Otsego Memorial 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 | $260,369 – $442,628 · median $260,369 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $105,283 – $178,982 · median $105,283 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $197,203 – $335,245 · median $197,203 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $128,693 – $218,778 · median $128,693 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $95,795 – $162,851 · median $95,795 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $43,082 – $73,240 · median $43,082 | 14 plans |
| 007 | LUNG TRANSPLANT | $120,320 – $204,544 · median $120,320 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $52,072 – $88,523 · median $52,072 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $66,669 – $113,338 · median $66,669 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $50,674 – $86,146 · median $50,674 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $39,171 – $66,590 · median $39,171 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $26,775 – $45,517 · median $26,775 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $111,658 – $189,819 · median $111,658 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $55,093 – $93,658 · median $55,093 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $50,471 – $85,801 · median $50,471 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $401,210 – $682,057 · median $401,210 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $66,287 – $112,689 · median $66,287 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $73,109 – $124,285 · median $73,109 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $49,185 – $83,614 · median $49,185 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $29,521 – $50,186 · median $29,521 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $53,240 – $90,508 · median $53,240 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,345 – $61,787 · median $36,345 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,243 – $71,814 · median $42,243 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $28,887 – $49,109 · median $28,887 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,440 – $39,848 · median $23,440 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $55,823 – $94,899 · median $55,823 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,697 – $53,885 · median $31,697 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,396 – $34,672 · median $20,396 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $41,628 – $70,768 · median $41,628 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $19,799 – $33,658 · median $19,799 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,450 – $26,265 · median $15,450 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $35,963 – $61,136 · median $35,963 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $22,210 – $37,757 · median $22,210 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $18,051 – $30,686 · median $18,051 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $30,587 – $51,998 · median $30,587 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,076 – $25,628 · median $15,076 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,922 – $18,567 · median $10,922 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,874 – $60,986 · median $35,874 | 14 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,428 – $34,728 · median $20,428 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,052 – $27,288 · median $16,052 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $16,829 – $28,609 · median $16,829 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $9,098 – $15,466 · median $9,098 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,186 – $24,117 · median $14,186 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $9,473 – $16,104 · median $9,473 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $21,584 – $36,693 · median $21,584 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,037 – $20,464 · median $12,037 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $15,883 – $27,001 · median $15,883 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,529 – $19,600 · median $11,529 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,546 – $14,528 · median $8,546 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,616 – $43,547 · median $25,616 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,326 – $27,754 · median $16,326 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,043 – $22,173 · median $13,043 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,684 – $31,763 · median $18,684 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,387 – $15,957 · median $9,387 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,359 – $10,810 · median $6,359 | 14 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,646 – $23,198 · median $13,646 | 14 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,031 – $13,653 · median $8,031 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,422 – $12,617 · median $7,422 | 14 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $15,468 – $26,295 · median $15,468 | 14 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $9,533 – $16,205 · median $9,533 | 14 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,026 – $11,944 · median $7,026 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,906 – $25,339 · median $14,906 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,577 – $16,281 · median $9,577 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $17,815 – $30,286 · median $17,815 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,667 – $13,034 · median $7,667 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,817 – $28,588 · median $16,817 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,321 – $14,146 · median $8,321 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $21,235 – $36,100 · median $21,235 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $12,968 – $22,046 · median $12,968 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,880 – $15,097 · median $8,880 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,108 – $35,884 · median $21,108 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,103 – $20,576 · median $12,103 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,498 – $14,447 · median $8,498 | 14 plans |
| 088 | CONCUSSION WITH MCC | $12,560 – $21,351 · median $12,560 | 14 plans |
| 089 | CONCUSSION WITH CC | $10,207 – $17,352 · median $10,207 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,648 – $13,002 · median $7,648 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $16,317 – $27,739 · median $16,317 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $9,505 – $16,158 · median $9,505 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,398 – $12,577 · median $7,398 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $32,699 – $55,588 · median $32,699 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $23,963 – $40,738 · median $23,963 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $23,963 – $40,738 · median $23,963 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $33,557 – $57,047 · median $33,557 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $21,322 – $36,247 · median $21,322 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,658 – $21,519 · median $12,658 | 14 plans |
| 100 | SEIZURES WITH MCC | $17,995 – $30,591 · median $17,995 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $8,386 – $14,256 · median $8,386 | 14 plans |
