Three Rivers Health — Pricing
781 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 781 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 781 procedures
Procedures with negotiated rates only
These 781 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 |
|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $152,693 – $318,378 · median $152,693 | 11 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $100,167 – $207,771 · median $100,167 | 11 plans |
| 011 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC | $40,351 – $81,812 · median $40,351 | 11 plans |
| 012 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC | $31,531 – $63,240 · median $31,531 | 11 plans |
| 013 | TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC | $22,028 – $43,227 · median $22,028 | 11 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,551 – $118,032 · median $57,551 | 11 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,209 – $79,407 · median $39,209 | 11 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $24,133 – $47,661 · median $24,133 | 11 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $42,318 – $85,955 · median $42,318 | 11 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $29,365 – $58,679 · median $29,365 | 11 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $33,887 – $68,201 · median $33,887 | 11 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $23,647 – $46,638 · median $23,647 | 11 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $19,471 – $37,844 · median $19,471 | 11 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $44,298 – $90,125 · median $44,298 | 11 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $25,801 – $51,174 · median $25,801 | 11 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $17,137 – $32,928 · median $17,137 | 11 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $33,416 – $67,208 · median $33,416 | 11 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $16,679 – $31,965 · median $16,679 | 11 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $13,345 – $24,944 · median $13,345 | 11 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $29,072 – $58,061 · median $29,072 | 11 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,528 – $35,858 · median $18,528 | 11 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,339 – $29,142 · median $15,339 | 11 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $24,950 – $49,382 · median $24,950 | 11 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $13,058 – $24,339 · median $13,058 | 11 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $9,873 – $17,633 · median $9,873 | 11 plans |
| 040 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $29,004 – $57,918 · median $29,004 | 11 plans |
| 041 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,162 – $32,981 · median $17,162 | 11 plans |
| 042 | PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,807 – $25,916 · median $13,807 | 11 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,402 – $27,170 · median $14,402 | 11 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,475 – $14,688 · median $8,475 | 11 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,376 – $22,904 · median $12,376 | 11 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,763 – $15,294 · median $8,763 | 11 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $18,048 – $34,847 · median $18,048 | 11 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $10,729 – $19,434 · median $10,729 | 11 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,677 – $25,643 · median $13,677 | 11 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $10,339 – $18,614 · median $10,339 | 11 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,052 – $13,797 · median $8,052 | 11 plans |
| 061 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $21,139 – $41,357 · median $21,139 | 11 plans |
| 062 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $14,017 – $26,358 · median $14,017 | 11 plans |
| 063 | ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $11,499 – $21,057 · median $11,499 | 11 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $15,825 – $30,165 · median $15,825 | 11 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $8,696 – $15,155 · median $8,696 | 11 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,375 – $10,266 · median $6,375 | 11 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $11,962 – $22,031 · median $11,962 | 11 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $7,657 – $12,966 · median $7,657 | 11 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,190 – $11,982 · median $7,190 | 11 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,359 – $24,972 · median $13,359 | 11 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $8,808 – $15,390 · median $8,808 | 11 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,886 – $11,343 · median $6,886 | 11 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $12,928 – $24,065 · median $12,928 | 11 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $8,842 – $15,462 · median $8,842 | 11 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,159 – $28,763 · median $15,159 | 11 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,378 – $12,378 · median $7,378 | 11 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $14,393 – $27,150 · median $14,393 | 11 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $7,879 – $13,434 · median $7,879 | 11 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,781 – $34,284 · median $17,781 | 11 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,442 – $20,937 · median $11,442 | 11 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,308 – $14,337 · median $8,308 | 11 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $17,683 – $34,079 · median $17,683 | 11 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $10,779 – $19,541 · median $10,779 | 11 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,015 – $13,721 · median $8,015 | 11 plans |
| 088 | CONCUSSION WITH MCC | $11,129 – $20,277 · median $11,129 | 11 plans |
| 089 | CONCUSSION WITH CC | $9,325 – $16,479 · median $9,325 | 11 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $7,364 – $12,348 · median $7,364 | 11 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,010 – $26,343 · median $14,010 | 11 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $8,787 – $15,345 · median $8,787 | 11 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,172 – $11,945 · median $7,172 | 11 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,569 – $52,791 · median $26,569 | 11 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $19,872 – $38,688 · median $19,872 | 11 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,872 – $38,688 · median $19,872 | 11 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $27,228 – $54,177 · median $27,228 | 11 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $17,847 – $34,424 · median $17,847 | 11 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $11,204 – $20,436 · median $11,204 | 11 plans |
| 100 | SEIZURES WITH MCC | $15,296 – $29,052 · median $15,296 | 11 plans |
| 101 | SEIZURES WITHOUT MCC | $7,929 – $13,539 · median $7,929 | 11 plans |
| 102 | HEADACHES WITH MCC | $9,484 – $16,814 · median $9,484 | 11 plans |
| 103 | HEADACHES WITHOUT MCC | $7,457 – $12,545 · median $7,457 | 11 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $18,247 – $35,267 · median $18,247 | 11 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,137 – $20,295 · median $11,137 | 11 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $12,433 – $23,024 · median $12,433 | 11 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $14,379 – $27,122 · median $14,379 | 11 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $9,228 – $16,274 · median $9,228 | 11 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $9,786 – $17,450 · median $9,786 | 11 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $7,097 – $11,787 · median $7,097 | 11 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,188 – $11,979 · median $7,188 | 11 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $10,924 – $19,847 · median $10,924 | 11 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $6,969 – $11,517 · median $6,969 | 11 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $16,957 – $32,550 · median $16,957 | 11 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,732 – $15,230 · median $8,732 | 11 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $12,136 – $22,398 · median $12,136 | 11 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,812 – $13,293 · median $7,812 | 11 plans |
| 139 | SALIVARY GLAND PROCEDURES | $10,302 – $18,536 · median $10,302 | 11 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $31,883 – $63,980 · median $31,883 | 11 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $17,036 – $32,717 · median $17,036 | 11 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,871 – $23,946 · median $12,871 | 11 plans |
| 143 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $28,188 – $56,199 · median $28,188 | 11 plans |
