21,768 – $39,898 · median $23,470 | 15 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $14,581 – $26,725 · median $15,721 | 15 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $36,404 – $66,725 · median $39,250 | 15 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $24,313 – $44,563 · median $26,214 | 15 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $38,190 – $69,999 · median $41,176 | 15 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $21,095 – $38,664 · median $22,744 | 15 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $16,241 – $29,768 · median $17,511 | 15 plans |
| 503 | FOOT PROCEDURES WITH MCC | $33,681 – $61,733 · median $36,314 | 15 plans |
| 504 | FOOT PROCEDURES WITH CC | $22,556 – $41,343 · median $24,319 | 15 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $21,634 – $39,653 · median $23,325 | 15 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,281 – $29,841 · median $17,554 | 15 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $21,798 – $39,954 · median $23,502 | 15 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $18,275 – $33,495 · median $19,703 | 15 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $36,449 – $66,807 · median $39,298 | 15 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $25,092 – $45,992 · median $27,054 | 15 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $19,976 – $36,614 · median $21,538 | 15 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $18,997 – $34,820 · median $20,482 | 15 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,336 – $22,611 · median $13,301 | 15 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $38,457 – $70,487 · median $41,463 | 15 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $25,077 – $45,963 · median $27,037 | 15 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $18,544 – $33,988 · median $19,993 | 15 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $45,099 – $82,661 · median $48,624 | 15 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $24,137 – $44,240 · median $26,024 | 15 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $18,027 – $33,042 · median $19,436 | 15 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $34,635 – $63,483 · median $37,343 | 15 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $25,555 – $46,839 · median $27,552 | 15 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $18,918 – $34,674 · median $20,397 | 15 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $9,727 – $17,829 · median $10,488 | 15 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $15,470 – $28,355 · median $16,679 | 15 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $9,745 – $17,862 · median $10,507 | 15 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,516 – $21,107 · median $12,416 | 15 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $8,692 – $15,931 · median $9,371 | 15 plans |
| 539 | OSTEOMYELITIS WITH MCC | $23,769 – $43,565 · median $25,627 | 15 plans |
| 540 | OSTEOMYELITIS WITH CC | $15,643 – $28,671 · median $16,865 | 15 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,502 – $17,416 · median $10,244 | 15 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $21,317 – $39,071 · median $22,983 | 15 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,405 – $22,737 · median $13,375 | 15 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,106 – $16,690 · median $9,818 | 15 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $29,947 – $54,890 · median $32,288 | 15 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $13,918 – $25,511 · median $15,006 | 15 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,091 – $18,495 · median $10,879 | 15 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $23,301 – $42,707 · median $25,122 | 15 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $14,568 – $26,701 · median $15,706 | 15 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,548 – $19,333 · median $11,372 | 15 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $20,226 – $37,072 · median $21,807 | 15 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $11,600 – $21,262 · median $12,507 | 15 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $15,643 – $28,671 · median $16,865 | 15 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,017 – $18,360 · median $10,800 | 15 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $15,950 – $29,235 · median $17,197 | 15 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,023 – $18,371 · median $10,807 | 15 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $17,943 – $32,887 · median $19,345 | 15 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,778 – $19,756 · median $11,621 | 15 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,504 – $41,248 · median $24,263 | 15 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $13,589 – $24,907 · median $14,651 | 15 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $9,701 – $17,781 · median $10,459 | 15 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $17,193 – $31,514 · median $18,537 | 15 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $10,806 – $19,807 · median $11,651 | 15 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $18,627 – $34,141 · median $20,083 | 15 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $11,758 – $21,552 · median $12,677 | 15 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,042 – $16,573 · median $9,749 | 15 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $35,491 – $65,051 · median $38,265 | 15 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $20,388 – $37,368 · median $21,981 | 15 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $13,833 – $25,354 · median $14,914 | 15 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $79,057 – $144,903 · median $85,237 | 15 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $41,890 – $76,780 · median $45,165 | 15 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,685 – $39,746 · median $23,380 | 15 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $59,144 – $108,404 · median $63,767 | 15 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,986 – $58,628 · median $34,487 | 15 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,385 – $35,530 · median $20,900 | 15 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $39,080 – $71,629 · median $42,134 | 15 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $20,852 – $38,220 · median $22,482 | 15 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $17,414 – $31,918 · median $18,775 | 15 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $23,249 – $42,612 · median $25,066 | 15 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $20,809 – $38,140 · median $22,435 | 15 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $25,832 – $47,348 · median $27,852 | 15 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $23,279 – $42,668 · median $25,099 | 15 plans |
