Three Rivers Health — Pricing
764 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 764 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 764 procedures
Procedures with negotiated rates only
These 764 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 | $193,543 – $523,924 · median $267,569 | 14 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $87,822 – $236,727 · median $121,400 | 14 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,418 – $412,207 · median $210,710 | 14 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $105,301 – $284,210 · median $145,566 | 14 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,342 – $200,107 · median $102,762 | 14 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $35,105 – $93,517 · median $48,513 | 14 plans |
| 007 | LUNG TRANSPLANT | $87,981 – $237,159 · median $121,620 | 14 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $38,128 – $101,730 · median $52,693 | 14 plans |
| 010 | PANCREAS TRANSPLANT | $34,939 – $93,066 · median $48,284 | 14 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $37,378 – $99,692 · median $51,656 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $29,183 – $77,431 · median $40,326 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $19,794 – $51,925 · median $27,345 | 14 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $82,248 – $221,585 · median $113,693 | 14 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $44,642 – $119,426 · median $61,700 | 14 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $44,642 – $119,426 · median $61,700 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $262,892 – $712,317 · median $363,451 | 14 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $57,570 – $154,546 · median $79,574 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $60,836 – $163,419 · median $84,090 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $44,389 – $118,738 · median $61,349 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $28,598 – $75,841 · median $39,517 | 14 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $41,025 – $109,601 · median $56,699 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,645 – $73,253 · median $38,200 | 14 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,109 – $85,379 · median $44,371 | 14 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,697 – $57,095 · median $29,976 | 14 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,995 – $47,038 · median $24,858 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,568 – $116,509 · median $60,215 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,079 – $66,281 · median $34,651 | 14 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,184 – $44,836 · median $23,737 | 14 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,978 – $79,590 · median $41,425 | 14 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,009 – $41,642 · median $22,111 | 14 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $12,230 – $31,377 · median $16,887 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $28,446 – $75,430 · median $39,308 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $17,046 – $44,459 · median $23,545 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,549 – $34,960 · median $18,711 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,704 – $65,264 · median $34,134 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $12,067 – $30,932 · median $16,661 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,801 – $22,060 · median $12,145 | 14 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $28,084 – $74,446 · median $38,807 | 14 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $16,556 – $43,128 · median $22,868 | 14 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,062 – $33,637 · median $18,038 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,519 – $37,595 · median $20,052 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $7,682 – $19,021 · median $10,599 | 14 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $11,167 – $28,489 · median $15,417 | 14 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,318 – $20,749 · median $11,478 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $17,718 – $46,286 · median $24,475 | 14 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,382 – $26,356 · median $14,332 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,978 – $33,407 · median $17,921 | 14 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $9,129 – $22,953 · median $12,600 | 14 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $7,067 – $17,350 · median $9,748 | 14 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $20,628 – $54,189 · median $28,498 | 14 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,001 – $36,187 · median $19,335 | 14 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,262 – $28,746 · median $15,548 | 14 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $14,935 – $38,726 · median $20,627 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $7,914 – $19,651 · median $10,919 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $5,573 – $13,292 · median $7,683 | 14 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,764 – $27,394 · median $14,860 | 14 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,879 – $16,840 · median $9,489 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $6,364 – $15,442 · median $8,777 | 14 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $13,416 – $34,598 · median $18,527 | 14 plans |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $8,237 – $20,529 · median $11,366 | 14 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,253 – $15,139 · median $8,623 | 14 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,448 – $29,252 · median $15,806 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $7,983 – $19,841 · median $11,016 | 14 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $14,301 – $37,001 · median $19,750 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,245 – $17,836 · median $9,995 | 14 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,433 – $29,212 · median $15,785 | 14 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,917 – $19,661 · median $10,924 | 14 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,952 – $14,323 · median $8,207 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $16,399 – $42,703 · median $22,652 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,153 – $17,584 · median $9,867 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,895 – $44,049 · median $23,336 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $10,334 – $26,225 · median $14,265 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,226 – $17,781 · median $9,968 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,856 – $43,942 · median $23,282 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,054 – $25,465 · median $13,878 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,987 – $17,134 · median $9,638 | 14 plans |
| 088 | CONCUSSION WITH MCC | $11,596 – $29,654 · median $16,011 | 14 plans |
| 089 | CONCUSSION WITH CC | $8,864 – $22,232 · median $12,233 | 14 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,333 – $18,073 · median $10,116 | 14 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $13,414 – $34,592 · median $18,524 | 14 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $7,983 – $19,839 · median $11,015 | 14 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $6,191 – $14,972 · median $8,538 | 14 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,463 – $70,041 · median $36,565 | 14 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $17,648 – $46,096 · median $24,379 | 14 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,193 – $42,142 · median $22,366 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $26,564 – $70,316 · median $36,705 | 14 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $16,014 – $41,655 · median $22,118 | 14 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $10,076 – $25,525 · median $13,909 | 14 plans |
| 100 | SEIZURES WITH MCC | $14,790 – $38,330 · median $20,426 | 14 plans |
| 101 | SEIZURES WITHOUT MCC | $7,154 – $17,586 · median $9,868 | 14 plans |
| 102 | HEADACHES WITH MCC | $9,267 – $23,328 · median $12,791 | 14 plans |