| 144 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,844 – $25,994 · median $13,844 | 11 plans |
| 145 | OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,064 – $18,035 · median $10,064 | 11 plans |
| 146 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC | $16,582 – $31,761 · median $16,582 | 11 plans |
| 147 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC | $10,557 – $19,073 · median $10,557 | 11 plans |
| 148 | EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,178 – $11,957 · median $7,178 | 11 plans |
| 149 | DYSEQUILIBRIUM | $6,854 – $11,274 · median $6,854 | 11 plans |
| 150 | EPISTAXIS WITH MCC | $10,984 – $19,973 · median $10,984 | 11 plans |
| 151 | EPISTAXIS WITHOUT MCC | $6,728 – $11,010 · median $6,728 | 11 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $9,921 – $17,733 · median $9,921 | 11 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,758 – $11,073 · median $6,758 | 11 plans |
| 154 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC | $12,637 – $23,453 · median $12,637 | 11 plans |
| 155 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC | $8,028 – $13,748 · median $8,028 | 11 plans |
| 156 | OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,423 – $10,367 · median $6,423 | 11 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $13,729 – $25,752 · median $13,729 | 11 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $7,980 – $13,647 · median $7,980 | 11 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,547 – $10,628 · median $6,547 | 11 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $33,425 – $67,227 · median $33,425 | 11 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $19,479 – $37,860 · median $19,479 | 11 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $15,135 – $28,713 · median $15,135 | 11 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $28,124 – $56,066 · median $28,124 | 11 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $14,346 – $27,051 · median $14,346 | 11 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,233 – $20,496 · median $11,233 | 11 plans |
| 173 | URETHRAL PROCEDURES AGE 0-17 | $22,701 – $44,646 · median $22,701 | 11 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $11,284 – $20,604 · median $11,284 | 11 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,234 – $12,075 · median $7,234 | 11 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $12,631 – $23,441 · median $12,631 | 11 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $8,452 – $14,640 · median $8,452 | 11 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,878 – $11,325 · median $6,878 | 11 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $14,079 – $26,490 · median $14,079 | 11 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,129 – $16,065 · median $9,129 | 11 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $6,869 – $11,307 · median $6,869 | 11 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $12,398 – $22,949 · median $12,398 | 11 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $9,080 – $15,962 · median $9,080 | 11 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,102 – $11,798 · median $7,102 | 11 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $12,601 – $23,378 · median $12,601 | 11 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,545 – $14,837 · median $8,545 | 11 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,608 – $10,758 · median $6,608 | 11 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $10,300 – $18,531 · median $10,300 | 11 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $9,390 – $16,616 · median $9,390 | 11 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $7,505 – $12,645 · median $7,505 | 11 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,073 – $9,630 · median $6,073 | 11 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $10,863 – $19,716 · median $10,863 | 11 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,240 – $12,089 · median $7,240 | 11 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,977 – $9,428 · median $5,977 | 11 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $14,943 – $28,308 · median $14,943 | 11 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,260 – $14,237 · median $8,260 | 11 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,601 – $10,743 · median $6,601 | 11 plans |
| 199 | PNEUMOTHORAX WITH MCC | $14,066 – $26,462 · median $14,066 | 11 plans |
| 200 | PNEUMOTHORAX WITH CC | $9,330 – $16,490 · median $9,330 | 11 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,594 – $10,727 · median $6,594 | 11 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $8,418 – $14,568 · median $8,418 | 11 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,272 – $10,050 · median $6,272 | 11 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,251 – $12,111 · median $7,251 | 11 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $14,542 – $27,465 · median $14,542 | 11 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,203 – $14,117 · median $8,203 | 11 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $47,336 – $96,521 · median $47,336 | 11 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $21,079 – $41,231 · median $21,079 | 11 plans |
| 209 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17 | $82,127 – $169,782 · median $82,127 | 11 plans |
| 212 | TESTES PROCEDURES AGE 0-17 | $78,959 – $163,112 · median $78,959 | 11 plans |
| 213 | SPLENIC PROCEDURES AGE 0-17 | $42,151 – $85,604 · median $42,151 | 11 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $72,426 – $149,355 · median $72,426 | 11 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $71,185 – $146,742 · median $71,185 | 11 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $48,337 – $98,630 · median $48,337 | 11 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $48,337 – $98,630 · median $48,337 | 11 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $56,194 – $115,175 · median $56,194 | 11 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $39,487 – $79,992 · median $39,487 | 11 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,402 – $75,603 · median $37,402 | 11 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $36,741 – $74,211 · median $36,741 | 11 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $23,934 – $47,243 · median $23,934 | 11 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $61,548 – $126,449 · median $61,548 | 11 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,685 – $90,939 · median $44,685 | 11 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $55,959 – $114,678 · median $55,959 | 11 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $40,412 – $81,941 · median $40,412 | 11 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $43,303 – $88,029 · median $43,303 | 11 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $31,338 – $62,832 · median $31,338 | 11 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $36,558 – $73,826 · median $36,558 | 11 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $21,805 – $42,758 · median $21,805 | 11 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $11,361 – $20,766 · median $11,361 | 11 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $24,243 – $47,892 · median $24,243 | 11 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $16,679 – $31,964 · median $16,679 | 11 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $14,375 – $27,113 · median $14,375 | 11 plans |
| 245 | AICD GENERATOR PROCEDURES | $33,999 – $68,436 · median $33,999 | 11 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,046 – $32,738 · median $17,046 | 11 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,145 – $22,418 · median $12,145 | 11 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $26,348 – $52,325 · median $26,348 | 11 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $19,989 – $38,934 · median $19,989 | 11 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,191 – $26,726 · median $14,191 | 11 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $20,714 – $40,461 · median $20,714 | 11 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $13,594 – $25,469 · median $13,594 | 11 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $9,280 – $16,383 · median $9,280 | 11 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $23,882 – $47,132 · median $23,882 | 11 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $15,904 – $30,332 · median $15,904 | 11 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $24,670 – $48,792 · median $24,670 | 11 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $14,966 – $28,358 · median $14,966 | 11 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $13,110 – $24,449 · median $13,110 | 11 plans |
| 263 | VEIN LIGATION AND STRIPPING | $23,278 – $45,861 · median $23,278 | 11 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,296 – $50,109 · median $25,296 | 11 plans |
