Munson Medical Center — 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 | $257,131 – $447,988 · median $257,131 | 20 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $104,013 – $176,822 · median $104,013 | 20 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $194,766 – $343,823 · median $194,766 | 20 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $127,125 – $216,113 · median $127,125 | 20 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $94,644 – $169,386 · median $94,644 | 20 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $42,601 – $72,421 · median $42,601 | 20 plans |
| 007 | LUNG TRANSPLANT | $118,859 – $202,060 · median $118,859 | 20 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $51,477 – $87,510 · median $51,477 | 20 plans |
| 010 | PANCREAS TRANSPLANT | $64,850 – $112,011 · median $65,889 | 20 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $50,096 – $85,163 · median $50,096 | 20 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $38,739 – $75,564 · median $38,739 | 20 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,500 – $52,948 · median $26,500 | 20 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $110,307 – $255,651 · median $110,307 | 20 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $54,459 – $162,655 · median $54,459 | 20 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $49,896 – $84,823 · median $49,896 | 20 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $123,794 – $673,515 · median $396,185 | 20 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $65,512 – $111,370 · median $65,512 | 20 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $72,246 – $134,246 · median $72,246 | 20 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $48,626 – $98,125 · median $48,626 | 20 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,212 – $63,406 · median $29,212 | 20 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $52,630 – $89,471 · median $52,630 | 20 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $35,949 – $63,971 · median $35,949 | 20 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $41,772 – $71,013 · median $41,772 | 20 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $28,586 – $52,692 · median $28,586 | 20 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,208 – $47,630 · median $23,208 | 20 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $55,180 – $93,806 · median $55,180 | 20 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,360 – $53,312 · median $31,360 | 20 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,202 – $34,343 · median $20,202 | 20 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $41,165 – $72,425 · median $41,165 | 20 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,613 – $33,342 · median $19,613 | 20 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,319 – $28,411 · median $15,319 | 20 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $35,571 – $60,471 · median $35,571 | 20 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,993 – $37,389 · median $21,993 | 20 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,887 – $30,407 · median $17,887 | 20 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,264 – $51,449 · median $30,264 | 20 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $14,949 – $25,414 · median $14,949 | 20 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,848 – $22,091 · median $10,848 | 20 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,484 – $60,323 · median $35,484 | 20 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,234 – $34,398 · median $20,234 | 20 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $15,914 – $28,791 · median $15,914 | 20 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,680 – $28,357 · median $16,680 | 20 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,047 – $15,933 · median $9,047 | 20 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,072 – $23,922 · median $14,072 | 20 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,418 – $17,403 · median $9,418 | 20 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,375 – $36,338 · median $21,375 | 20 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $11,950 – $24,499 · median $11,950 | 20 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,747 – $26,769 · median $15,747 | 20 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,448 – $21,194 · median $11,448 | 20 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,503 – $14,454 · median $8,503 | 20 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,356 – $43,303 · median $25,356 | 20 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,184 – $27,513 · median $16,184 | 20 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,942 – $26,937 · median $12,942 | 20 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,512 – $31,471 · median $18,512 | 20 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,333 – $17,048 · median $9,333 | 20 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,343 – $12,929 · median $6,343 | 20 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,538 – $23,014 · median $13,538 | 20 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,994 – $13,590 · median $7,994 | 20 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,393 – $13,328 · median $7,393 | 20 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,337 – $26,072 · median $15,337 | 20 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,477 – $16,110 · median $9,477 | 20 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,002 – $11,903 · median $7,002 | 20 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,782 – $25,129 · median $14,782 | 20 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,521 – $16,185 · median $9,521 | 20 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,023 – $30,013 · median $17,655 | 20 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,635 – $12,979 · median $7,635 | 20 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,668 – $28,336 · median $16,668 | 20 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,281 – $16,671 · median $8,281 | 20 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,031 – $36,918 · median $21,031 | 20 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,869 – $21,877 · median $12,869 | 20 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,833 – $15,016 · median $8,833 | 20 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,906 – $35,539 · median $20,906 | 20 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,015 – $20,425 · median $12,015 | 20 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,456 – $14,375 · median $8,456 | 20 plans |
| 088 | CONCUSSION WITH MCC | $12,465 – $30,434 · median $12,465 | 20 plans |
| 089 | CONCUSSION WITH CC | $10,143 – $17,243 · median $10,143 | 20 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,616 – $15,796 · median $7,616 | 20 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,175 – $28,224 · median $16,175 | 20 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,449 – $16,064 · median $9,449 | 20 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,370 – $13,019 · median $7,370 | 20 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,349 – $54,993 · median $32,349 | 20 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,724 – $45,289 · median $23,724 | 20 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,724 – $40,331 · median $23,724 | 20 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $31,880 – $56,434 · median $33,197 | 20 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,116 – $35,898 · median $21,116 | 20 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,563 – $24,241 · median $12,563 | 20 plans |
| 100 | SEIZURES WITH MCC | $17,832 – $30,314 · median $17,832 | 20 plans |
| 101 | SEIZURES WITHOUT MCC | $8,345 – $14,186 · median $8,345 | 20 plans |
| 102 | HEADACHES WITH MCC | $10,347 – $17,590 · median $10,347 | 20 plans |