| 103 | HEADACHES WITHOUT MCC | $6,675 – $16,287 · median $9,207 | 14 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,525 – $48,476 · median $25,590 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $9,447 – $23,816 · median $13,039 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $11,814 – $30,246 · median $16,312 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $13,710 – $35,397 · median $18,933 | 14 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,209 – $23,170 · median $12,710 | 14 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,798 – $24,771 · median $13,525 | 14 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $5,979 – $14,394 · median $8,244 | 14 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $6,402 – $15,545 · median $8,829 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,088 – $25,558 · median $13,925 | 14 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,356 – $15,419 · median $8,765 | 14 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,555 – $51,276 · median $27,015 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,112 – $20,191 · median $11,194 | 14 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $11,389 – $29,092 · median $15,724 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,841 – $16,737 · median $9,436 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,133 – $22,963 · median $12,605 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,569 – $73,046 · median $38,095 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,424 – $40,054 · median $21,303 | 14 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,676 – $29,871 · median $16,121 | 14 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,348 – $64,297 · median $33,642 | 14 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,996 – $33,457 · median $17,946 | 14 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $9,371 – $23,609 · median $12,934 | 14 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $15,704 – $40,814 · median $21,690 | 14 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $9,475 – $23,893 · median $13,078 | 14 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,012 – $17,201 · median $9,673 | 14 plans |
| 149 | DYSEQUILIBRIUM | $5,980 – $14,398 · median $8,246 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $10,035 – $25,415 · median $13,853 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,165 – $14,901 · median $8,502 | 14 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,136 – $22,973 · median $12,610 | 14 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $5,910 – $14,207 · median $8,148 | 14 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $11,627 – $29,740 · median $16,054 | 14 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $7,417 – $18,302 · median $10,232 | 14 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,345 – $12,673 · median $7,368 | 14 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $12,829 – $33,003 · median $17,715 | 14 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,359 – $18,145 · median $10,153 | 14 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,485 – $13,054 · median $7,562 | 14 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $34,227 – $91,133 · median $47,300 | 14 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $18,831 – $49,309 · median $26,014 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $14,034 – $36,278 · median $19,382 | 14 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $29,560 – $78,454 · median $40,847 | 14 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,632 – $35,184 · median $18,825 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,329 – $26,211 · median $14,258 | 14 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $22,565 – $59,452 · median $31,176 | 14 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $10,665 – $27,126 · median $14,723 | 14 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $6,485 – $15,769 · median $8,943 | 14 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,753 – $32,798 · median $17,611 | 14 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $7,702 – $19,077 · median $10,627 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,112 – $14,758 · median $8,429 | 14 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $13,051 – $33,606 · median $18,022 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $8,517 – $21,289 · median $11,753 | 14 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,365 – $15,444 · median $8,778 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $11,886 – $30,441 · median $16,411 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $8,166 – $20,337 · median $11,269 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $6,058 – $14,611 · median $8,354 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $11,726 – $30,008 · median $16,191 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $7,771 – $19,262 · median $10,722 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $5,993 – $14,433 · median $8,264 | 14 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $9,448 – $23,819 · median $13,041 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $8,523 – $21,306 · median $11,762 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $6,722 – $16,415 · median $9,272 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $5,248 – $12,409 · median $7,233 | 14 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,121 – $25,648 · median $13,972 | 14 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $6,532 – $15,896 · median $9,008 | 14 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,132 – $12,095 · median $7,074 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,170 – $36,646 · median $19,569 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $7,779 – $19,286 · median $10,733 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,218 – $15,046 · median $8,575 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $13,306 – $34,300 · median $18,375 | 14 plans |
| 200 | PNEUMOTHORAX WITH CC | $8,345 – $20,823 · median $11,516 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $5,705 – $13,652 · median $7,866 | 14 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $7,495 – $18,512 · median $10,340 | 14 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,626 – $13,435 · median $7,756 | 14 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $6,537 – $15,910 · median $9,015 | 14 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $13,564 – $35,000 · median $18,731 | 14 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,181 – $17,662 · median $9,907 | 14 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $49,845 – $133,559 · median $68,893 | 14 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $19,923 – $52,275 · median $27,523 | 14 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $77,336 – $208,241 · median $106,902 | 14 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $73,379 – $197,493 · median $101,432 | 14 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,753 – $187,642 · median $96,418 | 14 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $45,982 – $123,067 · median $63,553 | 14 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $41,224 – $110,140 · median $56,974 | 14 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,561 – $149,088 · median $76,796 | 14 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $38,006 – $101,399 · median $52,525 | 14 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $33,764 – $89,876 · median $46,660 | 14 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,541 – $97,418 · median $50,499 | 14 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,309 – $61,474 · median $32,205 | 14 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $58,436 – $156,899 · median $80,772 | 14 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $43,017 – $115,010 · median $59,452 | 14 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $56,190 – $150,797 · median $77,666 | 14 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $37,674 – $100,496 · median $52,065 | 14 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,533 – $113,696 · median $58,783 | 14 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,441 – $78,133 · median $40,683 | 14 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,890 – $92,935 · median $48,217 | 14 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $20,673 – $54,313 · median $28,561 | 14 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,601 – $26,952 · median $14,635 | 14 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $25,270 – $66,801 · median $34,916 | 14 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,890 – $44,035 · median $23,330 | 14 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $13,701 – $35,372 · median $18,920 | 14 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,930 – $87,610 · median $45,507 | 14 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,411 – $45,450 · median $24,050 | 14 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $11,974 – $30,681 · median $16,533 | 14 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,549 – $64,842 · median $33,919 | 14 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $18,836 – $49,323 · median $26,021 | 14 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $13,029 – $33,546 · median $17,991 | 14 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,233 – $53,118 · median $27,952 | 14 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $12,350 – $31,702 · median $17,053 | 14 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,733 – $19,160 · median $10,669 | 14 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $19,957 – $52,368 · median $27,571 | 14 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $13,965 – $36,089 · median $19,285 | 14 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,274 – $64,096 · median $33,540 | 14 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,073 – $36,383 · median $19,435 | 14 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $12,390 – $31,810 · median $17,108 | 14 plans |
| 263 | VEIN LIGATION AND STRIPPING | $20,787 – $54,622 · median $28,718 | 14 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,924 – $63,145 · median $33,055 | 14 plans |
| 265 | AICD LEAD PROCEDURES | $25,832 – $68,328 · median $35,694 | 14 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $45,134 – $120,762 · median $62,380 | 14 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $35,413 – $94,354 · median $48,939 | 14 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,465 – $132,529 · median $68,368 | 14 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,277 – $80,402 · median $41,839 | 14 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $36,670 – $97,770 · median $50,678 | 14 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,278 – $66,822 · median $34,927 | 14 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $18,042 – $47,165 · median $24,923 | 14 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $28,415 – $75,345 · median $39,264 | 14 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $23,745 – $62,658 · median $32,807 | 14 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,754 – $136,030 · median $70,150 | 14 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC | $44,878 – $120,068 · median $62,026 | 14 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,717 – $92,463 · median $47,977 | 14 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $32,425 – $86,237 · median $44,808 | 14 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,459 – $61,880 · median $32,412 | 14 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $11,971 – $30,673 · median $16,529 | 14 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $7,178 – $17,652 · median $9,902 | 14 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $5,791 – $13,884 · median $7,984 | 14 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $14,711 – $38,115 · median $20,317 | 14 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $5,944 – $14,301 · median $8,197 | 14 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $4,158 – $9,449 · median $5,727 | 14 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $16,022 – $41,676 · median $22,129 | 14 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $8,378 – $20,912 · median $11,561 | 14 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $19,134 – $50,133 · median $26,433 | 14 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $11,197 – $28,570 · median $15,459 | 14 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,403 – $20,979 · median $11,595 | 14 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $9,818 – $24,823 · median $13,552 | 14 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $6,776 – $16,560 · median $9,346 | 14 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,676 – $10,856 · median $6,443 | 14 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $8,464 – $21,146 · median $11,680 | 14 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,353 – $15,411 · median $8,761 | 14 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $12,090 – $30,996 · median $16,693 | 14 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $5,865 – $14,087 · median $8,087 | 14 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $3,809 – $8,501 · median $5,245 | 14 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $11,898 – $30,474 · median $16,428 | 14 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $8,274 – $20,629 · median $11,417 | 14 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $5,732 – $13,723 · median $7,902 | 14 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $8,659 – $21,675 · median $11,950 | 14 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $5,364 – $12,724 · median $7,394 | 14 plans |
| 304 | HYPERTENSION WITH MCC | $8,857 – $22,215 · median $12,224 | 14 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,043 – $14,568 · median $8,332 | 14 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,617 – $29,712 · median $16,040 | 14 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,389 – $18,224 · median $10,193 | 14 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,236 – $23,243 · median $12,748 | 14 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $5,980 – $14,398 · median $8,246 | 14 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $4,616 – $10,692 · median $6,359 | 14 plans |
| 311 | ANGINA PECTORIS | $5,648 – $13,497 · median $7,787 | 14 plans |
| 312 | SYNCOPE AND COLLAPSE | $6,826 – $16,695 · median $9,415 | 14 plans |
| 313 | CHEST PAIN | $5,830 – $13,990 · median $8,038 | 14 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,580 – $40,476 · median $21,518 | 14 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,564 – $18,702 · median $10,436 | 14 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,610 – $13,393 · median $7,734 | 14 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,724 – $84,333 · median $43,839 | 14 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,523 – $43,037 · median $22,822 | 14 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $21,139 – $55,579 · median $29,205 | 14 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $13,657 – $35,254 · median $18,860 | 14 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,145 – $80,043 · median $41,656 | 14 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,808 – $57,395 · median $30,129 | 14 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $19,500 – $51,125 · median $26,938 | 14 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $36,828 – $98,197 · median $50,895 | 14 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,454 – $48,285 · median $25,492 | 14 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,048 – $30,882 · median $16,635 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,826 – $87,328 · median $45,363 | 14 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $17,562 – $45,862 · median $24,259 | 14 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $12,580 – $32,326 · median $17,370 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,688 – $70,652 · median $36,876 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $15,480 – $40,205 · median $21,380 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,104 – $31,033 · median $16,712 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,123 – $69,119 · median $36,096 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $15,664 – $40,704 · median $21,634 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $11,330 – $28,931 · median $15,643 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $20,184 – $52,983 · median $27,884 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $11,645 – $29,786 · median $16,077 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,845 – $24,898 · median $13,590 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,822 – $49,284 · median $26,001 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,942 – $25,161 · median $13,724 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,625 – $18,866 · median $10,520 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $17,761 – $46,402 · median $24,534 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $11,040 – $28,143 · median $15,241 | 14 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $8,573 – $21,441 · median $11,831 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $21,492 – $56,538 · median $29,693 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $12,906 – $33,212 · median $17,821 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $10,378 – $26,345 · median $14,326 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,132 – $82,724 · median $43,020 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $16,315 – $42,473 · median $22,534 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,798 – $24,769 · median $13,524 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,437 – $31,940 · median $17,174 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $7,714 – $19,108 · median $10,643 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $5,973 – $14,379 · median $8,236 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $13,118 – $33,790 · median $18,115 | 14 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,098 – $20,152 · median $11,174 | 14 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $5,779 – $13,853 · median $7,968 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $15,619 – $40,582 · median $21,572 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $9,208 – $23,168 · median $12,709 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $7,024 – $17,234 · median $9,689 | 14 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $13,422 – $34,614 · median $18,535 | 14 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $7,682 – $19,021 · median $10,599 | 14 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,186 – $12,242 · median $7,149 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $14,548 – $37,672 · median $20,091 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,317 – $20,745 · median $11,476 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,068 – $14,638 · median $8,368 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $10,631 – $27,033 · median $14,676 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,912 – $16,931 · median $9,535 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $11,832 – $30,294 · median $16,336 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $7,595 – $18,785 · median $10,479 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $5,549 – $13,226 · median $7,649 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $11,025 – $28,102 · median $15,220 | 14 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $6,348 – $15,398 · median $8,755 | 14 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $4,658 – $10,808 · median $6,419 | 14 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $9,759 – $24,664 · median $13,471 | 14 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $6,271 – $15,189 · median $8,648 | 14 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,207 – $31,313 · median $16,855 | 14 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $7,348 – $18,114 · median $10,137 | 14 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,288 – $12,519 · median $7,289 | 14 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,669 – $43,436 · median $23,025 | 14 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,450 – $29,258 · median $15,809 | 14 plans |
| 399 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $8,602 – $21,521 · median $11,871 | 14 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $39,861 – $106,438 · median $55,089 | 14 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $21,230 – $55,825 · median $29,330 | 14 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,989 – $41,587 · median $22,084 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,171 – $71,965 · median $37,544 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,610 – $37,842 · median $20,178 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,820 – $30,262 · median $16,320 | 14 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $22,319 – $58,783 · median $30,836 | 14 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,385 – $39,946 · median $21,248 | 14 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,424 – $29,187 · median $15,772 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,769 – $68,156 · median $35,606 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $14,742 – $38,200 · median $20,360 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $10,211 – $25,892 · median $14,096 | 14 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $17,176 – $44,812 · median $23,725 | 14 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $12,314 – $31,605 · median $17,003 | 14 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $10,026 – $25,389 · median $13,840 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,460 – $61,884 · median $32,414 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $12,847 – $33,053 · median $17,740 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,722 – $27,280 · median $14,802 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,514 – $75,613 · median $39,401 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $15,851 – $41,214 · median $21,894 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,081 – $30,971 · median $16,681 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $14,316 – $37,044 · median $19,771 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,018 – $19,933 · median $11,063 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,445 – $12,944 · median $7,506 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $13,205 – $34,026 · median $18,235 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $8,514 – $21,281 · median $11,749 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,595 – $16,068 · median $9,096 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,557 – $32,265 · median $17,339 | 14 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $6,766 – $16,534 · median $9,333 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,061 – $11,902 · median $6,975 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $13,691 – $35,346 · median $18,907 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $7,452 – $18,396 · median $10,281 | 14 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $5,767 – $13,818 · median $7,951 | 14 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $12,304 – $31,576 · median $16,989 | 14 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $8,415 – $21,012 · median $11,612 | 14 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $6,384 – $15,496 · median $8,805 | 14 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $63,747 – $171,326 · median $88,114 | 14 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $44,210 – $118,253 · median $61,102 | 14 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $33,458 – $89,045 · median $46,237 | 14 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,673 – $162,974 · median $83,863 | 14 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,918 – $117,460 · median $60,699 | 14 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $32,927 – $87,602 · median $45,503 | 14 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $47,882 – $128,229 · median $66,180 | 14 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,713 – $70,722 · median $36,912 | 14 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $49,208 – $131,829 · median $68,012 | 14 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $20,937 – $55,030 · median $28,926 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,989 – $109,502 · median $56,649 | 14 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $22,041 – $58,029 · median $30,452 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,995 – $36,170 · median $19,327 | 14 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $37,593 – $100,278 · median $51,954 | 14 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,492 – $67,404 · median $35,223 | 14 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $19,680 – $51,614 · median $27,187 | 14 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,378 – $64,378 · median $33,683 | 14 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $14,072 – $36,381 · median $19,434 | 14 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,689 – $95,104 · median $49,321 | 14 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $21,714 – $57,140 · median $29,999 | 14 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,192 – $47,573 · median $25,130 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,303 – $83,190 · median $43,258 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,944 – $41,466 · median $22,022 | 14 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,056 – $22,754 · median $12,499 | 14 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,657 – $65,136 · median $34,069 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $17,645 – $46,086 · median $24,374 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $13,946 – $36,039 · median $19,260 | 14 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $21,667 – $57,014 · median $29,935 | 14 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $15,447 – $40,116 · median $21,335 | 14 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $11,985 – $30,710 · median $16,548 | 14 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $18,360 – $48,030 · median $25,363 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,124 – $63,686 · median $33,331 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $14,973 – $38,828 · median $20,680 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,675 – $29,869 · median $16,120 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $15,673 – $40,729 · median $21,647 | 14 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,489 – $23,930 · median $13,097 | 14 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $25,320 – $66,936 · median $34,985 | 14 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $17,773 – $46,434 · median $24,551 | 14 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $13,983 – $36,139 · median $19,311 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $26,168 – $69,239 · median $36,157 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,825 – $38,426 · median $20,475 | 14 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,839 – $27,597 · median $14,964 | 14 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $19,263 – $50,481 · median $26,610 | 14 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $9,860 – $24,937 · median $13,610 | 14 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $23,759 – $62,696 · median $32,827 | 14 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,033 – $33,558 · median $17,997 | 14 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $10,521 – $26,733 · median $14,524 | 14 plans |
| 503 | FOOT PROCEDURES WITH MCC | $19,767 – $51,852 · median $27,308 | 14 plans |
| 504 | FOOT PROCEDURES WITH CC | $12,972 – $33,392 · median $17,913 | 14 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $12,820 – $32,978 · median $17,702 | 14 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,089 – $28,278 · median $15,310 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $15,851 – $41,214 · median $21,894 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $10,886 – $27,725 · median $15,029 | 14 plans |
| 509 | ARTHROSCOPY | $10,403 – $26,412 · median $14,360 | 14 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $20,043 – $52,600 · median $27,689 | 14 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $14,870 – $38,548 · median $20,537 | 14 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $12,165 – $31,201 · median $16,798 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,217 – $31,340 · median $16,869 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,092 – $20,136 · median $11,166 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $23,181 – $61,124 · median $32,027 | 14 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $15,204 – $39,457 · median $20,999 | 14 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $11,316 – $28,893 · median $15,623 | 14 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,670 – $70,604 · median $36,852 | 14 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $14,691 – $38,061 · median $20,289 | 14 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $10,868 – $27,677 · median $15,004 | 14 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,990 – $57,890 · median $30,381 | 14 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $15,713 – $40,837 · median $21,702 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,291 – $31,541 · median $16,971 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $6,445 – $15,661 · median $8,888 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,909 – $25,070 · median $13,677 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $6,282 – $15,218 · median $8,663 | 14 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $7,562 – $18,696 · median $10,433 | 14 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $5,727 – $13,710 · median $7,895 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $14,803 – $38,366 · median $20,444 | 14 plans |
| 540 | OSTEOMYELITIS WITH CC | $9,919 – $25,099 · median $13,692 | 14 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,786 – $16,587 · median $9,360 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $13,659 – $35,259 · median $18,863 | 14 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,443 – $21,088 · median $11,650 | 14 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,142 – $14,839 · median $8,470 | 14 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $18,424 – $48,204 · median $25,451 | 14 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,215 – $23,187 · median $12,719 | 14 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,539 – $15,918 · median $9,019 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,557 – $37,697 · median $20,104 | 14 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $9,265 – $23,321 · median $12,787 | 14 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,395 – $18,242 · median $10,202 | 14 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $12,792 – $32,905 · median $17,665 | 14 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $7,557 – $18,682 · median $10,426 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,299 – $26,130 · median $14,217 | 14 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $6,529 – $15,889 · median $9,004 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,637 – $27,048 · median $14,684 | 14 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $6,547 – $15,939 · median $9,030 | 14 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $11,760 – $30,099 · median $16,237 | 14 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $6,932 – $16,983 · median $9,561 | 14 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $13,850 – $35,778 · median $19,127 | 14 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,737 – $21,888 · median $12,058 | 14 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $6,233 – $15,084 · median $8,595 | 14 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $11,503 – $29,401 · median $15,882 | 14 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $7,054 – $17,316 · median $9,731 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $11,796 – $30,198 · median $16,287 | 14 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,793 – $19,322 · median $10,752 | 14 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,021 – $14,510 · median $8,303 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $21,477 – $56,498 · median $29,672 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $12,721 – $32,711 · median $17,566 | 14 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $8,791 – $22,033 · median $12,132 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,935 – $120,221 · median $62,104 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,919 – $65,848 · median $34,431 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $15,241 – $39,557 · median $21,051 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $41,127 – $109,877 · median $56,840 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,534 – $51,218 · median $26,985 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,142 – $31,137 · median $16,765 | 14 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,467 – $64,618 · median $33,805 | 14 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,111 – $33,769 · median $18,105 | 14 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $10,265 – $26,037 · median $14,169 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $13,073 – $33,666 · median $18,052 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,511 – $29,424 · median $15,893 | 14 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,619 – $37,868 · median $20,191 | 14 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $12,665 – $32,558 · median $17,489 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $15,555 – $40,410 · median $21,485 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $9,291 – $23,392 · median $12,823 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,284 – $15,224 · median $8,666 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,160 – $42,051 · median $22,320 | 14 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $7,861 – $19,508 · median $10,847 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $12,071 – $30,944 · median $16,667 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,212 – $23,178 · median $12,714 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,468 – $13,008 · median $7,538 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $7,978 – $19,827 · median $11,009 | 14 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,189 – $12,248 · median $7,152 | 14 plans |