| 265 | AICD LEAD PROCEDURES | $27,273 – $54,273 · median $27,273 | 11 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $45,154 – $91,926 · median $45,154 | 11 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $35,412 – $71,412 · median $35,412 | 11 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $50,493 – $103,169 · median $50,493 | 11 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $31,583 – $63,348 · median $31,583 | 11 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $39,084 – $79,145 · median $39,084 | 11 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $26,832 – $53,345 · median $26,832 | 11 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $19,685 – $38,295 · median $19,685 | 11 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $30,887 – $61,883 · median $30,887 | 11 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $24,947 – $49,376 · median $24,947 | 11 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $52,291 – $106,956 · median $52,291 | 11 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,286 – $90,099 · median $44,286 | 11 plans |
| 277 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $34,399 – $69,278 · median $34,399 | 11 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $41,149 – $83,493 · median $41,149 | 11 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $27,189 – $54,096 · median $27,189 | 11 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC | $12,926 – $24,062 · median $12,926 | 11 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC | $8,047 – $13,787 · median $8,047 | 11 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC | $6,651 – $10,847 · median $6,651 | 11 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC | $15,609 – $29,712 · median $15,609 | 11 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC | $6,430 – $10,383 · median $6,430 | 11 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC | $5,766 – $8,984 · median $5,766 | 11 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC | $17,262 – $33,192 · median $17,262 | 11 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC | $9,122 – $16,052 · median $9,122 | 11 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $20,777 – $40,593 · median $20,777 | 11 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,658 – $25,604 · median $13,658 | 11 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,122 – $13,946 · median $8,122 | 11 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $10,645 – $19,257 · median $10,645 | 11 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $7,547 – $12,735 · median $7,547 | 11 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,531 – $8,490 · median $5,531 | 11 plans |
| 296 | CARDIAC ARREST- UNEXPLAINED WITH MCC | $12,626 – $23,429 · median $12,626 | 11 plans |
| 297 | CARDIAC ARREST- UNEXPLAINED WITH CC | $6,016 – $9,510 · median $6,016 | 11 plans |
| 298 | CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC | $4,491 – $6,827 · median $4,741 | 11 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,130 – $24,491 · median $13,130 | 11 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $9,104 – $16,013 · median $9,104 | 11 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,626 – $10,796 · median $6,626 | 11 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $10,023 – $17,949 · median $10,023 | 11 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,295 – $10,098 · median $6,295 | 11 plans |
| 304 | HYPERTENSION WITH MCC | $9,976 – $17,850 · median $9,976 | 11 plans |
| 305 | HYPERTENSION WITHOUT MCC | $6,878 – $11,327 · median $6,878 | 11 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $12,725 – $23,637 · median $12,725 | 11 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,005 – $13,698 · median $8,005 | 11 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $10,076 – $18,060 · median $10,076 | 11 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $6,740 – $11,036 · median $6,740 | 11 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,532 – $8,492 · median $5,532 | 11 plans |
| 311 | ANGINA PECTORIS | $6,500 – $10,529 · median $6,500 | 11 plans |
| 312 | SYNCOPE AND COLLAPSE | $7,708 – $13,074 · median $7,708 | 11 plans |
| 313 | CHEST PAIN | $6,628 – $10,800 · median $6,628 | 11 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $16,353 – $31,278 · median $16,353 | 11 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $8,362 – $14,450 · median $8,362 | 11 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,358 – $10,232 · median $6,358 | 11 plans |
| 317 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $49,129 – $100,298 · median $49,129 | 11 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $18,754 – $36,333 · median $18,754 | 11 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $33,290 – $66,944 · median $33,290 | 11 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $18,633 – $36,080 · median $18,633 | 11 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,881 – $40,812 · median $20,881 | 11 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $14,058 – $26,445 · median $14,058 | 11 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $32,325 – $64,911 · median $32,325 | 11 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,945 – $47,265 · median $23,945 | 11 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $24,368 – $48,156 · median $24,368 | 11 plans |
| 326 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $37,026 – $74,811 · median $37,026 | 11 plans |
| 327 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $18,910 – $36,663 · median $18,910 | 11 plans |
| 328 | STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $12,913 – $24,035 · median $12,913 | 11 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $34,242 – $68,948 · median $34,242 | 11 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,576 – $35,958 · median $18,576 | 11 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $13,487 – $25,244 · median $13,487 | 11 plans |
| 332 | RECTAL RESECTION WITH MCC | $27,291 – $54,311 · median $27,291 | 11 plans |
| 333 | RECTAL RESECTION WITH CC | $18,184 – $35,133 · median $18,184 | 11 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $13,167 – $24,569 · median $13,167 | 11 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $26,936 – $53,564 · median $26,936 | 11 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $16,521 – $31,631 · median $16,521 | 11 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,434 – $23,025 · median $12,434 | 11 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $19,898 – $38,742 · median $19,898 | 11 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,218 – $22,571 · median $12,218 | 11 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $9,949 – $17,793 · median $9,949 | 11 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,852 – $34,434 · median $17,852 | 11 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $10,823 – $19,632 · median $10,823 | 11 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $7,701 – $13,059 · median $7,701 | 11 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $19,250 – $37,379 · median $19,250 | 11 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $12,359 – $22,868 · median $12,359 | 11 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $9,818 – $17,517 · median $9,818 | 11 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $22,171 – $43,530 · median $22,171 | 11 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,484 – $25,236 · median $13,484 | 11 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $11,080 – $20,175 · median $11,080 | 11 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $32,791 – $65,892 · median $32,791 | 11 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $18,065 – $34,883 · median $18,065 | 11 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,457 – $20,969 · median $11,457 | 11 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $25,994 – $51,579 · median $25,994 | 11 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $18,697 – $36,215 · median $18,697 | 11 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $12,839 – $23,879 · median $12,839 | 11 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,624 – $15,003 · median $8,624 | 11 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,492 – $10,512 · median $6,492 | 11 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $14,130 – $26,597 · median $14,130 | 11 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $8,773 – $15,315 · median $8,773 | 11 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,681 – $10,911 · median $6,681 | 11 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $16,734 – $32,081 · median $16,734 | 11 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $10,116 – $18,144 · median $10,116 | 11 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,084 – $13,865 · median $8,084 | 11 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $14,521 – $27,420 · median $14,521 | 11 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $8,485 – $14,711 · median $8,485 | 11 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,990 – $9,456 · median $5,990 | 11 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $15,477 – $29,433 · median $15,477 | 11 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $9,218 – $16,253 · median $9,218 | 11 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,203 – $12,009 · median $7,203 | 11 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,335 – $20,711 · median $11,335 | 11 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $7,589 – $12,822 · median $7,589 | 11 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $12,771 – $23,735 · median $12,771 | 11 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $8,454 – $14,645 · median $8,454 | 11 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,353 – $10,220 · median $6,353 | 11 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $12,019 – $22,152 · median $12,019 | 11 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,126 – $11,847 · median $7,126 | 11 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,368 – $8,160 · median $5,375 | 11 plans |