| 103 | HEADACHES WITHOUT MCC | $7,737 – $14,103 · median $7,737 | 20 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,632 – $36,774 · median $21,632 | 20 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,476 – $21,993 · median $12,476 | 20 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,836 – $24,046 · median $14,145 | 20 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,651 – $28,307 · median $16,651 | 20 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,017 – $17,510 · median $10,017 | 20 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,423 – $18,252 · median $10,736 | 20 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,273 – $12,365 · median $7,273 | 20 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,391 – $15,348 · median $7,391 | 20 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,202 – $20,743 · median $12,202 | 20 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,108 – $12,084 · median $7,108 | 20 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,971 – $33,950 · median $19,971 | 20 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,379 – $15,944 · median $9,379 | 20 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,762 – $23,396 · median $13,762 | 20 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,194 – $13,930 · median $8,194 | 20 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,400 – $19,381 · median $11,400 | 20 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,191 – $66,625 · median $39,191 | 20 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,073 – $46,757 · median $20,073 | 20 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,709 – $34,577 · median $14,709 | 20 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,433 – $58,536 · median $34,433 | 20 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $15,961 – $27,134 · median $15,961 | 20 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,094 – $19,201 · median $11,094 | 20 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,488 – $33,130 · median $19,488 | 20 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,729 – $19,939 · median $11,729 | 20 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,377 – $14,902 · median $7,377 | 20 plans |
| 149 | DYSEQUILIBRIUM | $6,960 – $11,831 · median $6,960 | 20 plans |
| 150 | EPISTAXIS WITH MCC | $12,279 – $23,219 · median $12,279 | 20 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,798 – $11,633 · median $6,798 | 20 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,440 – $18,546 · median $10,910 | 20 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,533 – $11,622 · median $6,837 | 20 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,407 – $24,492 · median $14,407 | 20 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,472 – $15,485 · median $8,472 | 20 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,405 – $10,888 · median $6,405 | 20 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,814 – $37,595 · median $15,814 | 20 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,411 – $14,298 · median $8,411 | 20 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,564 – $11,159 · median $6,564 | 20 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,177 – $70,001 · median $41,177 | 20 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,218 – $39,471 · median $23,218 | 20 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,624 – $29,961 · median $17,624 | 20 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,351 – $58,397 · median $34,351 | 20 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,608 – $28,233 · median $16,608 | 20 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,599 – $21,951 · median $12,599 | 20 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,368 – $46,526 · median $27,368 | 20 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,665 – $21,531 · median $12,665 | 20 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,449 – $12,664 · median $7,449 | 20 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,400 – $24,480 · median $14,400 | 20 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,018 – $15,331 · median $9,018 | 20 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,991 – $11,884 · median $6,991 | 20 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,265 – $27,650 · median $16,265 | 20 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,890 – $16,812 · median $9,890 | 20 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,980 – $11,866 · median $6,980 | 20 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,099 – $23,968 · median $14,099 | 20 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,826 – $16,705 · median $9,826 | 20 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,280 – $12,376 · median $7,280 | 20 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,361 – $24,414 · median $14,361 | 20 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,138 – $15,535 · median $9,138 | 20 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,644 – $11,295 · median $6,644 | 20 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,398 – $19,376 · median $11,398 | 20 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,226 – $17,384 · median $10,226 | 20 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,798 – $13,257 · median $7,798 | 20 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,954 – $10,122 · median $5,954 | 20 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,122 – $20,608 · median $12,122 | 20 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,458 – $12,678 · median $7,458 | 20 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,830 – $9,912 · median $5,830 | 20 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,377 – $29,540 · median $17,377 | 20 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,771 – $15,258 · median $8,771 | 20 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,635 – $11,279 · median $6,635 | 20 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,247 – $27,621 · median $16,247 | 20 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,149 – $17,254 · median $10,149 | 20 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,625 – $11,262 · median $6,625 | 20 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,974 – $15,256 · median $8,974 | 20 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,972 – $10,559 · median $6,211 | 20 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,471 – $12,702 · median $7,471 | 20 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $16,861 – $28,664 · median $16,861 | 20 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,698 – $14,787 · median $8,698 | 20 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $59,091 – $100,840 · median $59,091 | 20 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,279 – $42,975 · median $25,279 | 20 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $103,894 – $176,619 · median $103,894 | 20 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $99,814 – $173,669 · median $99,814 | 20 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $52,415 – $89,106 · median $52,415 | 20 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $91,402 – $155,383 · median $91,402 | 20 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $89,804 – $152,666 · median $89,804 | 20 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $60,381 – $102,648 · median $60,381 | 20 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $60,381 – $102,648 · median $60,381 | 20 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $70,499 – $119,848 · median $70,499 | 20 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $48,983 – $83,272 · median $48,983 | 20 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,299 – $78,709 · median $46,299 | 20 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $45,448 – $90,491 · median $45,448 | 20 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $28,956 – $53,509 · median $28,956 | 20 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $77,393 – $131,569 · median $77,393 | 20 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $55,678 – $100,227 · median $55,678 | 20 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $70,195 – $119,332 · median $70,195 | 20 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $50,175 – $85,298 · median $50,175 | 20 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $53,898 – $91,627 · median $53,898 | 20 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $38,489 – $65,432 · median $38,489 | 20 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,212 – $76,861 · median $45,212 | 20 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,213 – $44,562 · median $26,213 | 20 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,764 – $21,699 · median $12,764 | 20 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $29,353 – $49,900 · median $29,353 | 20 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,612 – $33,341 · median $19,612 | 20 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,646 – $30,274 · median $16,646 | 20 plans |