| 602 | CELLULITIS WITH MCC | $11,267 – $28,759 · median $15,555 | 14 plans |
| 603 | CELLULITIS WITHOUT MCC | $6,976 – $17,105 · median $9,623 | 14 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,400 – $29,121 · median $15,739 | 14 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,148 – $17,571 · median $9,861 | 14 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,966 – $30,660 · median $16,522 | 14 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,039 – $17,275 · median $9,710 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $16,710 – $43,548 · median $23,082 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,150 – $28,442 · median $15,394 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $28,847 – $76,518 · median $39,862 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,804 – $38,368 · median $20,445 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,946 – $22,456 · median $12,347 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,202 – $50,317 · median $26,527 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,225 – $31,364 · median $16,880 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $11,479 – $29,335 · median $15,848 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $27,907 – $73,964 · median $38,562 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $13,928 – $35,988 · median $19,234 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,612 – $21,548 · median $11,885 | 14 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $21,470 – $56,478 · median $29,663 | 14 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $11,298 – $28,844 · median $15,598 | 14 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,477 – $23,897 · median $13,080 | 14 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $29,251 – $77,616 · median $40,421 | 14 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,784 – $43,749 · median $23,184 | 14 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,618 – $26,996 · median $14,658 | 14 plans |
| 637 | DIABETES WITH MCC | $10,995 – $28,021 · median $15,179 | 14 plans |
| 638 | DIABETES WITH CC | $7,081 – $17,389 · median $9,768 | 14 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,110 – $12,035 · median $7,043 | 14 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $10,040 – $25,428 · median $13,860 | 14 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,241 – $15,108 · median $8,607 | 14 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $9,956 – $25,198 · median $13,742 | 14 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $12,388 – $31,806 · median $17,106 | 14 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,236 – $20,527 · median $11,365 | 14 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,095 – $14,711 · median $8,405 | 14 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $32,689 – $86,955 · median $45,173 | 14 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $25,294 – $66,865 · median $34,949 | 14 plans |
| 652 | KIDNEY TRANSPLANT | $22,062 – $58,087 · median $30,481 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,209 – $104,667 · median $54,188 | 14 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $20,163 – $52,927 · median $27,855 | 14 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $15,681 – $40,752 · median $21,659 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $23,010 – $60,662 · median $31,792 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,805 – $35,656 · median $19,065 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,216 – $28,622 · median $15,485 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,105 – $50,054 · median $26,393 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,259 – $26,022 · median $14,162 | 14 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,141 – $20,270 · median $11,234 | 14 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,008 – $57,938 · median $30,406 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $11,064 – $28,208 · median $15,275 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,235 – $20,525 · median $11,364 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,665 – $59,725 · median $31,315 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $12,903 – $33,204 · median $17,817 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $8,150 – $20,293 · median $11,246 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,736 – $54,483 · median $28,647 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $11,602 – $29,670 · median $16,018 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $7,531 – $18,611 · median $10,390 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,864 – $33,098 · median $17,763 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,352 – $18,126 · median $10,143 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $26,999 – $71,497 · median $37,306 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $17,634 – $46,057 · median $24,359 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $11,971 – $30,673 · median $16,529 | 14 plans |
| 682 | RENAL FAILURE WITH MCC | $11,361 – $29,016 · median $15,686 | 14 plans |
| 683 | RENAL FAILURE WITH CC | $7,091 – $17,416 · median $9,782 | 14 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,011 – $11,765 · median $6,906 | 14 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $13,771 – $35,563 · median $19,018 | 14 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,119 – $20,210 · median $11,204 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,238 – $15,098 · median $8,602 | 14 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,038 – $22,706 · median $12,474 | 14 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $6,423 – $15,601 · median $8,858 | 14 plans |
| 693 | URINARY STONES WITH MCC | $10,760 – $27,383 · median $14,854 | 14 plans |
| 694 | URINARY STONES WITHOUT MCC | $6,250 – $15,133 · median $8,620 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,192 – $23,123 · median $12,687 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $5,606 – $13,381 · median $7,728 | 14 plans |
| 697 | URETHRAL STRICTURE | $8,602 – $21,521 · median $11,871 | 14 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $12,454 – $31,986 · median $17,197 | 14 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $7,945 – $19,736 · median $10,963 | 14 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $5,721 – $13,694 · median $7,888 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $14,643 – $37,931 · median $20,223 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $11,060 – $28,199 · median $15,270 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,130 – $41,970 · median $22,279 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,913 – $25,082 · median $13,683 | 14 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $15,789 – $41,044 · median $21,807 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,138 – $22,977 · median $12,612 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $11,005 – $28,048 · median $15,193 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $7,502 – $18,532 · median $10,350 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,391 – $42,680 · median $22,640 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,802 – $27,497 · median $14,912 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $13,588 – $35,066 · median $18,765 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $9,048 – $22,733 · median $12,488 | 14 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $14,023 – $36,247 · median $19,366 | 14 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $8,611 – $21,544 · median $11,883 | 14 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,441 – $15,651 · median $8,883 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,512 – $23,992 · median $13,128 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $5,882 – $14,131 · median $8,110 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,217 – $31,340 · median $16,869 | 14 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,374 – $15,469 · median $8,791 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,825 – $19,409 · median $10,796 | 14 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,104 – $12,018 · median $7,034 | 14 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,150 – $42,024 · median $22,306 | 14 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,649 – $24,365 · median $13,318 | 14 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,345 – $75,155 · median $39,168 | 14 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,728 – $38,161 · median $20,340 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,392 – $26,383 · median $14,346 | 14 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $26,417 – $69,918 · median $36,502 | 14 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $13,398 – $34,550 · median $18,502 | 14 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $9,927 – $25,121 · median $13,703 | 14 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $13,362 – $34,451 · median $18,452 | 14 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $8,950 – $22,466 · median $12,352 | 14 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $14,077 – $36,394 · median $19,441 | 14 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $8,053 – $20,028 · median $11,111 | 14 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $12,609 – $32,406 · median $17,411 | 14 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,994 – $17,153 · median $9,648 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $10,679 – $27,162 · median $14,742 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $18,595 – $48,668 · median $25,687 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,359 – $26,294 · median $14,300 | 14 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,864 – $35,816 · median $19,147 | 14 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,400 – $20,972 · median $11,591 | 14 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,724 – $19,135 · median $10,657 | 14 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,296 – $28,839 · median $15,595 | 14 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,744 – $19,191 · median $10,685 | 14 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,279 – $12,494 · median $7,277 | 14 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,764 – $19,245 · median $10,713 | 14 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $4,990 – $11,709 · median $6,877 | 14 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $3,231 – $19,368 · median $9,959 | 14 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $11,668 – $29,850 · median $16,110 | 14 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $6,364 – $15,442 · median $8,777 | 14 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $5,781 – $13,857 · median $7,970 | 14 plans |
| 779 | ABORTION WITHOUT D&C | $7,720 – $19,125 · median $10,652 | 14 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $13,290 – $34,256 · median $18,352 | 14 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,969 – $19,800 · median $10,995 | 14 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,845 – $13,774 · median $9,376 | 14 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $13,131 – $33,825 · median $18,133 | 14 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,161 – $20,322 · median $11,261 | 14 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,765 – $13,595 · median $9,327 | 14 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,881 – $28,928 · median $15,336 | 14 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $7,881 – $95,402 · median $48,855 | 14 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $7,881 – $65,153 · median $33,602 | 14 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,881 – $39,313 · median $20,572 | 14 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,881 – $66,928 · median $34,497 | 14 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $7,881 – $23,689 · median $12,694 | 14 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $10,359 – $22,553 · median $12,120 | 14 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $7,768 – $15,835 · median $9,943 | 14 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $6,623 – $13,278 · median $9,135 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $35,942 – $95,792 · median $49,671 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $20,734 – $54,477 · median $28,644 | 14 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $13,417 – $34,602 · median $18,529 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $25,097 – $66,331 · median $34,677 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,905 – $35,926 · median $19,203 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,294 – $23,402 · median $12,828 | 14 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $7,855 – $16,030 · median $9,997 | 14 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,994 – $11,873 · median $8,265 | 14 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,310 – $10,403 · median $5,449 | 14 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $16,267 – $42,343 · median $22,469 | 14 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $9,252 – $23,286 · median $12,769 | 14 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $7,829 – $19,421 · median $10,802 | 14 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $10,669 – $27,137 · median $14,729 | 14 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $7,090 – $17,414 · median $9,781 | 14 plans |
| 813 | COAGULATION DISORDERS | $11,783 – $30,161 · median $16,268 | 14 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $15,826 – $41,145 · median $21,858 | 14 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,756 – $19,222 · median $10,701 | 14 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $5,734 – $13,731 · median $7,906 | 14 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,727 – $54,460 · median $28,635 | 14 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $10,865 – $27,669 · median $15,000 | 14 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,137 – $17,540 · median $9,845 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,715 – $116,907 · median $60,418 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $16,566 – $43,155 · median $22,882 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,497 – $23,951 · median $13,108 | 14 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,720 – $87,040 · median $45,217 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $16,572 – $43,171 · median $22,890 | 14 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $9,871 – $24,968 · median $13,625 | 14 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,616 – $89,472 · median $46,455 | 14 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,172 – $44,801 · median $23,719 | 14 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,355 – $31,715 · median $17,060 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $23,126 – $60,976 · median $31,951 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,933 – $30,571 · median $16,477 | 14 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $8,333 – $20,790 · median $11,499 | 14 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,930 – $14,263 · median $8,177 | 14 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,322 – $9,895 · median $5,954 | 14 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $40,528 – $108,251 · median $56,012 | 14 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,590 – $43,221 · median $22,915 | 14 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,729 – $27,298 · median $14,811 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,155 – $93,654 · median $48,583 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,926 – $38,701 · median $20,615 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,954 – $25,194 · median $13,740 | 14 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,922 – $60,423 · median $31,670 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $11,879 – $30,422 · median $16,401 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,270 – $20,618 · median $11,411 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $13,922 – $35,973 · median $19,226 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,916 – $22,373 · median $12,305 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,836 – $16,722 · median $9,429 | 14 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,074 – $47,252 · median $24,967 | 14 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,310 – $23,444 · median $12,850 | 14 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,631 – $16,167 · median $9,146 | 14 plans |