| 391 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $10,534 – $19,025 · median $10,534 | 11 plans |
| 392 | ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,053 – $11,694 · median $7,053 | 11 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $12,892 – $23,990 · median $12,892 | 11 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,165 – $14,036 · median $8,165 | 11 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,123 – $9,735 · median $6,123 | 11 plans |
| 397 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $18,559 – $35,924 · median $18,559 | 11 plans |
| 398 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $12,281 – $22,704 · median $12,281 | 11 plans |
| 399 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC | $9,654 – $17,171 · median $9,654 | 11 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $30,139 – $60,308 · median $30,139 | 11 plans |
| 405 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC | $40,468 – $82,058 · median $40,468 | 11 plans |
| 406 | PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC | $22,159 – $43,503 · median $22,159 | 11 plans |
| 407 | PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $17,310 – $33,294 · median $17,310 | 11 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $26,898 – $53,484 · median $26,898 | 11 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $17,009 – $32,660 · median $17,009 | 11 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $12,809 – $23,816 · median $12,809 | 11 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $25,030 – $49,550 · median $25,030 | 11 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $16,476 – $31,538 · median $16,476 | 11 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $13,328 – $24,908 · median $13,328 | 11 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $26,877 – $53,439 · median $26,877 | 11 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $16,221 – $31,001 · median $16,221 | 11 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,211 – $20,450 · median $11,211 | 11 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $18,499 – $35,796 · median $18,499 | 11 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $13,549 – $25,374 · median $13,549 | 11 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $11,229 – $20,487 · median $11,229 | 11 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,769 – $51,107 · median $25,769 | 11 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $13,876 – $26,063 · median $13,876 | 11 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,469 – $20,993 · median $11,469 | 11 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $31,083 – $62,295 · median $31,083 | 11 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $17,085 – $32,819 · median $17,085 | 11 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $12,187 – $22,505 · median $12,187 | 11 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $80,007 – $165,318 · median $80,007 | 11 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $52,920 – $108,279 · median $52,920 | 11 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $41,547 – $84,330 · median $41,547 | 11 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $65,678 – $135,144 · median $65,678 | 11 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $42,580 – $86,507 · median $42,580 | 11 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $15,520 – $29,523 · median $15,520 | 11 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,023 – $15,843 · median $9,023 | 11 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,575 – $10,688 · median $6,575 | 11 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $14,583 – $27,551 · median $14,583 | 11 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,557 – $16,967 · median $9,557 | 11 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,578 – $12,800 · median $7,578 | 11 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $13,112 – $24,453 · median $13,112 | 11 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $7,492 – $12,618 · median $7,492 | 11 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,926 – $9,321 · median $5,926 | 11 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $14,284 – $26,921 · median $14,284 | 11 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $8,376 – $14,480 · median $8,376 | 11 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,484 – $10,496 · median $6,484 | 11 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $13,402 – $25,064 · median $13,402 | 11 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $9,295 – $16,416 · median $9,295 | 11 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,393 – $12,410 · median $7,393 | 11 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,095 – $100,224 · median $49,095 | 11 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $31,708 – $63,612 · median $31,708 | 11 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $39,464 – $79,944 · median $39,464 | 11 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $24,511 – $48,456 · median $24,511 | 11 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC | $61,359 – $126,051 · median $61,359 | 11 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC | $43,976 – $89,447 · median $43,976 | 11 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $31,222 – $62,589 · median $31,222 | 11 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC | $40,842 – $82,845 · median $40,842 | 11 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $20,448 – $39,900 · median $20,448 | 11 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,099 – $85,493 · median $42,099 | 11 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $23,687 – $46,721 · median $23,687 | 11 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,490 – $27,356 · median $14,490 | 11 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $38,579 – $78,081 · median $38,579 | 11 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,621 – $52,899 · median $26,621 | 11 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $21,074 – $41,220 · median $21,074 | 11 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $23,106 – $45,498 · median $23,106 | 11 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $15,240 – $28,934 · median $15,240 | 11 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $35,896 – $72,431 · median $35,896 | 11 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $22,486 – $44,192 · median $22,486 | 11 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $18,890 – $36,620 · median $18,890 | 11 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,079 – $64,394 · median $32,079 | 11 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $17,710 – $34,136 · median $17,710 | 11 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,907 – $17,703 · median $9,907 | 11 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $26,108 – $51,819 · median $26,108 | 11 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $19,017 – $36,888 · median $19,017 | 11 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $14,741 – $27,884 · median $14,741 | 11 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $22,245 – $43,685 · median $22,245 | 11 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $16,419 – $31,418 · median $16,419 | 11 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $13,118 – $24,465 · median $13,118 | 11 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $21,245 – $41,579 · median $21,245 | 11 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $24,487 – $48,407 · median $24,487 | 11 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,395 – $31,367 · median $16,395 | 11 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $12,656 – $23,493 · median $12,656 | 11 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $14,100 – $26,534 · median $14,100 | 11 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $9,455 – $16,752 · median $9,455 | 11 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC | $27,653 – $55,074 · median $27,653 | 11 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC | $19,565 – $38,042 · median $19,565 | 11 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC | $15,793 – $30,098 · median $15,793 | 11 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $27,327 – $54,386 · median $27,327 | 11 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $14,349 – $27,059 · median $14,349 | 11 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $10,107 – $18,125 · median $10,107 | 11 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $22,989 – $45,252 · median $22,989 | 11 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $15,852 – $30,222 · median $15,852 | 11 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $24,043 – $47,472 · median $24,043 | 11 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $13,952 – $26,222 · median $13,952 | 11 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $11,087 – $20,189 · median $11,087 | 11 plans |