| 245 | AICD GENERATOR PROCEDURES | $41,917 – $71,258 · median $41,917 | 20 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,085 – $37,408 · median $20,085 | 20 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,774 – $23,464 · median $13,774 | 20 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,064 – $68,939 · median $32,064 | 20 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $23,875 – $40,587 · median $23,875 | 20 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,409 – $27,895 · median $16,409 | 20 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,809 – $42,175 · median $24,809 | 20 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,640 – $28,255 · median $15,640 | 20 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,084 – $17,143 · median $10,084 | 20 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $28,888 – $49,110 · median $28,888 | 20 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,614 – $31,644 · median $18,614 | 20 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $29,903 – $61,134 · median $29,903 | 20 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,407 – $33,467 · median $17,407 | 20 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,016 – $30,314 · median $15,016 | 20 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,111 – $47,789 · median $28,111 | 20 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $30,709 – $52,205 · median $30,709 | 20 plans |
| 265 | AICD LEAD PROCEDURES | $33,255 – $56,534 · median $33,255 | 20 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $56,282 – $95,679 · median $56,282 | 20 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $43,736 – $75,687 · median $43,736 | 20 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $63,157 – $107,367 · median $63,157 | 20 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $38,805 – $65,968 · median $38,805 | 20 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $48,465 – $82,391 · median $48,465 | 20 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $32,687 – $55,569 · median $32,687 | 20 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,484 – $39,923 · median $23,484 | 20 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $37,909 – $64,445 · median $37,909 | 20 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $30,260 – $51,442 · median $30,260 | 20 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $65,473 – $111,304 · median $65,473 | 20 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,164 – $106,446 · median $55,164 | 20 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $42,431 – $82,708 · median $42,431 | 20 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $51,124 – $86,912 · median $51,124 | 20 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,147 – $56,350 · median $33,147 | 20 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,780 – $25,125 · median $14,780 | 20 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,496 – $14,443 · median $8,496 | 20 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,698 – $12,491 · median $6,698 | 20 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,235 – $31,690 · median $18,235 | 20 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,415 – $11,977 · median $6,415 | 20 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,559 – $9,450 · median $5,559 | 20 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,363 – $34,618 · median $20,363 | 20 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,881 – $16,799 · median $9,881 | 20 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,889 – $49,425 · median $24,889 | 20 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,723 – $26,729 · median $15,723 | 20 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,593 – $15,030 · median $8,593 | 20 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,842 – $20,131 · median $11,842 | 20 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,853 – $13,350 · median $7,853 | 20 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,257 – $8,937 · median $5,257 | 20 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,393 – $25,660 · median $14,393 | 20 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,881 – $9,998 · median $5,881 | 20 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,240 – $7,954 · median $4,240 | 20 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,042 – $25,571 · median $15,042 | 20 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,857 – $16,758 · median $9,857 | 20 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,667 – $11,683 · median $6,667 | 20 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,042 – $21,973 · median $11,042 | 20 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,240 – $10,609 · median $6,240 | 20 plans |
| 304 | HYPERTENSION WITH MCC | $10,981 – $20,351 · median $10,981 | 20 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,992 – $11,886 · median $6,992 | 20 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,520 – $28,318 · median $14,520 | 20 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,442 – $15,401 · median $8,442 | 20 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,110 – $18,886 · median $11,110 | 20 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,814 – $11,583 · median $6,814 | 20 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,258 – $8,939 · median $5,258 | 20 plans |
| 311 | ANGINA PECTORIS | $6,504 – $11,056 · median $6,504 | 20 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,060 – $13,703 · median $8,060 | 20 plans |
| 313 | CHEST PAIN | $6,670 – $11,339 · median $6,670 | 20 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,193 – $32,628 · median $19,193 | 20 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,902 – $15,133 · median $8,902 | 20 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,322 – $10,748 · median $6,322 | 20 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $61,401 – $104,382 · median $61,401 | 20 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,284 – $37,883 · median $22,284 | 20 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,004 – $69,706 · median $41,004 | 20 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,129 – $43,342 · median $22,129 | 20 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,023 – $44,442 · median $25,023 | 20 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,237 – $30,941 · median $16,237 | 20 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $39,761 – $76,147 · median $39,761 | 20 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $28,970 – $50,208 · median $28,970 | 20 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,514 – $50,175 · median $29,514 | 20 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $45,815 – $77,886 · median $45,815 | 20 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,486 – $38,226 · median $22,486 | 20 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,763 – $25,097 · median $14,763 | 20 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $42,229 – $71,790 · median $42,229 | 20 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,055 – $37,493 · median $22,055 | 20 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,503 – $26,354 · median $15,503 | 20 plans |
| 332 | RECTAL RESECTION WITH MCC | $33,278 – $56,573 · median $33,278 | 20 plans |
| 333 | RECTAL RESECTION WITH CC | $21,550 – $36,636 · median $21,550 | 20 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,090 – $27,471 · median $15,090 | 20 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $32,821 – $55,796 · median $32,821 | 20 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,408 – $32,994 · median $19,408 | 20 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,146 – $24,048 · median $14,146 | 20 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,757 – $40,388 · median $23,757 | 20 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,868 – $23,575 · median $13,868 | 20 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,946 – $21,055 · median $10,946 | 20 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,123 – $49,707 · median $21,123 | 20 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,071 – $20,521 · median $12,071 | 20 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,051 – $16,191 · median $8,051 | 20 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $22,924 – $38,970 · median $22,924 | 20 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,050 – $23,884 · median $14,050 | 20 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,777 – $21,506 · median $10,777 | 20 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,685 – $45,996 · median $26,685 | 20 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,498 – $26,347 · median $15,498 | 20 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,403 – $21,085 · median $12,403 | 20 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $40,361 – $68,613 · median $40,361 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,397 – $36,375 · median $21,397 | 20 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,888 – $24,645 · median $12,888 | 20 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $31,608 – $53,733 · median $31,608 | 20 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,212 – $38,631 · median $22,212 | 20 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,668 – $24,935 · median $14,668 | 20 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,240 – $15,708 · median $9,240 | 20 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,494 – $11,039 · median $6,494 | 20 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,330 – $27,761 · median $16,330 | 20 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,431 – $16,032 · median $9,431 | 20 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,738 – $11,454 · median $6,738 | 20 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,684 – $33,462 · median $19,684 | 20 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,161 – $18,974 · median $11,161 | 20 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,544 – $14,525 · median $8,544 | 20 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,834 – $28,617 · median $16,834 | 20 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,061 – $15,404 · median $9,061 | 20 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,848 – $10,714 · median $5,848 | 20 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,065 – $30,710 · median $18,065 | 20 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,004 – $17,007 · median $10,004 | 20 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,409 – $12,596 · median $7,409 | 20 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,730 – $21,642 · median $12,730 | 20 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,906 – $13,441 · median $7,906 | 20 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,580 – $24,786 · median $14,580 | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,021 – $15,335 · median $9,021 | 20 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,315 – $10,735 · median $6,315 | 20 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,612 – $23,140 · median $13,612 | 20 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,310 – $12,427 · median $7,310 | 20 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,055 – $8,594 · median $5,055 | 20 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,699 – $19,889 · median $11,699 | 20 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,216 – $12,268 · median $7,216 | 20 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,736 – $25,051 · median $14,736 | 20 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,648 – $14,702 · median $8,648 | 20 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,018 – $10,262 · median $6,018 | 20 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,034 – $37,457 · median $22,034 | 20 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $13,950 – $23,714 · median $13,950 | 20 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,566 – $17,961 · median $10,566 | 20 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $36,946 – $62,807 · median $36,946 | 20 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $50,247 – $85,419 · median $50,247 | 20 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,669 – $49,442 · median $26,669 | 20 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,426 – $34,724 · median $20,426 | 20 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $32,773 – $70,422 · median $32,773 | 20 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,038 – $43,558 · median $20,038 | 20 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,629 – $27,899 · median $14,629 | 20 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,367 – $51,623 · median $30,367 | 20 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,352 – $32,898 · median $19,352 | 20 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,297 – $26,005 · median $15,297 | 20 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $32,745 – $55,667 · median $32,745 | 20 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,023 – $32,339 · median $19,023 | 20 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,571 – $22,037 · median $12,571 | 20 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,956 – $37,325 · median $21,956 | 20 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,582 – $26,490 · median $15,582 | 20 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,594 – $21,991 · median $12,594 | 20 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,319 – $61,183 · median $31,319 | 20 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,003 – $29,358 · median $16,003 | 20 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,903 – $24,230 · median $12,903 | 20 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $38,161 – $64,874 · median $38,161 | 20 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,135 – $34,229 · median $20,135 | 20 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,828 – $24,226 · median $13,828 | 20 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $101,164 – $171,978 · median $101,164 | 20 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $66,282 – $112,680 · median $66,282 | 20 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $51,636 – $87,782 · median $51,636 | 20 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $82,711 – $140,609 · median $82,711 | 20 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $52,967 – $90,044 · median $52,967 | 20 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,120 – $30,803 · median $18,120 | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,754 – $16,581 · median $9,754 | 20 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,601 – $11,222 · median $6,601 | 20 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,913 – $28,753 · median $16,913 | 20 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,441 – $17,749 · median $10,441 | 20 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,893 – $13,869 · median $7,893 | 20 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,019 – $25,533 · median $15,019 | 20 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,782 – $13,229 · median $7,782 | 20 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,765 – $9,801 · median $5,765 | 20 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,528 – $36,672 · median $16,528 | 20 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,920 – $15,164 · median $8,920 | 20 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,484 – $11,022 · median $6,484 | 20 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,392 – $26,167 · median $15,392 | 20 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,104 – $17,177 · median $10,104 | 20 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,654 – $13,012 · median $7,654 | 20 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $61,356 – $104,305 · median $61,356 | 20 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $38,966 – $66,243 · median $38,966 | 20 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $48,954 – $83,222 · median $48,954 | 20 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,698 – $50,486 · median $29,698 | 20 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $77,150 – $131,156 · median $77,150 | 20 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $54,765 – $93,101 · median $54,765 | 20 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,341 – $75,164 · median $38,341 | 20 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $50,728 – $86,238 · median $50,728 | 20 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,466 – $43,669 · median $24,466 | 20 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,347 – $88,990 · median $52,347 | 20 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,637 – $48,682 · median $28,637 | 20 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,794 – $28,550 · median $16,794 | 20 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $47,815 – $81,285 · median $47,815 | 20 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,415 – $55,105 · median $32,415 | 20 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,273 – $42,964 · median $25,273 | 20 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $27,889 – $51,471 · median $27,889 | 20 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,759 – $30,190 · median $17,759 | 20 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,359 – $75,411 · median $44,359 | 20 