| 592 | SKIN ULCERS WITH MCC | $23,354 – $42,805 · median $25,179 | 15 plans |
| 593 | SKIN ULCERS WITH CC | $14,315 – $26,238 · median $15,434 | 15 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,460 – $19,172 · median $11,278 | 15 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $25,591 – $46,905 · median $27,591 | 15 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,063 – $23,943 · median $14,084 | 15 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $20,117 – $36,873 · median $21,690 | 15 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $13,652 – $25,022 · median $14,719 | 15 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,284 – $17,017 · median $10,010 | 15 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $12,569 – $23,038 · median $13,552 | 15 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,301 – $13,381 · median $7,871 | 15 plans |
| 602 | CELLULITIS WITH MCC | $17,151 – $31,436 · median $18,492 | 15 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,509 – $19,262 · median $11,331 | 15 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $17,764 – $32,560 · median $19,153 | 15 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,054 – $20,260 · median $11,918 | 15 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $18,260 – $33,469 · median $19,687 | 15 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $10,938 – $20,048 · median $11,793 | 15 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $26,449 – $48,478 · median $28,516 | 15 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $16,886 – $30,950 · median $18,206 | 15 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,083 – $77,134 · median $45,373 | 15 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $22,569 – $41,367 · median $24,334 | 15 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $17,115 – $31,370 · median $18,453 | 15 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $34,843 – $63,863 · median $37,567 | 15 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $19,311 – $35,395 · median $20,821 | 15 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $18,202 – $33,363 · median $19,625 | 15 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $42,950 – $78,722 · median $46,307 | 15 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $21,647 – $39,677 · median $23,340 | 15 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,107 – $27,689 · median $16,288 | 15 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $36,444 – $66,798 · median $39,293 | 15 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $18,094 – $33,163 · median $19,508 | 15 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,029 – $29,379 · median $17,282 | 15 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $44,972 – $82,429 · median $48,488 | 15 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $26,292 – $48,190 · median $28,347 | 15 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $17,612 – $32,281 · median $18,989 | 15 plans |
| 637 | DIABETES WITH MCC | $17,337 – $31,777 · median $18,692 | 15 plans |
| 638 | DIABETES WITH CC | $10,815 – $19,822 · median $11,660 | 15 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,496 – $13,740 · median $8,082 | 15 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,117 – $29,541 · median $17,377 | 15 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,391 – $17,212 · median $10,125 | 15 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $17,161 – $31,454 · median $18,502 | 15 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $19,864 – $36,408 · median $21,417 | 15 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,369 – $22,671 · median $13,336 | 15 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,271 – $16,993 · median $9,996 | 15 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $56,733 – $103,985 · median $61,168 | 15 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $44,719 – $81,964 · median $48,214 | 15 plans |
| 652 | KIDNEY TRANSPLANT | $38,971 – $71,430 · median $42,017 | 15 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $62,706 – $114,933 · median $67,608 | 15 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $33,780 – $61,914 · median $36,420 | 15 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $25,541 – $46,815 · median $27,538 | 15 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $38,419 – $70,419 · median $41,423 | 15 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $22,083 – $40,476 · median $23,809 | 15 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $18,726 – $34,322 · median $20,190 | 15 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $30,662 – $56,199 · median $33,058 | 15 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $15,949 – $29,233 · median $17,196 | 15 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,494 – $22,901 · median $13,471 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $36,944 – $67,714 · median $39,832 | 15 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $18,345 – $33,624 · median $19,779 | 15 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $12,633 – $23,155 · median $13,621 | 15 plans |
| 665 | PROSTATECTOMY WITH MCC | $37,664 – $69,034 · median $40,608 | 15 plans |
| 666 | PROSTATECTOMY WITH CC | $21,109 – $38,691 · median $22,759 | 15 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,349 – $24,467 · median $14,392 | 15 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $35,236 – $64,584 · median $37,991 | 15 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $18,728 – $34,327 · median $20,192 | 15 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $11,793 – $21,616 · median $12,715 | 15 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $21,661 – $39,702 · median $23,354 | 15 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,027 – $23,876 · median $14,045 | 15 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $50,701 – $92,930 · median $54,665 | 15 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $28,220 – $51,725 · median $30,426 | 15 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $19,807 – $36,304 · median $21,355 | 15 plans |
| 682 | RENAL FAILURE WITH MCC | $17,871 – $32,757 · median $19,269 | 15 plans |