| 503 | FOOT PROCEDURES WITH MCC | $21,381 – $41,867 · median $21,381 | 11 plans |
| 504 | FOOT PROCEDURES WITH CC | $14,814 – $28,038 · median $14,814 | 11 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,270 – $26,892 · median $14,270 | 11 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $11,110 – $20,238 · median $11,110 | 11 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $14,367 – $27,096 · median $14,367 | 11 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,287 – $22,716 · median $12,287 | 11 plans |
| 510 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC | $23,016 – $45,308 · median $23,016 | 11 plans |
| 511 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC | $16,312 – $31,191 · median $16,312 | 11 plans |
| 512 | SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC | $13,292 – $24,831 · median $13,292 | 11 plans |
| 513 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $12,714 – $23,615 · median $12,714 | 11 plans |
| 514 | HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,782 – $15,335 · median $8,782 | 11 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $24,201 – $47,804 · median $24,201 | 11 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $16,303 – $31,172 · median $16,303 | 11 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $12,446 – $23,051 · median $12,446 | 11 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $28,121 – $56,060 · median $28,121 | 11 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $15,748 – $30,003 · median $15,748 | 11 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $12,141 – $22,409 · median $12,141 | 11 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $21,945 – $43,053 · median $21,945 | 11 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $16,585 – $31,766 · median $16,585 | 11 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $12,667 – $23,516 · median $12,667 | 11 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,242 – $12,092 · median $7,242 | 11 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $10,632 – $19,230 · median $10,632 | 11 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,252 – $12,114 · median $7,252 | 11 plans |
| 537 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC | $8,297 – $14,315 · median $8,297 | 11 plans |
| 538 | SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC | $6,631 – $10,805 · median $6,631 | 11 plans |
| 539 | OSTEOMYELITIS WITH MCC | $15,530 – $29,546 · median $15,530 | 11 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,734 – $19,445 · median $10,734 | 11 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $7,109 – $11,811 · median $7,109 | 11 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,083 – $26,498 · median $14,083 | 11 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $8,822 – $15,420 · median $8,822 | 11 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,875 – $11,319 · median $6,875 | 11 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $19,178 – $37,226 · median $19,178 | 11 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $9,716 – $17,301 · median $9,716 | 11 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,456 – $12,543 · median $7,456 | 11 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $15,254 – $28,964 · median $15,254 | 11 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $10,099 – $18,108 · median $10,099 | 11 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $7,726 – $13,112 · median $7,726 | 11 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $13,439 – $25,142 · median $13,439 | 11 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $8,347 – $14,420 · median $8,347 | 11 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,734 – $19,445 · median $10,734 | 11 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,413 – $12,452 · median $7,413 | 11 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $10,915 – $19,827 · median $10,915 | 11 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,416 – $12,459 · median $7,416 | 11 plans |
| 557 | TENDONITIS- MYOSITIS AND BURSITIS WITH MCC | $12,091 – $22,304 · median $12,091 | 11 plans |
| 558 | TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC | $7,862 – $13,398 · median $7,862 | 11 plans |
| 559 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $14,784 – $27,974 · median $14,784 | 11 plans |
| 560 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,521 – $16,892 · median $9,521 | 11 plans |
| 561 | AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,226 – $12,059 · median $7,226 | 11 plans |
| 562 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC | $11,649 – $21,372 · median $11,649 | 11 plans |
| 563 | FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC | $7,879 – $13,433 · median $7,879 | 11 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $12,495 – $23,154 · median $12,495 | 11 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $8,441 – $14,616 · median $8,441 | 11 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,837 – $11,240 · median $6,837 | 11 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $22,450 – $44,117 · median $22,450 | 11 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $13,534 – $25,343 · median $13,534 | 11 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $9,665 – $17,195 · median $9,665 | 11 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $48,167 – $98,271 · median $48,167 | 11 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,227 – $52,071 · median $26,227 | 11 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,300 – $26,955 · median $14,300 | 11 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $36,412 – $73,518 · median $36,412 | 11 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $20,381 – $39,761 · median $20,381 | 11 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,942 – $24,096 · median $12,942 | 11 plans |
| 579 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $24,568 – $48,578 · median $24,568 | 11 plans |
| 580 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $13,809 – $25,920 · median $13,809 | 11 plans |
| 581 | OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $11,779 – $21,647 · median $11,779 | 11 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $15,223 – $28,899 · median $15,223 | 11 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $13,783 – $25,866 · median $13,783 | 11 plans |
| 584 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $16,748 – $32,111 · median $16,748 | 11 plans |
| 585 | BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $15,241 – $28,937 · median $15,241 | 11 plans |
| 592 | SKIN ULCERS WITH MCC | $15,285 – $29,030 · median $15,285 | 11 plans |
| 593 | SKIN ULCERS WITH CC | $9,950 – $17,795 · median $9,950 | 11 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $7,674 – $13,002 · median $7,674 | 11 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $16,606 – $31,811 · median $16,606 | 11 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $9,211 – $16,238 · median $9,211 | 11 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $13,375 – $25,007 · median $13,375 | 11 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $9,558 – $16,970 · median $9,558 | 11 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,980 – $11,541 · median $6,980 | 11 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $8,919 – $15,624 · median $8,919 | 11 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,809 – $9,075 · median $5,809 | 11 plans |
| 602 | CELLULITIS WITH MCC | $11,624 – $21,320 · median $11,624 | 11 plans |
| 603 | CELLULITIS WITHOUT MCC | $7,703 – $13,064 · median $7,703 | 11 plans |
| 604 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $11,986 – $22,082 · median $11,986 | 11 plans |