| 849 | RADIOTHERAPY | $19,835 – $52,036 · median $27,401 | 14 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,260 – $96,656 · median $50,111 | 14 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,186 – $39,407 · median $20,974 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,792 – $32,903 · median $17,664 | 14 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,197 – $85,619 · median $44,493 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $15,880 – $41,292 · median $21,933 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,814 – $24,813 · median $13,547 | 14 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $13,790 – $35,613 · median $19,043 | 14 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $7,836 – $19,440 · median $10,812 | 14 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $6,963 – $17,068 · median $9,605 | 14 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,351 – $31,706 · median $17,055 | 14 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,211 – $17,743 · median $9,948 | 14 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,571 – $40,453 · median $21,506 | 14 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,406 – $20,987 · median $11,599 | 14 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,596 – $13,354 · median $7,714 | 14 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,250 – $134,659 · median $69,453 | 14 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $14,790 – $38,332 · median $20,427 | 14 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,010 – $19,912 · median $11,052 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,237 – $72,145 · median $37,636 | 14 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,474 – $18,456 · median $10,311 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $7,132 – $17,526 · median $9,838 | 14 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $7,365 – $18,160 · median $10,161 | 14 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $14,027 – $36,259 · median $19,372 | 14 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $13,184 – $33,968 · median $18,206 | 14 plans |
| 885 | PSYCHOSES | $10,405 – $26,418 · median $14,363 | 14 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,649 – $32,514 · median $17,466 | 14 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,901 – $25,049 · median $13,667 | 14 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $4,769 – $11,107 · median $6,571 | 14 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $12,130 – $31,105 · median $16,749 | 14 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $13,335 – $34,378 · median $18,414 | 14 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $6,769 – $16,542 · median $9,337 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,481 – $83,674 · median $43,504 | 14 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $14,094 – $36,439 · median $19,463 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,516 – $24,003 · median $13,134 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $23,855 – $62,955 · median $32,959 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,951 – $30,619 · median $16,502 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $14,071 – $36,379 · median $19,433 | 14 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,152 – $71,913 · median $37,518 | 14 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,943 – $38,747 · median $20,638 | 14 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,333 – $26,223 · median $14,264 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,316 – $28,895 · median $15,624 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,140 – $17,549 · median $9,850 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,306 – $34,299 · median $18,374 | 14 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $5,369 – $12,737 · median $7,401 | 14 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,038 – $30,855 · median $16,622 | 14 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $6,807 – $16,645 · median $9,389 | 14 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $13,666 – $35,279 · median $18,873 | 14 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,038 – $19,987 · median $11,091 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,646 – $13,491 · median $7,784 | 14 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,099 – $33,736 · median $18,088 | 14 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $7,878 – $19,554 · median $10,870 | 14 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $188,277 – $509,619 · median $260,288 | 14 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $49,928 – $133,785 · median $69,008 | 14 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $23,565 – $62,168 · median $32,559 | 14 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $22,259 – $58,621 · median $30,753 | 14 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,572 – $40,456 · median $21,508 | 14 plans |
| 935 | NON-EXTENSIVE BURNS | $15,207 – $39,463 · median $21,002 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $23,563 – $62,165 · median $32,557 | 14 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $16,100 – $41,889 · median $22,237 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,889 – $35,884 · median $19,181 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $11,423 – $29,185 · median $15,771 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,887 – $19,580 · median $10,883 | 14 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $9,588 – $24,198 · median $13,234 | 14 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $6,381 – $15,487 · median $8,800 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $8,315 – $20,742 · median $11,474 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,225 – $12,347 · median $7,202 | 14 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,879 – $11,407 · median $6,724 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $44,024 – $117,748 · median $60,846 | 14 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,281 – $74,981 · median $39,079 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $52,154 – $139,833 · median $72,086 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,467 – $78,202 · median $40,719 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,703 – $48,961 · median $25,837 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,140 – $52,865 · median $27,824 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $11,363 – $29,020 · median $15,688 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,483 – $18,481 · median $10,324 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $49,593 – $132,875 · median $68,544 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,463 – $53,741 · median $28,269 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $21,437 – $56,388 · median $29,616 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,383 – $26,358 · median $14,333 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $6,696 – $16,343 · median $9,236 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,758 – $27,379 · median $14,852 | 14 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,418 – $91,651 · median $47,564 | 14 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $18,373 – $48,064 · median $25,380 | 14 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $12,318 – $31,615 · median $17,008 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,712 – $65,285 · median $34,145 | 14 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $12,758 – $32,810 · median $17,616 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,369 – $20,887 · median $11,548 | 14 plans |
| 795 | NORMAL NEWBORN | $670 – $4,085 · median $2,150 | 13 plans |
No procedures match that keyword.