| 683 | RENAL FAILURE WITH CC | $10,568 – $19,371 · median $11,395 | 15 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,244 – $13,277 · median $7,810 | 15 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,766 – $39,894 · median $23,467 | 15 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $12,644 – $23,175 · median $13,632 | 15 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,537 – $17,480 · median $10,282 | 15 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,002 – $25,663 · median $15,096 | 15 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $9,768 – $17,904 · median $10,532 | 15 plans |
| 693 | URINARY STONES WITH MCC | $16,224 – $29,737 · median $17,493 | 15 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,433 – $17,290 · median $10,170 | 15 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $13,802 – $25,298 · median $14,881 | 15 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,314 – $15,239 · median $8,964 | 15 plans |
| 697 | URETHRAL STRICTURE | $13,006 – $23,839 · median $14,023 | 15 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,964 – $36,592 · median $21,525 | 15 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,248 – $22,450 · median $13,206 | 15 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,325 – $15,259 · median $8,976 | 15 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $24,138 – $44,242 · median $26,025 | 15 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $18,513 – $33,933 · median $19,961 | 15 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $28,082 – $51,470 · median $30,277 | 15 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $16,909 – $30,992 · median $18,230 | 15 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $25,146 – $46,089 · median $27,111 | 15 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,270 – $24,323 · median $14,308 | 15 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $18,142 – $33,252 · median $19,560 | 15 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $12,760 – $23,387 · median $13,757 | 15 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $26,998 – $49,484 · median $29,108 | 15 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $17,751 – $32,535 · median $19,138 | 15 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $22,813 – $41,814 · median $24,596 | 15 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,207 – $29,707 · median $17,474 | 15 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $21,838 – $40,027 · median $23,545 | 15 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,789 – $25,274 · median $14,867 | 15 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,912 – $14,503 · median $8,531 | 15 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,121 – $25,882 · median $15,225 | 15 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $8,713 – $15,969 · median $9,394 | 15 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $17,894 – $32,799 · median $19,293 | 15 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $9,789 – $17,942 · median $10,554 | 15 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $12,776 – $23,416 · median $13,774 | 15 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,109 – $14,863 · median $8,743 | 15 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $25,703 – $47,111 · median $27,712 | 15 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $16,236 – $29,760 · median $17,506 | 15 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $43,134 – $79,060 · median $46,506 | 15 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $24,866 – $45,576 · median $26,809 | 15 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,721 – $32,480 · median $19,106 | 15 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $43,234 – $79,244 · median $46,614 | 15 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $21,837 – $40,024 · median $23,544 | 15 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,209 – $31,542 · median $18,554 | 15 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $22,141 – $40,582 · median $23,872 | 15 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $14,972 – $27,442 · median $16,142 | 15 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $24,727 – $45,322 · median $26,660 | 15 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $13,726 – $25,159 · median $14,799 | 15 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $20,962 – $38,421 · median $22,601 | 15 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,374 – $19,015 · median $11,185 | 15 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $16,741 – $30,684 · median $18,049 | 15 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $30,984 – $56,790 · median $33,406 | 15 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,809 – $32,642 · median $19,201 | 15 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $22,224 – $40,734 · median $23,961 | 15 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,127 – $24,060 · median $14,153 | 15 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $11,591 – $21,244 · median $12,497 | 15 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,279 – $31,671 · median $18,630 | 15 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,814 – $21,653 · median $12,737 | 15 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,008 – $14,677 · median $8,634 | 15 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,158 – $22,284 · median $13,108 | 15 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,884 – $12,618 · median $7,422 | 15 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $12,922 – $23,701 · median $13,942 | 15 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,594 – $37,375 · median $21,985 | 15 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,633 – $22,178 · median $13,046 | 15 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $7,472 – $14,481 · median $8,518 | 15 plans |
| 779 | ABORTION WITHOUT D&C | $5,335 – $18,608 · median $10,946 | 15 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,683 – $54,302 · median $31,942 | 15 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $11,165 – $23,447 · median $13,792 | 15 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $9,204 – $21,184 · median $12,461 | 15 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,469 – $36,483 · median $21,461 | 15 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,061 – $24,701 · median $14,530 | 15 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $9,006 – $21,207 · median $12,474 | 15 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $23,448 – $39,861 · median $23,448 | 15 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $77,328 – $131,457 · median $77,328 | 15 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,404 – $89,776 · median $52,810 | 15 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,637 – $54,171 · median $31,865 | 15 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,671 – $92,223 · median $54,249 | 15 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,514 – $32,644 · median $19,202 | 15 plans |