| 605 | TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,025 – $13,740 · median $8,025 | 11 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $12,279 – $22,698 · median $12,279 | 11 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $7,956 – $13,596 · median $7,956 | 11 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $17,112 – $32,877 · median $17,112 | 11 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,467 – $20,990 · median $11,467 | 11 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,341 – $52,311 · median $26,341 | 11 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,822 – $28,055 · median $14,822 | 11 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,603 – $21,275 · median $11,603 | 11 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $22,067 – $43,311 · median $22,067 | 11 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $12,899 – $24,005 · median $12,899 | 11 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,244 – $22,626 · median $12,244 | 11 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $26,853 – $53,388 · median $26,853 | 11 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $14,278 – $26,909 · median $14,278 | 11 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,417 – $18,779 · median $10,417 | 11 plans |
| 625 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $23,013 – $45,302 · median $23,013 | 11 plans |
| 626 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $12,180 – $22,491 · median $12,180 | 11 plans |
| 627 | THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $10,962 – $19,925 · median $10,962 | 11 plans |
| 628 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $28,047 – $55,902 · median $28,047 | 11 plans |
| 629 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $17,020 – $32,682 · median $17,020 | 11 plans |
| 630 | OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $11,896 – $21,893 · median $11,896 | 11 plans |
| 637 | DIABETES WITH MCC | $11,734 – $21,551 · median $11,734 | 11 plans |
| 638 | DIABETES WITH CC | $7,884 – $13,443 · median $7,884 | 11 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,925 – $9,318 · median $5,925 | 11 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC | $11,014 – $20,034 · median $11,014 | 11 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC | $7,043 – $11,673 · median $7,043 | 11 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $11,630 – $21,332 · median $11,630 | 11 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $13,225 – $24,692 · median $13,225 | 11 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $8,801 – $15,375 · median $8,801 | 11 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $6,972 – $11,525 · median $6,972 | 11 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $38,515 – $77,946 · median $38,515 | 11 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $21,440 – $41,990 · median $21,440 | 11 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $16,577 – $31,749 · median $16,577 | 11 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $24,179 – $47,757 · median $24,179 | 11 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $14,535 – $27,450 · median $14,535 | 11 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $12,554 – $23,277 · median $12,554 | 11 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $19,599 – $38,114 · median $19,599 | 11 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $10,915 – $19,826 · median $10,915 | 11 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $8,875 – $15,531 · median $8,875 | 11 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $23,308 – $45,923 · median $23,308 | 11 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $12,328 – $22,803 · median $12,328 | 11 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $8,957 – $15,704 · median $8,957 | 11 plans |
| 665 | PROSTATECTOMY WITH MCC | $23,733 – $46,818 · median $23,733 | 11 plans |
| 666 | PROSTATECTOMY WITH CC | $13,960 – $26,240 · median $13,960 | 11 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,379 – $16,593 · median $9,379 | 11 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $22,300 – $43,800 · median $22,300 | 11 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $12,555 – $23,280 · median $12,555 | 11 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $8,461 – $14,660 · median $8,461 | 11 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $14,286 – $26,925 · median $14,286 | 11 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $9,189 – $16,193 · median $9,189 | 11 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $31,429 – $63,024 · median $31,429 | 11 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $18,158 – $35,079 · median $18,158 | 11 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $13,192 – $24,621 · median $13,192 | 11 plans |
| 682 | RENAL FAILURE WITH MCC | $12,049 – $22,215 · median $12,049 | 11 plans |
| 683 | RENAL FAILURE WITH CC | $7,738 – $13,137 · median $7,738 | 11 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,776 – $9,005 · median $5,776 | 11 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $14,348 – $27,056 · median $14,348 | 11 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,963 – $15,717 · median $8,963 | 11 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $7,129 – $11,855 · median $7,129 | 11 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $9,765 – $17,405 · median $9,765 | 11 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,266 – $12,143 · median $7,266 | 11 plans |
| 693 | URINARY STONES WITH MCC | $11,077 – $20,168 · median $11,077 | 11 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,068 – $11,726 · median $7,068 | 11 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $9,647 – $17,157 · median $9,647 | 11 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,408 – $10,335 · median $6,408 | 11 plans |
| 697 | URETHRAL STRICTURE | $9,177 – $16,167 · median $9,177 | 11 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $13,284 – $24,816 · median $13,284 | 11 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $8,730 – $15,225 · median $8,730 | 11 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,414 – $10,349 · median $6,414 | 11 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $15,748 – $30,005 · median $15,748 | 11 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $12,428 – $23,013 · median $12,428 | 11 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $18,076 – $34,907 · median $18,076 | 11 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $11,481 – $21,018 · median $11,481 | 11 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $16,343 – $31,257 · median $16,343 | 11 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $9,333 – $16,496 · median $9,333 | 11 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $12,209 – $22,551 · median $12,209 | 11 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $9,032 – $15,861 · median $9,032 | 11 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $17,437 – $33,560 · median $17,437 | 11 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $11,978 – $22,065 · median $11,978 | 11 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $14,966 – $28,358 · median $14,966 | 11 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,067 – $20,147 · median $11,067 | 11 plans |
| 722 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC | $14,391 – $27,146 · median $14,391 | 11 plans |
| 723 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC | $9,639 – $17,141 · median $9,639 | 11 plans |
| 724 | MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,170 – $9,836 · median $6,170 | 11 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,835 – $17,553 · median $9,835 | 11 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $6,643 – $10,830 · median $6,643 | 11 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,063 – $22,244 · median $12,063 | 11 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,278 – $12,168 · median $7,278 | 11 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $9,041 – $15,881 · median $9,041 | 11 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,287 – $10,080 · median $6,287 | 11 plans |
| 734 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $16,672 – $31,950 · median $16,672 | 11 plans |
| 735 | PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,084 – $20,183 · median $11,084 | 11 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,962 – $53,618 · median $26,962 | 11 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $16,178 – $30,909 · median $16,178 | 11 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $11,960 – $22,028 · median $11,960 | 11 plans |
| 739 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC | $27,021 – $53,742 · median $27,021 | 11 plans |
| 740 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC | $14,390 – $27,144 · median $14,390 | 11 plans |
| 741 | UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC | $11,658 – $21,392 · median $11,658 | 11 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $14,569 – $27,522 · median $14,569 | 11 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,338 – $18,611 · median $10,338 | 11 plans |
| 744 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $16,096 – $30,737 · median $16,096 | 11 plans |
| 745 | D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,602 – $17,063 · median $9,602 | 11 plans |