| 102 | HEADACHES WITH MCC | $10,414 – $17,704 · median $10,414 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $7,770 – $13,209 · median $7,770 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,844 – $37,135 · median $21,844 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $12,571 – $21,370 · median $12,571 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $14,261 – $24,243 · median $14,261 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $16,799 – $28,558 · median $16,799 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,080 – $17,136 · median $10,080 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $10,808 – $18,374 · median $10,808 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,301 – $12,411 · median $7,301 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,420 – $12,614 · median $7,420 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,293 – $20,898 · median $12,293 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,134 – $12,127 · median $7,134 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,161 – $34,274 · median $20,161 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,433 – $16,036 · median $9,433 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,873 – $23,585 · median $13,873 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $8,234 – $13,997 · median $8,234 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $11,481 – $19,517 · median $11,481 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $39,629 – $67,369 · median $39,629 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,265 – $34,450 · median $20,265 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,832 – $25,215 · median $14,832 | 14 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $34,810 – $59,176 · median $34,810 | 14 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,100 – $27,371 · median $16,100 | 14 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,171 – $18,990 · median $11,171 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $19,673 – $33,444 · median $19,673 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,813 – $20,083 · median $11,813 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,406 – $12,590 · median $7,406 | 14 plans |
| 149 | DYSEQUILIBRIUM | $6,983 – $11,871 · median $6,983 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $12,371 – $21,031 · median $12,371 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,820 – $11,593 · median $6,820 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,984 – $18,672 · median $10,984 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,859 – $11,660 · median $6,859 | 14 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $14,526 – $24,695 · median $14,526 | 14 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,515 – $14,476 · median $8,515 | 14 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,421 – $10,916 · median $6,421 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,951 – $27,116 · median $15,951 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,453 – $14,370 · median $8,453 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,583 – $11,191 · median $6,583 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $41,640 – $70,788 · median $41,640 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,450 – $39,866 · median $23,450 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,785 – $30,234 · median $17,785 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $34,727 – $59,036 · median $34,727 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $16,755 – $28,484 · median $16,755 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,695 – $21,582 · median $12,695 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $27,654 – $47,011 · median $27,654 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $12,762 – $21,696 · median $12,762 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,479 – $12,715 · median $7,479 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $14,519 – $24,682 · median $14,519 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,068 – $15,416 · median $9,068 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,015 – $11,925 · median $7,015 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,408 – $27,893 · median $16,408 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,951 – $16,916 · median $9,951 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,004 – $11,906 · median $7,004 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $14,214 – $24,164 · median $14,214 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,887 – $16,807 · median $9,887 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,307 – $12,423 · median $7,307 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $14,480 – $24,616 · median $14,480 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,190 – $15,622 · median $9,190 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,663 – $11,328 · median $6,663 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,478 – $19,513 · median $11,478 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,292 – $17,496 · median $10,292 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,832 – $13,315 · median $7,832 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,965 – $10,140 · median $5,965 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,212 – $20,760 · median $12,212 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,488 – $12,729 · median $7,488 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,839 – $9,927 · median $5,839 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,534 – $29,808 · median $17,534 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,818 – $14,991 · median $8,818 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,654 – $11,312 · median $6,654 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,390 – $27,863 · median $16,390 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,214 – $17,363 · median $10,214 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,644 – $11,295 · median $6,644 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,023 – $15,340 · median $9,023 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,225 – $10,582 · median $6,225 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,502 – $12,753 · median $7,502 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,012 – $28,920 · median $17,012 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,744 – $14,864 · median $8,744 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $59,785 – $101,634 · median $59,785 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,538 – $43,415 · median $25,538 | 14 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $105,163 – $178,777 · median $105,163 | 14 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $101,031 – $171,753 · median $101,031 | 14 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $53,023 – $90,139 · median $53,023 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $92,510 – $157,267 · median $92,510 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $90,892 – $154,516 · median $90,892 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,091 – $103,855 · median $61,091 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $61,091 – $103,855 · median $61,091 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $71,339 – $121,276 · median $71,339 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $49,547 – $84,230 · median $49,547 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,828 – $79,608 · median $46,828 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $45,966 – $78,142 · median $45,966 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $29,262 – $49,745 · median $29,262 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $78,322 – $133,147 · median $78,322 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $56,327 – $95,757 · median $56,327 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $71,031 – $120,753 · median $71,031 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $50,754 – $86,281 · median $50,754 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,525 – $92,692 · median $54,525 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $38,918 – $66,161 · median $38,918 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $45,727 – $77,737 · median $45,727 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $26,484 – $45,023 · median $26,484 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $12,862 – $21,866 · median $12,862 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $29,664 – $50,429 · median $29,664 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $19,798 – $33,657 · median $19,798 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $16,793 – $28,549 · median $16,793 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $42,389 – $72,062 · median $42,389 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,278 – $34,472 · median $20,278 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $13,885 – $23,605 · median $13,885 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,410 – $55,096 · median $32,410 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $24,116 – $40,997 · median $24,116 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,554 – $28,141 · median $16,554 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $25,061 – $42,605 · median $25,061 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $15,775 – $26,818 · median $15,775 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $10,148 – $17,251 · median $10,148 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $29,193 – $49,628 · median $29,193 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $18,787 – $31,938 · median $18,787 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $30,222 – $51,377 · median $30,222 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $17,565 – $29,860 · median $17,565 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $15,143 – $25,744 · median $15,143 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $28,406 – $48,291 · median $28,406 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,037 – $52,764 · median $31,037 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $33,617 – $57,148 · median $33,617 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $56,939 – $96,796 · median $56,939 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $44,232 – $75,195 · median $44,232 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $63,902 – $108,634 · median $63,902 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,238 – $66,704 · median $39,238 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $49,022 – $83,337 · median $49,022 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $33,041 – $56,171 · median $33,041 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,720 – $40,324 · median $23,720 | 14 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $38,330 – $65,161 · median $38,330 | 14 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $30,583 – $51,991 · median $30,583 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $66,248 – $112,622 · median $66,248 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $55,807 – $94,872 · median $55,807 | 14 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $42,910 – $72,948 · median $42,910 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $51,715 – $87,916 · median $51,715 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $33,507 – $56,962 · median $33,507 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $14,904 – $25,336 · median $14,904 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,539 – $14,517 · median $8,539 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,718 – $11,421 · median $6,718 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,404 – $31,286 · median $18,404 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,431 – $10,933 · median $6,431 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,564 – $9,459 · median $5,564 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,559 – $34,950 · median $20,559 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,942 – $16,902 · median $9,942 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,143 – $42,743 · median $25,143 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $15,859 – $26,960 · median $15,859 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,638 – $14,684 · median $8,638 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $11,928 – $20,277 · median $11,928 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,888 – $13,410 · median $7,888 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,259 – $8,940 · median $5,259 | 14 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $14,512 – $24,670 · median $14,512 | 14 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,890 – $10,014 · median $5,890 | 14 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,228 – $7,188 · median $4,228 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,169 – $25,788 · median $15,169 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,918 – $16,861 · median $9,918 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,687 – $11,367 · median $6,687 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,118 – $18,900 · median $11,118 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,255 – $10,633 · median $6,255 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $11,056 – $18,796 · median $11,056 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,016 – $11,927 · median $7,016 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,641 – $24,889 · median $14,641 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,485 – $14,424 · median $8,485 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,186 – $19,017 · median $11,186 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,835 – $11,620 · median $6,835 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,260 – $8,941 · median $5,260 | 14 plans |
| 311 | ANGINA PECTORIS | $6,521 – $11,086 · median $6,521 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,098 – $13,767 · median $8,098 | 14 plans |
| 313 | CHEST PAIN | $6,690 – $11,372 · median $6,690 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $19,374 – $32,935 · median $19,374 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,950 – $15,215 · median $8,950 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,337 – $10,774 · median $6,337 | 14 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $62,124 – $105,611 · median $62,124 | 14 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $22,505 – $38,258 · median $22,505 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,465 – $70,490 · median $41,465 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,348 – $37,991 · median $22,348 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $25,279 – $42,974 · median $25,279 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $16,380 – $27,846 · median $16,380 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $40,206 – $68,350 · median $40,206 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $29,276 – $49,769 · median $29,276 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $29,828 – $50,707 · median $29,828 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $46,338 – $78,774 · median $46,338 | 14 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $22,709 – $38,605 · median $22,709 | 14 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $14,887 – $25,308 · median $14,887 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $42,706 – $72,600 · median $42,706 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,272 – $37,863 · median $22,272 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,636 – $26,581 · median $15,636 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $33,640 – $57,188 · median $33,640 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $21,761 – $36,994 · median $21,761 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,218 – $25,870 · median $15,218 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $33,177 – $56,401 · median $33,177 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $19,592 – $33,306 · median $19,592 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,262 – $24,245 · median $14,262 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $23,997 – $40,794 · median $23,997 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $13,980 – $23,766 · median $13,980 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,021 – $18,736 · median $11,021 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $21,328 – $36,258 · median $21,328 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $12,160 – $20,672 · median $12,160 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,089 – $13,751 · median $8,089 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $23,152 – $39,359 · median $23,152 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,164 – $24,079 · median $14,164 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,850 – $18,445 · median $10,850 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $26,962 – $45,836 · median $26,962 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $15,631 – $26,573 · median $15,631 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,496 – $21,244 · median $12,496 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $40,813 – $69,383 · median $40,813 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,606 – $36,730 · median $21,606 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,988 – $22,079 · median $12,988 | 14 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $31,948 – $54,311 · median $31,948 | 14 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,431 – $38,133 · median $22,431 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $14,790 – $25,144 · median $14,790 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,293 – $15,798 · median $9,293 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,511 – $11,069 · median $6,511 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,474 – $28,005 · median $16,474 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,486 – $16,126 · median $9,486 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,758 – $11,489 · median $6,758 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $19,871 – $33,780 · median $19,871 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,238 – $19,105 · median $11,238 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,588 – $14,599 · median $8,588 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $16,984 – $28,873 · median $16,984 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,112 – $15,490 · median $9,112 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,857 – $9,957 · median $5,857 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,231 – $30,992 · median $18,231 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,067 – $17,114 · median $10,067 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,438 – $12,645 · median $7,438 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,828 – $21,808 · median $12,828 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,942 – $13,501 · median $7,942 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $14,701 – $24,992 · median $14,701 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,071 – $15,420 · median $9,071 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,330 – $10,761 · median $6,330 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,721 – $23,326 · median $13,721 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,338 – $12,475 · median $7,338 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,054 – $8,592 · median $5,054 | 14 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $11,784 – $20,032 · median $11,784 | 14 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,243 – $12,314 · median $7,243 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $14,859 – $25,260 · median $14,859 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,694 – $14,779 · median $8,694 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,030 – $10,251 · median $6,030 | 14 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $22,251 – $37,827 · median $22,251 | 14 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $14,063 – $23,907 · median $14,063 | 14 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,635 – $18,080 · median $10,635 | 14 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $37,354 – $63,502 · median $37,354 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $50,826 – $86,405 · median $50,826 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,946 – $45,808 · median $26,946 | 14 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,622 – $35,058 · median $20,622 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $33,128 – $56,317 · median $33,128 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,229 – $34,390 · median $20,229 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,751 – $25,077 · median $14,751 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $30,691 – $52,174 · median $30,691 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $19,534 – $33,208 · median $19,534 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,428 – $26,227 · median $15,428 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $33,100 – $56,270 · median $33,100 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $19,202 – $32,643 · median $19,202 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $12,666 – $21,533 · median $12,666 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,172 – $37,692 · median $22,172 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,717 – $26,718 · median $15,717 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,690 – $21,572 · median $12,690 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,655 – $53,814 · median $31,655 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $16,143 – $27,443 · median $16,143 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,003 – $22,105 · median $13,003 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $38,585 – $65,595 · median $38,585 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,328 – $34,557 · median $20,328 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,939 – $23,697 · median $13,939 | 14 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $102,398 – $174,076 · median $102,398 | 14 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $67,068 – $114,015 · median $67,068 | 14 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $52,234 – $88,798 · median $52,234 | 14 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $83,708 – $142,304 · median $83,708 | 14 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $53,582 – $91,089 · median $53,582 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,286 – $31,087 · median $18,286 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,813 – $16,682 · median $9,813 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,620 – $11,254 · median $6,620 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,065 – $29,010 · median $17,065 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,509 – $17,865 · median $10,509 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,928 – $13,478 · median $7,928 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,146 – $25,748 · median $15,146 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,816 – $13,286 · median $7,816 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,773 – $9,815 · median $5,773 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $16,675 – $28,347 · median $16,675 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,969 – $15,247 · median $8,969 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,501 – $11,052 · median $6,501 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $15,524 – $26,391 · median $15,524 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,168 – $17,286 · median $10,168 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,686 – $13,067 · median $7,686 | 14 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $62,079 – $105,534 · median $62,079 | 14 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $39,401 – $66,982 · median $39,401 | 14 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,517 – $84,179 · median $49,517 | 14 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,014 – $51,023 · median $30,014 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $78,076 – $132,729 · median $78,076 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $55,403 – $94,185 · median $55,403 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $38,768 – $65,905 · median $38,768 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $51,314 – $87,234 · median $51,314 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $24,714 – $42,014 · median $24,714 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $52,954 – $90,022 · median $52,954 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,939 – $49,196 · median $28,939 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,944 – $28,805 · median $16,944 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $48,363 – $82,217 · median $48,363 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,766 – $55,701 · median $32,766 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $25,532 – $43,404 · median $25,532 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $28,181 – $47,908 · median $28,181 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $17,921 – $30,466 · median $17,921 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $44,863 – $76,268 · median $44,863 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,372 – $46,533 · median $27,372 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,682 – $38,560 · median $22,682 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $39,885 – $67,805 · median $39,885 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $21,143 – $35,944 · median $21,143 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,965 – $18,641 · median $10,965 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $32,097 – $54,564 · median $32,097 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,848 – $38,842 · median $22,848 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $17,271 – $29,361 · median $17,271 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $27,058 – $45,999 · median $27,058 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,460 – $33,082 · median $19,460 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,154 – $25,761 · median $15,154 | 14 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $25,754 – $43,781 · median $25,754 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $29,983 – $50,971 · median $29,983 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,428 – $33,028 · median $19,428 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $14,552 – $24,738 · median $14,552 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $16,435 – $27,939 · median $16,435 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,376 – $17,639 · median $10,376 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $34,113 – $57,992 · median $34,113 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $23,563 – $40,057 · median $23,563 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $18,642 – $31,692 · median $18,642 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $33,686 – $57,267 · median $33,686 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $16,760 – $28,492 · median $16,760 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $11,226 – $19,085 · median $11,226 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $28,029 – $47,649 · median $28,029 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $18,719 – $31,823 · median $18,719 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $29,404 – $49,987 · median $29,404 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,242 – $27,611 · median $16,242 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $12,505 – $21,258 · median $12,505 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,932 – $44,084 · median $25,932 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $17,367 – $29,523 · median $17,367 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,657 – $28,317 · median $16,657 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $12,535 – $21,310 · median $12,535 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $16,783 – $28,531 · median $16,783 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $14,070 – $23,919 · median $14,070 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $28,063 – $47,708 · median $28,063 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $19,320 – $32,843 · median $19,320 | 14 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $15,380 – $26,146 · median $15,380 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,627 – $24,866 · median $14,627 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,498 – $16,147 · median $9,498 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $29,609 – $50,336 · median $29,609 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,308 – $32,823 · median $19,308 | 14 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,277 – $24,272 · median $14,277 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $34,723 – $59,029 · median $34,723 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,584 – $31,592 · median $18,584 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,880 – $23,596 · median $13,880 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $26,667 – $45,334 · median $26,667 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $19,675 – $33,448 · median $19,675 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,565 – $24,761 · median $14,565 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,489 – $12,732 · median $7,489 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,911 – $20,249 · median $11,911 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,503 – $12,756 · median $7,503 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,866 – $15,073 · median $8,866 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,692 – $11,377 · median $6,692 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $18,300 – $31,111 · median $18,300 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,044 – $20,475 · median $12,044 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,316 – $12,437 · median $7,316 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $16,413 – $27,901 · median $16,413 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $9,551 – $16,237 · median $9,551 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,011 – $11,919 · median $7,011 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $23,057 – $39,198 · median $23,057 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $10,716 – $18,218 · median $10,716 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,769 – $13,207 · median $7,769 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $17,940 – $30,498 · median $17,940 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,216 – $19,067 · median $11,216 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,121 – $13,806 · median $8,121 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $15,573 – $26,473 · median $15,573 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,931 – $15,183 · median $8,931 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,044 – $20,475 · median $12,044 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,712 – $13,111 · median $7,712 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,281 – $20,877 · median $12,281 | 14 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,717 – $13,119 · median $7,717 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $13,815 – $23,485 · median $13,815 | 14 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,299 – $14,108 · median $8,299 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,327 – $29,455 · median $17,327 | 14 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,463 – $17,786 · median $10,463 | 14 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,469 – $12,697 · median $7,469 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $13,238 – $22,504 · median $13,238 | 14 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $8,320 – $14,144 · median $8,320 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,342 – $24,381 · median $14,342 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,053 – $15,390 · median $9,053 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,962 – $11,835 · median $6,962 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $27,326 – $46,454 · median $27,326 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,697 – $26,685 · median $15,697 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,650 – $18,105 · median $10,650 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $60,869 – $103,477 · median $60,869 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,253 – $54,830 · median $32,253 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,696 – $28,383 · median $16,696 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $45,537 – $77,413 · median $45,537 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,628 – $41,867 · median $24,628 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,925 – $25,373 · median $14,925 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,089 – $51,151 · median $30,089 | 14 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,055 – $27,293 · median $16,055 | 14 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,408 – $22,793 · median $13,408 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $17,900 – $30,430 · median $17,900 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $16,021 – $27,236 · median $16,021 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,889 – $33,812 · median $19,889 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $17,923 – $30,469 · median $17,923 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $17,981 – $30,567 · median $17,981 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $11,022 – $18,737 · median $11,022 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,053 – $13,691 · median $8,053 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $19,703 – $33,496 · median $19,703 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,057 – $17,098 · median $10,057 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $15,489 – $26,331 · median $15,489 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,511 – $17,869 · median $10,511 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,148 – $12,152 · median $7,148 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,677 – $16,452 · median $9,677 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,621 – $9,556 · median $5,621 | 14 plans |