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,090 – $46,053 · median $27,090 | 20 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,459 – $38,181 · median $22,459 | 20 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,444 – $67,055 · median $39,444 | 20 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,940 – $35,599 · median $20,940 | 20 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,891 – $18,515 · median $10,891 | 20 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $31,755 – $53,983 · median $31,755 | 20 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,624 – $38,460 · median $22,624 | 20 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,117 – $29,099 · median $17,117 | 20 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $26,780 – $46,594 · median $26,780 | 20 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,278 – $32,773 · median $19,278 | 20 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,026 – $25,545 · median $15,026 | 20 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,492 – $43,336 · median $25,492 | 20 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,668 – $50,435 · median $29,668 | 20 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,247 – $32,720 · median $19,247 | 20 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,432 – $24,534 · median $14,432 | 20 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,291 – $27,695 · median $16,291 | 20 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,310 – $17,526 · median $10,310 | 20 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $33,745 – $57,367 · median $33,745 | 20 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,329 – $39,659 · median $23,329 | 20 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,471 – $31,401 · median $18,471 | 20 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $33,324 – $56,651 · median $33,324 | 20 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,612 – $30,857 · median $16,612 | 20 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,149 – $20,249 · median $11,149 | 20 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $27,739 – $47,156 · median $27,739 | 20 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,547 – $31,530 · median $18,547 | 20 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,096 – $60,598 · median $29,096 | 20 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,101 – $27,371 · median $16,101 | 20 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,411 – $21,099 · median $12,411 | 20 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,668 – $43,636 · median $25,668 | 20 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,211 – $29,260 · median $17,211 | 20 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,511 – $28,068 · median $16,511 | 20 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,441 – $21,151 · median $12,441 | 20 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,635 – $28,280 · median $16,635 | 20 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $11,409 – $23,727 · median $13,957 | 20 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $27,772 – $47,213 · median $27,772 | 20 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,140 – $32,537 · median $19,140 | 20 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,250 – $26,647 · median $15,250 | 20 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,506 – $24,661 · median $14,506 | 20 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,443 – $16,053 · median $9,443 | 20 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $29,299 – $68,588 · median $29,299 | 20 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,128 – $32,659 · median $19,128 | 20 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,161 – $24,074 · median $14,161 | 20 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $34,348 – $58,391 · median $34,348 | 20 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,413 – $31,302 · median $18,413 | 20 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,769 – $23,823 · median $13,769 | 20 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,394 – $55,129 · median $26,394 | 20 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,491 – $33,135 · median $19,491 | 20 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,446 – $24,558 · median $14,446 | 20 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,460 – $12,681 · median $7,460 | 20 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,825 – $20,103 · median $11,825 | 20 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,473 – $12,705 · median $7,473 | 20 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,819 – $22,230 · median $8,819 | 20 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,673 – $11,343 · median $6,673 | 20 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,133 – $30,827 · median $18,133 | 20 plans |
| 540 | OSTEOMYELITIS WITH CC | $11,956 – $20,326 · median $11,956 | 20 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,288 – $12,390 · median $7,288 | 20 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,269 – $35,001 · median $16,269 | 20 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,495 – $18,331 · median $9,495 | 20 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,987 – $13,619 · median $6,987 | 20 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $22,830 – $38,811 · median $22,830 | 20 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,645 – $18,779 · median $10,645 | 20 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,736 – $15,264 · median $7,736 | 20 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,777 – $30,222 · median $17,777 | 20 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,139 – $18,936 · median $11,139 | 20 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,083 – $13,742 · median $8,083 | 20 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,440 – $26,248 · median $15,440 | 20 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,883 – $15,101 · median $8,883 | 20 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $11,956 – $20,326 · median $11,956 | 20 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,680 – $13,056 · median $7,680 | 20 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,190 – $23,005 · median $12,190 | 20 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,684 – $13,063 · median $7,684 | 20 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,705 – $23,726 · median $13,705 | 20 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,758 – $14,040 · median $8,259 | 20 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,172 – $34,772 · median $17,172 | 20 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,395 – $17,671 · median $10,395 | 20 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,439 – $12,647 · median $7,439 | 20 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,135 – $22,329 · median $13,135 | 20 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,280 – $14,075 · median $8,280 | 20 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,225 – $26,800 · median $14,225 | 20 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,003 – $15,306 · median $9,003 | 20 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,939 – $11,796 · median $6,939 | 20 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,044 – $45,975 · median $27,044 | 20 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,563 – $26,457 · median $15,563 | 20 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,580 – $17,986 · median $10,580 | 20 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $60,162 – $102,275 · median $60,162 | 20 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $31,909 – $54,245 · median $31,909 | 20 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,549 – $28,134 · median $16,549 | 20 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,024 – $83,282 · median $45,024 | 20 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,380 – $53,411 · median $24,380 | 20 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,801 – $26,530 · median $14,801 | 20 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $29,772 – $50,613 · median $29,772 | 20 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $15,916 – $31,016 · median $15,916 | 20 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,303 – $29,959 · median $13,303 | 20 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,738 – $57,911 · median $17,738 | 20 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,883 – $52,365 · median $15,883 | 20 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,702 – $46,716 · median $19,702 | 20 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,761 – $40,761 · median $17,761 | 20 plans |