| 746 | VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC | $13,874 – $26,057 · median $13,874 | 11 plans |
| 747 | VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $7,624 – $12,896 · median $7,624 | 11 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $11,382 – $20,810 · median $11,382 | 11 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $19,789 – $38,514 · median $19,789 | 11 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,012 – $22,137 · median $12,012 | 11 plans |
| 754 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $14,619 – $27,626 · median $14,619 | 11 plans |
| 755 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,248 – $16,317 · median $9,248 | 11 plans |
| 756 | MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,342 – $14,408 · median $8,342 | 11 plans |
| 757 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,699 – $21,479 · median $11,699 | 11 plans |
| 758 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC | $8,473 – $14,685 · median $8,473 | 11 plans |
| 759 | INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,227 – $9,954 · median $6,227 | 11 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $8,676 – $15,113 · median $8,676 | 11 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $5,563 – $8,558 · median $5,563 | 11 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,421 – $16,074 · median $9,133 | 11 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,537 – $25,347 · median $13,537 | 11 plans |
| 770 | ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY | $8,642 – $15,041 · median $8,642 | 11 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,163 – $9,821 · median $6,163 | 11 plans |
| 779 | ABORTION WITHOUT D&C | $7,492 – $12,620 · median $7,492 | 11 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $6,627 – $36,827 · median $18,988 | 11 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $6,627 – $15,902 · median $9,051 | 11 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $6,627 – $14,367 · median $8,322 | 11 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $6,627 – $24,743 · median $13,250 | 11 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $6,627 – $16,752 · median $9,455 | 11 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $6,627 – $14,382 · median $8,329 | 11 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,421 – $17,505 · median $9,813 | 11 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,421 – $15,006 · median $8,626 | 11 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,421 – $14,357 · median $8,317 | 11 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $33,760 – $67,934 · median $33,760 | 11 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $21,512 – $42,141 · median $21,512 | 11 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,097 – $28,634 · median $15,097 | 11 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $29,880 – $59,762 · median $29,880 | 11 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $14,741 – $27,884 · median $14,741 | 11 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $11,159 – $20,340 · median $11,159 | 11 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,421 – $16,188 · median $9,187 | 11 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,421 – $11,310 · median $6,871 | 11 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $17,227 – $33,119 · median $17,227 | 11 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $10,517 – $18,989 · median $10,517 | 11 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $8,955 – $15,699 · median $8,955 | 11 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $11,503 – $21,065 · median $11,503 | 11 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,040 – $13,773 · median $8,040 | 11 plans |
| 813 | COAGULATION DISORDERS | $12,365 – $22,880 · median $12,365 | 11 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,649 – $31,901 · median $16,649 | 11 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $8,723 – $15,210 · median $8,723 | 11 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,002 – $9,480 · median $6,002 | 11 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,752 – $34,224 · median $17,752 | 11 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,757 – $17,388 · median $9,757 | 11 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,625 – $12,899 · median $7,625 | 11 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $43,276 – $87,972 · median $43,276 | 11 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $17,446 – $33,579 · median $17,446 | 11 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,076 – $18,060 · median $10,076 | 11 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $34,158 – $68,772 · median $34,158 | 11 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $17,638 – $33,984 · median $17,638 | 11 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,112 – $20,241 · median $11,112 | 11 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $34,821 – $70,167 · median $34,821 | 11 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,963 – $34,668 · median $17,963 | 11 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $13,636 – $25,557 · median $13,636 | 11 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,009 – $47,400 · median $24,009 | 11 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $12,220 – $22,575 · median $12,220 | 11 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,065 – $18,038 · median $10,065 | 11 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,640 – $10,824 · median $6,640 | 11 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $5,160 – $7,844 · median $5,224 | 11 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $40,606 – $82,349 · median $40,606 | 11 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $16,357 – $31,287 · median $16,357 | 11 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,187 – $18,293 · median $10,187 | 11 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,722 – $72,065 · median $35,722 | 11 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $16,369 – $31,311 · median $16,369 | 11 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,785 – $21,659 · median $11,785 | 11 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $24,543 – $48,524 · median $24,543 | 11 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $13,121 – $24,471 · median $13,121 | 11 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,697 – $15,156 · median $8,697 | 11 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $15,709 – $29,922 · median $15,709 | 11 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $10,172 – $18,261 · median $10,172 | 11 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,566 – $12,774 · median $7,566 | 11 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $19,967 – $38,888 · median $19,967 | 11 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $10,818 – $19,623 · median $10,818 | 11 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,550 – $12,741 · median $7,550 | 11 plans |
| 849 | RADIOTHERAPY | $20,800 – $40,643 · median $20,800 | 11 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $63,184 – $129,893 · median $63,184 | 11 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $36,679 – $74,079 · median $36,679 | 11 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $15,733 – $29,972 · median $15,733 | 11 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,165 – $22,458 · median $12,165 | 11 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $33,901 – $68,231 · median $33,901 | 11 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $16,754 – $32,123 · median $16,754 | 11 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,422 – $20,894 · median $11,422 | 11 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $14,490 – $27,356 · median $14,490 | 11 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,608 – $14,969 · median $8,608 | 11 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $7,823 – $13,316 · median $7,823 | 11 plans |
| 865 | VIRAL ILLNESS WITH MCC | $12,172 – $22,475 · median $12,172 | 11 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $7,694 – $13,044 · median $7,694 | 11 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,410 – $31,398 · median $16,410 | 11 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $8,844 – $15,467 · median $8,844 | 11 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,698 – $10,946 · median $6,698 | 11 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $50,734 – $103,677 · median $50,734 | 11 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $15,337 – $29,138 · median $15,337 | 11 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $8,789 – $15,350 · median $8,789 | 11 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $15,506 – $29,495 · median $15,506 | 11 plans |