| 602 | CELLULITIS WITH MCC | $13,205 – $22,449 · median $13,205 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,092 – $13,756 · median $8,092 | 14 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,677 – $23,251 · median $13,677 | 14 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,511 – $14,468 · median $8,511 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $14,059 – $23,900 · median $14,059 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,421 – $14,316 · median $8,421 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,364 – $34,619 · median $20,364 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,001 – $22,101 · median $13,001 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $32,401 – $55,082 · median $32,401 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $17,377 – $29,541 · median $17,377 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $13,177 – $22,402 · median $13,177 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $26,827 – $45,605 · median $26,827 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $14,868 – $25,276 · median $14,868 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $14,015 – $23,825 · median $14,015 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $33,068 – $56,216 · median $33,068 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $16,667 – $28,334 · median $16,667 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,631 – $19,773 · median $11,631 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $28,060 – $47,701 · median $28,060 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $13,931 – $23,682 · median $13,931 | 14 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,341 – $20,980 · median $12,341 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $34,626 – $58,864 · median $34,626 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,243 – $34,413 · median $20,243 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,560 – $23,052 · median $13,560 | 14 plans |
| 637 | DIABETES WITH MCC | $13,348 – $22,692 · median $13,348 | 14 plans |
| 638 | DIABETES WITH CC | $8,327 – $14,155 · median $8,327 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,772 – $9,812 · median $5,772 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $12,409 – $21,095 · median $12,409 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,230 – $12,291 · median $7,230 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,213 – $22,462 · median $13,213 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,294 – $26,000 · median $15,294 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,523 – $16,190 · median $9,523 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,138 – $12,135 · median $7,138 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,681 – $74,257 · median $43,681 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,430 – $58,532 · median $34,430 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $30,005 – $51,009 · median $30,005 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $48,280 – $82,075 · median $48,280 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,008 – $44,214 · median $26,008 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,665 – $33,431 · median $19,665 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,581 – $50,287 · median $29,581 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,002 – $28,904 · median $17,002 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,418 – $24,510 · median $14,418 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $23,607 – $40,133 · median $23,607 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,280 – $20,876 · median $12,280 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,620 – $16,354 · median $9,620 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $28,444 – $48,355 · median $28,444 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,124 – $24,011 · median $14,124 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $9,727 – $16,535 · median $9,727 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $28,999 – $49,298 · median $28,999 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $16,253 – $27,630 · median $16,253 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $10,278 – $17,472 · median $10,278 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,130 – $46,120 · median $27,130 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,420 – $24,513 · median $14,420 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,080 – $15,436 · median $9,080 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,677 – $28,351 · median $16,677 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,030 – $17,050 · median $10,030 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $39,037 – $66,363 · median $39,037 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,728 – $36,937 · median $21,728 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $15,250 – $25,925 · median $15,250 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $13,760 – $23,392 · median $13,760 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $8,137 – $13,833 · median $8,137 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,577 – $9,482 · median $5,577 | 14 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $16,758 – $28,489 · median $16,758 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $9,735 – $16,550 · median $9,735 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,343 – $12,483 · median $7,343 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $10,780 – $18,327 · median $10,780 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,521 – $12,786 · median $7,521 | 14 plans |
| 693 | URINARY STONES WITH MCC | $12,492 – $21,236 · median $12,492 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,263 – $12,347 · median $7,263 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,627 – $18,066 · median $10,627 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,401 – $10,883 · median $6,401 | 14 plans |
| 697 | URETHRAL STRICTURE | $10,014 – $17,023 · median $10,014 | 14 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,371 – $26,131 · median $15,371 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,430 – $16,032 · median $9,430 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,410 – $10,897 · median $6,410 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,585 – $31,594 · median $18,585 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,254 – $24,232 · median $14,254 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,621 – $36,756 · median $21,621 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $13,019 – $22,132 · median $13,019 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $19,361 – $32,913 · median $19,361 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,217 – $17,369 · median $10,217 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,968 – $23,746 · median $13,968 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,824 – $16,701 · median $9,824 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,787 – $35,337 · median $20,787 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,667 – $23,234 · median $13,667 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,565 – $29,860 · median $17,565 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,479 – $21,214 · median $12,479 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,814 – $28,584 · median $16,814 | 14 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,617 – $18,049 · median $10,617 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,092 – $10,357 · median $6,092 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $10,872 – $18,483 · median $10,872 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,708 – $11,404 · median $6,708 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,778 – $23,422 · median $13,778 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,537 – $12,813 · median $7,537 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,836 – $16,722 · median $9,836 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,244 – $10,614 · median $6,244 | 14 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,790 – $33,643 · median $19,790 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $12,501 – $21,252 · median $12,501 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $33,211 – $56,458 · median $33,211 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,145 – $32,546 · median $19,145 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,644 – $23,194 · median $13,644 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $33,288 – $56,589 · median $33,288 | 14 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $16,813 – $28,582 · median $16,813 | 14 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $13,250 – $22,525 · median $13,250 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,047 – $28,980 · median $17,047 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,527 – $19,596 · median $11,527 | 14 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $19,038 – $32,365 · median $19,038 | 14 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $10,568 – $17,966 · median $10,568 | 14 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $16,139 – $27,437 · median $16,139 | 14 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,987 – $13,579 · median $7,987 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $12,889 – $21,912 · median $12,889 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $23,856 – $40,554 · median $23,856 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $13,712 – $23,310 · median $13,712 | 14 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,111 – $29,089 · median $17,111 | 14 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,107 – $17,181 · median $10,107 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,924 – $15,171 · median $8,924 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,304 – $22,616 · median $13,304 | 14 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,096 – $15,463 · median $9,096 | 14 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,165 – $10,481 · median $6,165 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,361 – $15,913 · median $9,361 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,300 – $9,011 · median $5,300 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $9,956 – $16,926 · median $9,956 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $15,594 – $26,690 · median $15,700 | 14 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,633 – $15,837 · median $9,316 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,083 – $10,341 · median $6,083 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $5,335 – $13,288 · median $7,817 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $17,683 – $38,777 · median $22,810 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $9,849 – $16,744 · median $9,849 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,899 – $15,128 · median $8,899 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $14,469 – $26,053 · median $15,325 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,061 – $17,639 · median $10,376 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,908 – $15,144 · median $8,908 | 14 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $16,744 – $28,465 · median $16,744 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,221 – $103,165 · median $55,221 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $33,404 – $64,111 · median $37,712 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $6,637 – $38,684 · median $22,755 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,671 – $65,857 · median $38,740 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $2,514 – $23,311 · median $13,713 | 14 plans |
| 795 | NORMAL NEWBORN | $1,714 – $3,156 · median $1,856 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,843 – $18,432 · median $10,843 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $6,356 – $15,801 · median $9,295 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,356 – $15,117 · median $8,892 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $42,078 – $71,532 · median $42,078 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $26,102 – $44,373 · median $26,102 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $17,736 – $30,150 · median $17,736 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $37,016 – $62,927 · median $37,016 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $17,271 – $29,361 · median $17,271 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $12,599 – $21,418 · median $12,599 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,680 – $17,046 · median $10,027 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,310 – $11,909 · median $7,005 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,459 – $10,649 · median $6,264 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,514 – $34,873 · median $20,514 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,761 – $19,994 · median $11,761 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,724 – $16,531 · median $9,724 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,047 – $22,180 · median $13,047 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,531 – $14,503 · median $8,531 | 14 plans |
| 813 | COAGULATION DISORDERS | $14,172 – $24,092 · median $14,172 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,759 – $33,590 · median $19,759 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,421 – $16,016 · median $9,421 | 14 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,872 – $9,982 · median $5,872 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,029 – $36,037 · median $21,198 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,747 – $18,309 · median $10,770 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,637 – $13,582 · median $7,989 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $54,490 – $92,633 · median $54,490 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,799 – $35,358 · median $20,799 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,186 – $19,017 · median $11,186 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,597 – $72,415 · median $42,597 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $21,050 – $35,784 · median $21,050 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,537 – $21,313 · median $12,537 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $43,461 – $73,884 · median $43,461 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $21,473 – $36,505 · median $21,473 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,830 – $26,911 · median $15,830 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,359 – $49,911 · median $29,359 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,983 – $23,771 · median $13,983 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,133 – $18,993 · median $11,172 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,686 – $11,397 · median $6,704 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,800 – $8,259 · median $4,858 | 14 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $51,007 – $86,711 · median $51,007 | 14 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $19,379 – $32,944 · median $19,379 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,330 – $19,262 · median $11,330 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $44,637 – $75,882 · median $44,637 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,394 – $32,970 · median $19,394 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,415 – $22,806 · median $13,415 | 14 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $30,055 – $51,094 · median $30,055 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $15,157 – $25,767 · median $15,157 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $9,388 – $15,959 · median $9,388 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,534 – $31,507 · median $18,534 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,311 – $19,228 · median $11,311 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,912 – $13,451 · median $7,912 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,087 – $40,948 · median $24,087 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,154 – $20,663 · median $12,154 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,892 – $13,416 · median $7,892 | 14 plans |