| 795 | NORMAL NEWBORN | $1,714 – $4,419 · median $2,599 | 15 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $11,019 – $25,812 · median $15,183 | 15 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,356 – $22,127 · median $13,016 | 15 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,356 – $21,169 · median $12,452 | 15 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $54,651 – $100,170 · median $58,923 | 15 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $33,902 – $62,138 · median $36,552 | 15 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $23,035 – $42,221 · median $24,836 | 15 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $48,077 – $88,120 · median $51,835 | 15 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $22,432 – $41,115 · median $24,185 | 15 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $16,363 – $29,992 · median $17,642 | 15 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,680 – $23,870 · median $14,041 | 15 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,310 – $16,677 · median $9,810 | 15 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,459 – $14,912 · median $8,772 | 15 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $26,643 – $48,834 · median $28,726 | 15 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,276 – $27,999 · median $16,470 | 15 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,630 – $23,149 · median $13,617 | 15 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $16,946 – $31,060 · median $18,271 | 15 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,080 – $20,309 · median $11,946 | 15 plans |
| 813 | COAGULATION DISORDERS | $18,406 – $33,736 · median $19,845 | 15 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $25,663 – $47,038 · median $27,669 | 15 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,236 – $22,428 · median $13,193 | 15 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,626 – $13,978 · median $8,223 | 15 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,029 – $50,464 · median $29,685 | 15 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,747 – $25,639 · median $15,082 | 15 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,637 – $19,019 · median $11,188 | 15 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $70,772 – $129,717 · median $76,304 | 15 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $27,014 – $49,513 · median $29,125 | 15 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $14,529 – $26,630 · median $15,665 | 15 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $55,326 – $101,406 · median $59,651 | 15 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $27,339 – $50,110 · median $29,477 | 15 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,283 – $29,846 · median $17,556 | 15 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $56,448 – $103,463 · median $60,860 | 15 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $27,890 – $51,119 · median $30,070 | 15 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $20,560 – $37,684 · median $22,167 | 15 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $38,132 – $69,892 · median $41,113 | 15 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $18,161 – $33,287 · median $19,581 | 15 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,133 – $26,597 · median $15,645 | 15 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,686 – $15,960 · median $9,388 | 15 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,800 – $11,565 · median $6,803 | 15 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $66,248 – $121,425 · median $71,426 | 15 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $25,170 – $46,133 · median $27,137 | 15 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $14,716 – $26,973 · median $15,866 | 15 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $57,974 – $106,261 · median $62,506 | 15 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $25,189 – $46,169 · median $27,158 | 15 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $17,424 – $31,936 · median $18,786 | 15 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $39,036 – $71,549 · median $42,088 | 15 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $19,686 – $36,083 · median $21,225 | 15 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $12,193 – $22,348 · median $13,146 | 15 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $24,072 – $44,121 · median $25,953 | 15 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $14,691 – $26,926 · median $15,839 | 15 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,276 – $18,836 · median $11,080 | 15 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $31,284 – $57,341 · median $33,730 | 15 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $15,786 – $28,935 · median $17,020 | 15 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,250 – $18,787 · median $11,051 | 15 plans |
| 849 | RADIOTHERAPY | $32,696 – $59,928 · median $35,252 | 15 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $104,496 – $191,529 · median $112,664 | 15 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $59,595 – $109,231 · median $64,254 | 15 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $24,111 – $44,194 · median $25,996 | 15 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,067 – $33,115 · median $19,479 | 15 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $54,890 – $100,607 · median $59,181 | 15 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $25,842 – $47,365 · median $27,862 | 15 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,808 – $30,808 · median $18,122 | 15 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $22,007 – $40,336 · median $23,727 | 15 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,042 – $22,071 · median $12,983 | 15 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $10,712 – $19,634 · median $11,549 | 15 plans |