| 592 | SKIN ULCERS WITH MCC | $17,818 – $30,290 · median $17,818 | 20 plans |
| 593 | SKIN ULCERS WITH CC | $10,947 – $18,610 · median $10,947 | 20 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,530 – $13,628 · median $8,016 | 20 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,519 – $38,059 · median $19,519 | 20 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,995 – $16,992 · median $9,995 | 20 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,358 – $26,108 · median $15,358 | 20 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,443 – $17,753 · median $10,443 | 20 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,123 – $12,109 · median $7,123 | 20 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,620 – $16,354 · median $9,620 | 20 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,615 – $9,545 · median $5,615 | 20 plans |
| 602 | CELLULITIS WITH MCC | $13,103 – $22,275 · median $13,103 | 20 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,054 – $13,692 · median $8,054 | 20 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $12,032 – $23,067 · median $13,569 | 20 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,468 – $14,395 · median $8,468 | 20 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $13,946 – $23,708 · median $13,946 | 20 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,380 – $14,245 · median $8,380 | 20 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,171 – $44,344 · median $20,171 | 20 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $12,901 – $27,058 · median $12,901 | 20 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,721 – $54,494 · median $32,055 | 20 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,222 – $29,277 · median $17,222 | 20 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,075 – $22,228 · median $13,075 | 20 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $26,552 – $45,138 · median $26,552 | 20 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,745 – $25,066 · median $14,745 | 20 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,902 – $23,633 · median $13,902 | 20 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $31,646 – $55,614 · median $32,714 | 20 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,521 – $28,085 · median $16,521 | 20 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,549 – $19,633 · median $11,549 | 20 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,769 – $47,207 · median $27,769 | 20 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,819 – $24,415 · median $13,819 | 20 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,250 – $20,825 · median $12,250 | 20 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $34,251 – $58,227 · median $34,251 | 20 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,051 – $34,088 · median $20,051 | 20 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,453 – $22,871 · median $13,453 | 20 plans |
| 637 | DIABETES WITH MCC | $13,244 – $22,515 · median $13,244 | 20 plans |
| 638 | DIABETES WITH CC | $8,286 – $14,086 · median $8,286 | 20 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,763 – $9,798 · median $5,763 | 20 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,317 – $20,938 · median $12,317 | 20 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,204 – $12,246 · median $7,204 | 20 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,110 – $31,531 · median $13,110 | 20 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,165 – $25,780 · median $15,165 | 20 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,468 – $16,095 · median $9,468 | 20 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,113 – $12,092 · median $7,113 | 20 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,192 – $140,372 · median $43,192 | 20 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,059 – $89,620 · median $34,059 | 20 plans |
| 652 | KIDNEY TRANSPLANT | $29,690 – $111,702 · median $29,690 | 20 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $47,732 – $81,145 · median $47,732 | 20 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $25,743 – $48,312 · median $25,743 | 20 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,481 – $42,989 · median $19,481 | 20 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,270 – $52,478 · median $29,270 | 20 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $16,852 – $29,283 · median $16,852 | 20 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,300 – $25,594 · median $14,300 | 20 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,373 – $39,734 · median $23,373 | 20 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,189 – $20,722 · median $12,189 | 20 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,563 – $16,257 · median $9,563 | 20 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,149 – $47,853 · median $28,149 | 20 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,010 – $24,963 · median $14,010 | 20 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,668 – $18,165 · median $9,668 | 20 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,696 – $48,784 · median $28,696 | 20 plans |
| 666 | PROSTATECTOMY WITH CC | $16,112 – $27,390 · median $16,112 | 20 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,212 – $17,361 · median $10,212 | 20 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $26,851 – $45,646 · median $26,851 | 20 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,302 – $24,411 · median $14,302 | 20 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,030 – $15,351 · median $9,030 | 20 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,531 – $32,785 · median $16,531 | 20 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,968 – $16,945 · median $9,968 | 20 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $38,607 – $65,632 · median $38,607 | 20 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,517 – $36,580 · median $21,517 | 20 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,122 – $25,707 · median $15,122 | 20 plans |
| 682 | RENAL FAILURE WITH MCC | $13,650 – $23,206 · median $13,650 | 20 plans |
| 683 | RENAL FAILURE WITH CC | $8,099 – $13,768 · median $8,099 | 20 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,572 – $9,472 · median $5,572 | 20 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,611 – $36,026 · median $16,611 | 20 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,677 – $16,450 · median $9,677 | 20 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,315 – $12,507 · median $7,315 | 20 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,709 – $18,205 · median $10,709 | 20 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,491 – $12,734 · median $7,491 | 20 plans |
| 693 | URINARY STONES WITH MCC | $11,882 – $21,077 · median $12,398 | 20 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,236 – $12,301 · median $7,236 | 20 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,557 – $17,947 · median $10,557 | 20 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,385 – $10,855 · median $6,385 | 20 plans |
| 697 | URETHRAL STRICTURE | $9,952 – $16,918 · median $9,952 | 20 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,241 – $25,910 · median $15,241 | 20 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,376 – $15,939 · median $9,376 | 20 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,394 – $10,869 · median $6,394 | 20 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,414 – $40,426 · median $18,414 | 20 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,139 – $24,035 · median $14,139 | 20 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,412 – $36,400 · median $21,412 | 20 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,385 – $21,961 · median $12,918 | 20 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,180 – $32,606 · median $19,180 | 20 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,153 – $17,260 · median $10,153 | 20 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,856 – $23,555 · median $13,856 | 20 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,765 – $16,613 · median $9,765 | 20 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,588 – $37,990 · median $20,588 | 20 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,559 – $24,903 · median $13,559 | 20 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,407 – $29,592 · median $17,407 | 20 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,386 – $21,055 · median $12,386 | 20 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,666 – $28,332 · median $16,666 | 20 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,547 – $17,930 · median $10,547 | 20 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,080 – $11,533 · median $6,080 | 20 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,800 – $18,359 · median $10,800 | 20 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,688 – $11,370 · median $6,688 | 20 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,668 – $23,235 · median $13,668 | 20 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,506 – $12,761 · median $7,506 | 20 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,777 – $16,620 · median $9,777 | 20 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,229 – $10,590 · median $6,229 | 20 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,604 – $33,327 · median $19,604 | 20 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,408 – $22,197 · median $12,408 | 20 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $32,854 – $55,852 · median $32,854 | 20 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $18,967 – $32,244 · median $18,967 | 20 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,536 – $23,011 · median $13,536 | 20 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $32,931 – $55,982 · median $32,931 | 20 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,665 – $29,058 · median $16,665 | 20 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,147 – $22,350 · median $13,147 | 20 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,896 – $28,723 · median $16,896 | 20 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,446 – $19,459 · median $11,446 | 20 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,862 – $32,065 · median $18,862 | 20 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,500 – $18,788 · median $10,500 | 20 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,000 – $27,200 · median $16,000 | 20 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,951 – $18,061 · median $7,951 | 20 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,791 – $27,226 · median $12,791 | 20 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,618 – $40,151 · median $23,618 | 20 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,603 – $23,125 · median $13,603 | 20 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,959 – $28,831 · median $16,959 | 20 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,044 – $17,074 · median $10,044 | 20 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,876 – $15,089 · median $8,876 | 20 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,200 – $22,440 · median $13,200 | 20 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,046 – $15,378 · median $9,046 | 20 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,152 – $10,459 · median $6,152 | 20 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,307 – $15,822 · median $9,307 | 20 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,298 – $9,007 · median $5,298 | 20 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $8,540 – $16,822 · median $9,895 | 20 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,566 – $26,462 · median $15,566 | 20 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,633 – $15,747 · median $9,263 | 20 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,965 – $10,320 · median $6,071 | 20 plans |
| 779 | ABORTION WITHOUT D&C | $5,335 – $13,230 · median $7,782 | 20 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,000 – $38,396 · median $22,586 | 20 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,790 – $16,642 · median $9,790 | 20 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,851 – $15,047 · median $8,851 | 20 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,469 – $25,833 · median $15,196 | 20 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,061 – $17,526 · median $10,310 | 20 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,860 – $15,063 · median $8,860 | 20 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,597 – $60,355 · median $16,597 | 20 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,671 – $65,133 · median $38,313 | 20 plans |
| 795 | NORMAL NEWBORN | $1,714 – $3,226 · median $1,898 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $8,000 – $18,309 · median $10,770 | 20 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,356 – $15,711 · median $9,242 | 20 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,356 – $15,036 · median $8,845 | 20 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $41,609 – $70,736 · median $41,609 | 20 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $25,836 – $43,921 · median $25,836 | 20 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,576 – $34,008 · median $17,576 | 20 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $36,612 – $62,240 · median $36,612 | 20 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,117 – $29,099 · median $17,117 | 20 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,504 – $23,172 · median $12,504 | 20 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,680 – $16,940 · median $9,965 | 20 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,310 – $11,869 · median $6,982 | 20 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,459 – $10,624 · median $6,250 | 20 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,318 – $34,541 · median $20,318 | 20 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,677 – $19,852 · median $11,677 | 20 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,666 – $16,432 · median $9,666 | 20 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $12,947 – $22,010 · median $12,947 | 20 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,488 – $14,429 · median $8,488 | 20 plans |
| 813 | COAGULATION DISORDERS | $14,057 – $23,897 · median $14,057 | 20 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,574 – $33,275 · median $19,574 | 20 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,367 – $15,923 · median $9,367 | 20 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,863 – $9,966 · median $5,863 | 20 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,029 – $35,691 · median $20,994 | 20 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,699 – $18,188 · median $10,699 | 20 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,637 – $13,520 · median $7,953 | 20 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $53,864 – $91,568 · median $53,864 | 20 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,600 – $35,798 · median $20,600 | 20 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,110 – $24,799 · median $11,110 | 20 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,122 – $71,607 · median $42,122 | 20 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,848 – $35,441 · median $20,848 | 20 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,443 – $28,555 · median $12,443 | 20 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $42,975 – $73,058 · median $42,975 | 20 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,266 – $43,261 · median $21,266 | 20 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,694 – $29,712 · median $15,694 | 20 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,052 – $59,350 · median $29,052 | 20 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,871 – $23,580 · median $13,871 | 20 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,133 – $18,863 · median $11,096 | 20 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,686 – $11,364 · median $6,684 | 20 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,800 – $8,265 · median $4,862 | 20 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $50,425 – $134,890 · median $50,425 | 20 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,198 – $65,086 · median $19,198 | 20 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,252 – $19,128 · median $11,252 | 20 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $44,135 – $75,030 · median $44,135 | 20 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,213 – $33,025 · median $19,213 | 20 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,310 – $22,627 · median $13,310 | 20 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $29,739 – $55,915 · median $29,739 | 20 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,030 – $26,228 · median $15,030 | 20 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,334 – $16,706 · median $9,334 | 20 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,364 – $31,218 · median $18,364 | 20 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,232 – $19,095 · median $11,232 | 20 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,877 – $14,428 · median $7,877 | 20 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $23,846 – $40,539 · median $23,846 | 20 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,065 – $20,511 · median $12,065 | 20 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,857 – $13,357 · median $7,857 | 20 plans |