| 849 | RADIOTHERAPY | $25,174 – $42,796 · median $25,174 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $80,455 – $136,774 · median $80,455 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $45,884 – $78,003 · median $45,884 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,564 – $31,559 · median $18,564 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,910 – $23,648 · median $13,910 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $42,262 – $71,845 · median $42,262 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $19,897 – $33,824 · median $19,897 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,941 – $22,000 · median $12,941 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,944 – $28,805 · median $16,944 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,271 – $15,761 · median $9,271 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,248 – $14,021 · median $8,248 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $13,921 – $23,665 · median $13,921 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,079 – $13,735 · median $8,079 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $19,448 – $33,061 · median $19,448 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,580 – $16,286 · median $9,580 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,780 – $11,525 · median $6,780 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $64,217 – $109,169 · median $64,217 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,048 – $30,681 · median $18,048 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,507 – $16,163 · median $9,507 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $35,909 – $61,045 · median $35,909 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,921 – $15,166 · median $8,921 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $8,742 – $14,861 · median $8,742 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,977 – $16,960 · median $9,977 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $18,269 – $31,057 · median $18,269 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $14,948 – $25,412 · median $14,948 | 14 plans |
| 885 | PSYCHOSES | $12,978 – $22,062 · median $12,978 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $19,282 – $32,779 · median $19,282 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,950 – $16,915 · median $9,950 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $5,732 – $9,744 · median $5,732 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $13,152 – $22,359 · median $13,152 | 14 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $16,214 – $27,563 · median $16,214 | 14 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $8,202 – $13,944 · median $8,202 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $38,990 – $66,284 · median $38,990 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $17,788 – $30,239 · median $17,788 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,867 – $18,473 · median $10,867 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,127 – $58,015 · median $34,127 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $13,782 – $23,430 · median $13,782 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $18,250 – $31,025 · median $18,250 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $35,671 – $60,640 · median $35,671 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $18,537 – $31,514 · median $18,537 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,196 – $20,734 · median $12,196 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,187 – $25,818 · median $15,187 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,227 – $13,986 · median $8,227 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $15,624 – $26,560 · median $15,624 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,191 – $10,524 · median $6,191 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $14,572 – $24,772 · median $14,572 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,963 – $13,538 · median $7,963 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,010 – $28,917 · median $17,010 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,312 – $15,831 · median $9,312 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,396 – $10,873 · median $6,396 | 14 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,254 – $27,631 · median $16,254 | 14 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,455 – $16,074 · median $9,455 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $198,367 – $337,224 · median $198,367 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $66,641 – $113,290 · median $66,641 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $29,924 – $50,871 · median $29,924 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $36,181 – $61,508 · median $36,181 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,539 – $34,916 · median $20,539 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $19,139 – $32,537 · median $19,139 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $33,712 – $57,311 · median $33,712 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,712 – $36,911 · median $21,712 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,839 – $32,027 · median $18,839 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $14,388 – $24,460 · median $14,388 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $10,655 – $18,113 · median $10,655 | 14 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $11,794 – $20,050 · median $11,794 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,437 – $12,644 · median $7,437 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $11,053 – $18,791 · median $11,053 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,832 – $9,914 · median $5,832 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,166 – $8,782 · median $5,166 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $62,538 – $106,315 · median $62,538 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $34,962 – $59,435 · median $34,962 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $70,796 – $120,354 · median $70,796 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $39,151 – $66,557 · median $39,151 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $27,354 – $46,501 · median $27,354 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,400 – $43,179 · median $25,400 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,239 – $24,207 · median $14,239 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,738 – $14,855 · median $8,738 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $56,873 – $96,684 · median $56,873 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $24,504 – $41,657 · median $24,504 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $26,814 – $45,583 · median $26,814 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $12,032 – $20,454 · median $12,032 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $8,387 – $14,258 · median $8,387 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $12,057 – $20,497 · median $12,057 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $43,591 – $74,105 · median $43,591 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $22,842 – $38,831 · median $22,842 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,925 – $27,072 · median $15,925 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $31,853 – $54,150 · median $31,853 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,271 – $25,960 · median $15,271 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,142 – $18,941 · median $11,142 | 14 plans |
No procedures match that keyword.