| 895 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY | $11,583 – $21,234 · median $11,583 | 11 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $31,393 – $62,949 · median $31,393 | 11 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $15,137 – $28,718 · median $15,137 | 11 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $9,831 – $17,544 · median $9,831 | 11 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,664 – $55,097 · median $27,664 | 11 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $12,066 – $22,251 · median $12,066 | 11 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,492 – $29,465 · median $15,492 | 11 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $28,848 – $57,590 · median $28,848 | 11 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,712 – $29,928 · median $15,712 | 11 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,850 – $19,691 · median $10,850 | 11 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $13,143 – $24,519 · median $13,143 | 11 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $7,807 – $13,283 · median $7,807 | 11 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $13,478 – $25,224 · median $13,478 | 11 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,246 – $9,995 · median $6,246 | 11 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $12,672 – $23,526 · median $12,672 | 11 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,605 – $12,857 · median $7,605 | 11 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $14,541 – $27,462 · median $14,541 | 11 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $8,639 – $15,035 · median $8,639 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,403 – $10,326 · median $6,403 | 11 plans |
| 922 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $13,961 – $26,241 · median $13,961 | 11 plans |
| 923 | OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,749 – $15,266 · median $8,749 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $153,585 – $320,258 · median $153,585 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $52,593 – $107,591 · median $52,593 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $24,442 – $48,312 · median $24,442 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $29,239 – $58,413 · median $29,239 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $17,246 – $33,159 · median $17,246 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $16,174 – $30,900 · median $16,174 | 11 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $27,346 – $54,428 · median $27,346 | 11 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $18,146 – $35,054 · median $18,146 | 11 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $15,944 – $30,416 · median $15,944 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $12,531 – $23,229 · median $12,531 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $9,669 – $17,202 · median $9,669 | 11 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $10,542 – $19,041 · median $10,542 | 11 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,202 – $12,008 · median $7,202 | 11 plans |
| 949 | AFTERCARE WITH CC/MCC | $9,974 – $17,846 · median $9,974 | 11 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,971 – $9,416 · median $5,971 | 11 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,460 – $8,340 · median $5,460 | 11 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $49,447 – $100,967 · median $49,447 | 11 plans |
| 956 | LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $28,305 – $56,445 · median $28,305 | 11 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $55,778 – $114,299 · median $55,778 | 11 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $31,516 – $63,209 · median $31,516 | 11 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,471 – $44,162 · median $22,471 | 11 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $20,973 – $41,007 · median $20,973 | 11 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,417 – $22,989 · median $12,417 | 11 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,199 – $14,108 · median $8,199 | 11 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,103 – $91,820 · median $45,103 | 11 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $20,287 – $39,561 · median $20,287 | 11 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $22,057 – $43,290 · median $22,057 | 11 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,724 – $19,425 · median $10,724 | 11 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,930 – $13,541 · median $7,930 | 11 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $10,744 – $19,466 · median $10,744 | 11 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $34,921 – $70,377 · median $34,921 | 11 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $19,012 – $36,878 · median $19,012 | 11 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $13,709 – $25,710 · median $13,709 | 11 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $25,921 – $51,426 · median $25,921 | 11 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $13,207 – $24,654 · median $13,207 | 11 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,042 – $17,988 · median $10,042 | 11 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $309,103 – $647,742 · median $309,103 | 10 plans |
| 789 | NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,337 – $27,033 · median $14,337 | 10 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE | $43,837 – $89,153 · median $43,837 | 10 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $30,413 – $60,885 · median $30,413 | 10 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,946 – $36,738 · median $18,946 | 10 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $31,201 – $62,544 · median $31,201 | 10 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $12,013 – $22,139 · median $12,013 | 10 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,421 – $10,113 · median $6,302 | 10 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $29,030 – $57,974 · median $29,030 | 10 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $8,339 – $14,403 · median $8,339 | 10 plans |
| 881 | DEPRESSIVE NEUROSES | $8,202 – $14,114 · median $8,202 | 10 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,149 – $16,107 · median $9,149 | 10 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $12,960 – $24,134 · median $12,960 | 10 plans |
| 885 | PSYCHOSES | $11,449 – $20,952 · median $11,449 | 10 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,283 – $31,130 · median $16,283 | 10 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $9,128 – $16,064 · median $9,128 | 10 plans |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA | $5,894 – $9,254 · median $5,894 | 10 plans |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $13,930 – $26,177 · median $13,930 | 10 plans |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $7,788 – $13,242 · median $7,788 | 10 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $201,122 – $420,359 · median $201,122 | 9 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $82,219 – $169,977 · median $82,219 | 9 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $74,944 – $154,658 · median $74,944 | 9 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $34,530 – $69,555 · median $34,530 | 9 plans |
| 007 | LUNG TRANSPLANT | $93,747 – $194,253 · median $93,747 | 9 plans |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT | $41,423 – $84,069 · median $41,423 | 9 plans |
| 010 | PANCREAS TRANSPLANT | $52,614 – $107,636 · median $52,614 | 9 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $87,106 – $180,269 · median $87,106 | 9 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $43,739 – $88,946 · median $43,739 | 9 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $40,195 – $81,485 · median $40,195 | 9 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $52,321 – $107,019 · median $52,321 | 9 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $34,989 – $70,521 · median $34,989 | 9 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $27,897 – $55,587 · median $27,897 | 9 plans |
| 652 | KIDNEY TRANSPLANT | $24,504 – $48,443 · median $24,504 | 9 plans |
| 795 | NORMAL NEWBORN | $2,923 – $3,069 · median $2,923 | 9 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $15,259 – $23,195 · median $19,227 | 2 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,847 – $14,969 · median $12,408 | 2 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,579 – $10,001 · median $8,290 | 2 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $12,118 – $18,420 · median $15,269 | 2 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,794 – $11,847 · median $9,820 | 2 plans |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC | $87,444 – $132,921 · median $110,183 | 2 plans |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $60,356 – $91,745 · median $76,050 | 2 plans |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $45,448 – $69,084 · median $57,266 | 2 plans |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $65,448 – $99,485 · median $82,466 | 2 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $36,096 – $54,869 · median $45,482 | 2 plans |
| 509 | ARTHROSCOPY | $17,335 – $26,351 · median $21,843 | 2 plans |
No procedures match that keyword.