| 865 | VIRAL ILLNESS WITH MCC | $18,080 – $33,139 · median $19,494 | 15 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,494 – $19,234 · median $11,314 | 15 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $25,259 – $46,297 · median $27,234 | 15 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,442 – $22,806 · median $13,415 | 15 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $8,805 – $16,139 · median $9,494 | 15 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $83,406 – $152,874 · median $89,926 | 15 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $23,441 – $42,964 · median $25,273 | 15 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,348 – $22,633 · median $13,314 | 15 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $46,638 – $85,483 · median $50,284 | 15 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,587 – $21,238 · median $12,493 | 15 plans |
| 881 | DEPRESSIVE NEUROSES | $11,354 – $20,811 · median $12,242 | 15 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $12,958 – $23,750 · median $13,971 | 15 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $23,728 – $43,490 · median $25,583 | 15 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $19,415 – $35,585 · median $20,933 | 15 plans |
| 885 | PSYCHOSES | $16,855 – $30,894 · median $18,173 | 15 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $25,043 – $45,901 · median $27,001 | 15 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $12,923 – $23,686 · median $13,933 | 15 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,444 – $13,644 · median $8,026 | 15 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,082 – $31,310 · median $18,418 | 15 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $21,058 – $38,598 · median $22,705 | 15 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,653 – $19,526 · median $11,486 | 15 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $50,641 – $92,820 · median $54,600 | 15 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $23,103 – $42,345 · median $24,909 | 15 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $14,114 – $25,869 · median $15,217 | 15 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $44,324 – $81,241 · median $47,789 | 15 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $17,900 – $32,810 · median $19,300 | 15 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $23,704 – $43,446 · median $25,557 | 15 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $46,330 – $84,917 · median $49,951 | 15 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $24,076 – $44,130 · median $25,959 | 15 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $15,841 – $29,034 · median $17,079 | 15 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $19,725 – $36,154 · median $21,267 | 15 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,685 – $19,585 · median $11,521 | 15 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $20,292 – $37,193 · median $21,878 | 15 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,040 – $14,737 · median $8,669 | 15 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $18,926 – $34,690 · median $20,406 | 15 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,343 – $18,957 · median $11,151 | 15 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $22,093 – $40,493 · median $23,820 | 15 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,095 – $22,169 · median $13,040 | 15 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,307 – $15,226 · median $8,956 | 15 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $21,110 – $38,693 · median $22,761 | 15 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,281 – $22,509 · median $13,241 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $257,640 – $472,227 · median $277,781 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $86,554 – $158,645 · median $93,320 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $38,866 – $71,237 · median $41,904 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $46,992 – $86,131 · median $50,665 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $26,676 – $48,894 · median $28,761 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $24,858 – $45,563 · median $26,802 | 15 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $43,786 – $80,255 · median $47,209 | 15 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $28,200 – $51,687 · median $30,404 | 15 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $24,469 – $44,848 · median $26,381 | 15 plans |
| 945 | REHABILITATION WITH CC/MCC | $18,687 – $34,252 · median $20,148 | 15 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $13,839 – $25,365 · median $14,920 | 15 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $15,318 – $28,076 · median $16,516 | 15 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $9,660 – $17,705 · median $10,415 | 15 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,356 – $26,314 · median $15,479 | 15 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,575 – $13,883 · median $8,167 | 15 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,709 – $12,298 · median $7,234 | 15 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $81,225 – $148,877 · median $87,575 | 15 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $45,409 – $83,229 · median $48,959 | 15 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $91,951 – $168,536 · median $99,139 | 15 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $50,850 – $93,202 · median $54,825 | 15 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $35,527 – $65,117 · median $38,304 | 15 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $32,989 – $60,466 · median $35,568 | 15 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $18,494 – $33,898 · median $19,940 | 15 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,349 – $20,802 · median $12,236 | 15 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $73,867 – $135,390 · median $79,641 | 15 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $31,826 – $58,334 · median $34,314 | 15 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $34,826 – $63,832 · median $37,548 | 15 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $15,627 – $28,643 · median $16,849 | 15 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $10,893 – $19,966 · median $11,745 | 15 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $15,660 – $28,702 · median $16,884 | 15 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $56,617 – $103,772 · median $61,043 | 15 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $29,667 – $54,377 · median $31,986 | 15 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,683 – $37,910 · median $22,300 | 15 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $41,371 – $75,829 · median $44,605 | 15 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,834 – $36,353 · median $21,384 | 15 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,471 – $26,524 · median $15,602 | 15 plans |
No procedures match that keyword.