| 849 | RADIOTHERAPY | $24,920 – $46,206 · median $24,920 | 20 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $79,500 – $135,149 · median $79,500 | 20 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $45,367 – $77,125 · median $45,367 | 20 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,394 – $31,270 · median $18,394 | 20 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,799 – $23,458 · median $13,799 | 20 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $41,791 – $71,044 · median $41,791 | 20 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,709 – $33,506 · median $19,709 | 20 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,842 – $21,832 · median $12,842 | 20 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,794 – $28,550 · median $16,794 | 20 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,219 – $15,672 · median $9,219 | 20 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,208 – $13,954 · median $8,208 | 20 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,809 – $23,476 · median $13,809 | 20 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,042 – $13,672 · median $8,042 | 20 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,266 – $41,344 · median $19,266 | 20 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,524 – $16,190 · median $9,524 | 20 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,759 – $15,447 · median $6,759 | 20 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $63,468 – $107,895 · median $63,468 | 20 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $17,884 – $30,403 · median $17,884 | 20 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,452 – $16,068 · median $9,452 | 20 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,518 – $60,381 · median $35,518 | 20 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,561 – $65,554 · median $38,561 | 20 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,627 – $33,611 · median $17,627 | 20 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,794 – $18,675 · median $10,794 | 20 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $33,759 – $57,390 · median $33,759 | 20 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,673 – $23,243 · median $13,673 | 20 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,084 – $30,743 · median $18,084 | 20 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,283 – $59,982 · median $35,283 | 20 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,367 – $31,224 · median $18,367 | 20 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,107 – $20,581 · median $12,107 | 20 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,059 – $25,601 · median $15,059 | 20 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,188 – $13,919 · median $8,188 | 20 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,491 – $26,334 · median $15,491 | 20 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,177 – $10,501 · median $6,177 | 20 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,452 – $24,569 · median $14,452 | 20 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,773 – $13,477 · median $7,927 | 20 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $16,859 – $28,661 · median $16,859 | 20 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,259 – $15,741 · median $9,259 | 20 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,380 – $10,973 · median $6,380 | 20 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,113 – $56,434 · median $16,113 | 20 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,401 – $15,981 · median $9,401 | 20 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $195,915 – $333,056 · median $195,915 | 20 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $65,861 – $111,964 · median $65,861 | 20 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $29,610 – $50,337 · median $29,610 | 20 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $35,182 – $60,838 · median $35,787 | 20 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,084 – $34,583 · median $20,343 | 20 plans |
| 935 | NON-EXTENSIVE BURNS | $12,928 – $32,235 · median $18,962 | 20 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,350 – $56,695 · median $33,350 | 20 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,502 – $36,553 · median $21,502 | 20 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,665 – $31,731 · median $18,665 | 20 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,709 – $19,906 · median $11,709 | 20 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,408 – $13,662 · median $7,408 | 20 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,978 – $18,663 · median $10,978 | 20 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,823 – $9,899 · median $5,823 | 20 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,165 – $8,781 · median $5,165 | 20 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $61,810 – $138,067 · median $61,810 | 20 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,584 – $85,229 · median $34,584 | 20 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $69,963 – $118,938 · median $69,963 | 20 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $38,720 – $65,823 · median $38,720 | 20 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,072 – $46,022 · median $27,072 | 20 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,143 – $43,601 · median $25,143 | 20 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,124 – $24,010 · median $14,124 | 20 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,692 – $14,777 · median $8,692 | 20 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,216 – $102,929 · median $56,216 | 20 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,258 – $41,239 · median $24,258 | 20 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $26,539 – $45,116 · median $26,539 | 20 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,410 – $20,305 · median $11,944 | 20 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,346 – $14,188 · median $8,346 | 20 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,969 – $20,347 · median $11,969 | 20 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $43,103 – $81,174 · median $43,103 | 20 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,617 – $38,449 · median $22,617 | 20 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,788 – $26,839 · median $15,788 | 20 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,514 – $60,571 · median $31,514 | 20 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,142 – $25,741 · median $15,142 | 20 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,066 – $18,811 · median $11,066 | 20 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $54,585 – $111,232 · median $54,585 | 19 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,404 – $63,408 · median $37,299 | 19 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,637 – $38,304 · median $22,532 | 19 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,514 – $23,126 · median $13,604 | 19 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,873 – $15,084 · median $8,873 | 19 plans |
| 881 | DEPRESSIVE NEUROSES | $7,637 – $14,783 · median $8,696 | 19 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,915 – $20,408 · median $9,915 | 19 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,814 – $30,774 · median $18,102 | 19 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,824 – $25,200 · median $14,824 | 19 plans |
| 885 | PSYCHOSES | $12,504 – $21,893 · median $12,878 | 19 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $15,677 – $32,474 · median $19,102 | 19 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,889 – $16,811 · median $9,889 | 19 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,724 – $9,731 · median $5,724 | 19 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,051 – $22,186 · median $13,051 | 19 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,073 – $27,324 · median $16,073 | 19 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,163 – $13,877 · median $8,163 | 19 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,271 – $26,177 · median $14,271 | 19 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,585 – $17,994 · median $10,585 | 19 plans |
No procedures match that keyword.